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Re: depo provera after hysterectomy

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 15 Nov 1997 23:23:43 -0600 (CST)


At Sat, 15 Nov 1997, Jean wrote: >
>I am 42 and had a complete hyst in June after being diagnosed with Stage
>IV endo. I feel wonderful (regardless of menopausal symptoms) - I
>didn't realize just how much my endo affected my daily life. I exercise
>by walking 5 days a week and lots of energy for my family (2 boys). I
>also thank God for my doctor - he listens well and hasn't steered me
>wrong. One question I am hoping someone can answer, though. After
>surgery, my doctor recommended no HRT for at least 9 months (I agree);
>in addition, he recommended what he called "the cadillac of treatments"
>- depo provera shots every 2 weeks for 5 months. He was quite certain
>all endo had been removed, and this would be a further precaution. I
>was very hesitant about this and have not yet begun the depo provera. I
>wish I could give a solid reason why not - I just feel very
>uncomfortable about it. I would like some input - am I wrong, or should
>I go for the depo provera? What are chances of possible endo recurring
>after hyst? Any input on this would be appreciated.

Some docs use Depo-provera, some use birth control pills and others use Depo-lupron and add back therapy. They are all good choices. the chance of recurrence is low but some studies have shown residual non-pigmented (unable to be seen) endometriosis and the treatment reduces this.

--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response. **Thank you for your understanding ;-)




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