WOMENS-HEALTH Messages for September, 1999: Re: lupron before laparoscopy/hysteroscopy

Re: lupron before laparoscopy/hysteroscopy

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Sat, 18 Sep 1999 16:12:39 -0500 (CDT)

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In reply to: leslie: "lupron before laparoscopy/hysteroscopy"
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At Fri, 17 Sep 1999, leslie wrote: >
>Now that the HSG and US results are in, my doc wants to do a combo
>lap/hysteroscopy to make a differential dx regarding bicornuate vs
>septate uterus, and perform resection if indeed there is a septum. She
>wants me to go on Lupron for two months prior to the surgery. She also
>said she wants to do the procedure (she's a perinatologist and has never
>done one) "under the supervision" of a surgeon...so I have three
>questions:
>
>Is there a GnRH agonist that can be taken orally instead of via im
>injection?
>
>Other than causing the uterus to atrophy, what is the purpose of the
>lupron?
>
>Should I insist on having an experienced surgeon perform the surgery?
>What type of surgeon should be doing this? (oops that's 4
>questions...sorry)
>
>Thank you so much for your help!!!
>
>--
>Leslie
>

Would encourage a second opinion!! A hysteroscopic resection of a septum can be very straight forward in experienced hands. It is not a procedure IMHO that an inexperienced novice hysteroscopist should attempt. The only advice that a more senior surgeon could offer would be based on his/her appraisal of the uterine cavity as seen on the TV monitor. The actual resection would be done by the person handling the resectoscope. If one has not developed the manipulative skills from prior operative hysteroscopy, a much less than optilmal result can occur, as this can be a formidible task.

Dr.B

Next message: Marie: "Perimenapause and or PMS"
Previous message: susan: "heavy bleeding"
In reply to: leslie: "lupron before laparoscopy/hysteroscopy"
Next in thread: Harvey S. Marchbein, M.D.: "Re: lupron before laparoscopy/hysteroscopy"

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