WOMENS-HEALTH Messages for August, 1997: Re: Complex Endometrial Hyperplasia

Re: Complex Endometrial Hyperplasia

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Wed, 27 Aug 1997 20:40:01 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: D. Ashley Hill, M.D.: "Re: Two ectopic pregnancies in the same tube: how come?"
Previous message: D. Ashley Hill, M.D.: "Re: infertility and the Pill"
In reply to: Julie: "Complex Endometrial Hyperplasia"
Next in thread: Julie: "Re: Complex Endometrial Hyperplasia"
Reply: Julie: "Re: Complex Endometrial Hyperplasia"

At Wed, 27 Aug 1997, Julie wrote: >
>I am 33 and have been seeing an RE for 4 months. I recently had a
>hysteroscopy where they took a polyp out. I just got the
>pathology report and it wasn't very good - here's what it said:
>
>Endometrial Biopsies:
>1 - Complex endometrial hyperplasia with severe architectural and
>moderate cytological atypia

>I have setup an appointment w/a gyn oncologist. My questions are:
>
>1. I know this isn't cancer but only a pre-cursor, am I jumping the gun
>by seeing a gyn oncologist instead of my regular ob/gyn.

Well, I *was* a little surprised that your RE referred you "past" your Gyn to a Gyn/Oncologist for this problem. This is not a cancer, as you say, and any of the 3 doctors you are seeing should be able to do a D&C to obtain a larger specimen for evaluation.

>2. Is it likely I'll have to have a hysterectomy.

If the D&C specimen returns with complex hyperplasia then it is possible you can be cured with medical therapy (hormones) or even by getting pregnant (the elevated progesterone levels should theoretically solve the problem). However, complex hyperplasia in older patients usually results in a hysterectomy. In similar patients with similar pathology I have suggested 6 months of progesterone therapy, or pregnancy. If the progesterone therapy is used, then I usually repeat the biopsy in 6 months. If negative, it should be safe to proceed with pregnancy.

Good luck on your D&C and on getting pregnant.

--
Ashley Hill
D. Ashley Hill, M.D.
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, FL
I apologize, but I am unable to answer personal e-mail
due to time constraints.

Next message: D. Ashley Hill, M.D.: "Re: Two ectopic pregnancies in the same tube: how come?"
Previous message: D. Ashley Hill, M.D.: "Re: infertility and the Pill"
In reply to: Julie: "Complex Endometrial Hyperplasia"
Next in thread: Julie: "Re: Complex Endometrial Hyperplasia"
Reply: Julie: "Re: Complex Endometrial Hyperplasia"

Women's Insurance Checklist from Auto Insurance Quote

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: