WOMENS-HEALTH Messages for May, 1998: Re: Treatment for Hyperplasia

Re: Treatment for Hyperplasia

From: Dr (anonymous@obgyn.net)
Thu, 28 May 1998 08:37:43 -0500 (CDT)

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At Wed, 27 May 1998, Diane wrote: >
>I am 38 yrs old, and have recently been diagnosed with Hyperplasia w/
>mild atypia. I understand that my options are either hormonal therepy
>or Hysterectomy. I'm wondering if Ablation is also an alternitive?
>
>I'm also wondering, if I go the hysterectomy route if Laproscopy would
>be an alternative. Ihave had two c-sections, so I'm not sure if scar
>tissue might be an issue in this procedure.
>
>My last question is, Having atypia hyperplasia would it be neccesary to
>remove the cervex also, if I had the hysterectomy.
>
>Thanks for your help,
>diane
>

-- Diane,

Endometrial ablation is a good option in your case. It is quite effective if you have no fibroids, and leaves you the opportunity to have some more children. For a hysterectomy, laparoscopy assisted vaginal hysterectomy is a good option too ne"cause of your two previous C-sections. This will make possible the section of intra abdominal adhesions. Removal of the cervix is not a need in your case but unusual in all kinds of vaginal hysterectomies, and, above all, keeping the cervix is useless.

-- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm

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 an examination.

Next message: Tina: "Pregnant?"
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In reply to: Diane: "Treatment for Hyperplasia"
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