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

Re: Complex Endometrial Hyperplasia

From: Kelly (anonymous@obgyn.net)
Thu, 28 Aug 1997 20:50:22 -0500 (CDT)

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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. At first I was pleased
>thinking that this may solve our IF problems (trying 1.5 years,
>unexplained IF, 1 miscarriage at 5 weeks 2 months ago). 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
>2 - Squamous morules
>3 - Small fragments of proliferative type endometrium without evidence
>of endometritis

It doesn't seem quite fair, does it, to be evaluated for one problem and then find something completly unexpected. >
>My RE was going to put me on 2 cycles of provera and repeat w/an
>endometrium biopsy but he talked to the pathology lab today and they
>recommended I get a D&C right away and have it analyzed.
>
>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.

Your regular gyn (or the RE, for that matter), could certainly do the D&C, but if you are more comfortable seeing hte oncologist, than by all means do so. >2. Is it likely I'll have to have a hysterectomy. I know this would
>probably be the recommended treatment if future fertility was not a
>factor.

Unless they find something a lot worse on the full D&C, a hysterectomy is highly UNLIKELY. You may need progestin therapy(provera or another one called megace) for about 6 months. Then a repeat D&C to make sure the progestins worked. >
>Thanks so much for any info on this,
>
>Julie

Good luck

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

Next message: Kelly: "Re: age of menarche and menopause"
Previous message: Kelly: "Re: Menstral pain and Severe Cramping"
In reply to: Julie: "Complex Endometrial Hyperplasia"
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Reply: Julie: "Re: Complex Endometrial Hyperplasia"

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