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Re: Another question for Dr. M ( Sorry I forgot to mention)

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 30 Nov 1999 19:56:39 -0600 (CST)


At Tue, 30 Nov 1999, Peggy wrote: >
>At Mon, 29 Nov 1999, Harvey S. Marchbein, M.D. wrote:
>>
>>At Mon, 29 Nov 1999, Peggy wrote:
>>>
>>>Hello Dr. M.I posted my story about adhesions back on October 14th.It
>>>was a very long post but you took the time to read it and respond. Well
>>>I just had the surgery I mentioned then On November 22nd. My Dr. did
>>>not find any adhesions at all this time. What he did find is
>>>endometriosis.He did take out all but some that was on the bowel for
>>>fear of injuring the bowel. My question is. With him leaving the endo
>>>on the bowel and not starting me on replacement hormones for 3 months.
>>>Will the endo that was left behind Die off ?
>
>Sorry I forgot to mention that I have had a total Hysterectomy!
>
>Dr M. ,I have had a total hysterectomy.I had the hysterectomy on April
>6th 1998 but the Dr. left the right ovary and tube. The recent surgery
>on November 22nd . The right ovary and tube were taken. So I think
>that would eliminate me taking the Depo Lupron Am I correct ? Or are you
>saying using both the Depo Lupron and the HRT add back therepy would be
>your treatment with having both ovaries gone ?

I vote for the latter.

>>
>>It may be reduced but recent literature indicates that 6 months of
>>DepoLupron postoperatively may be excellent at endometriosis suppression
>>and using the HRT as addback therapy would be helpful to eliminate or
>>markedly reduce monopausal symptoms during the therapy.
>>
>>>I am really concerned about
>>>this I have read a couple different articles on endo that say that if
>>>endo is left behind or missed When replacement therepy is started the
>>>pain will flare up again.
>>
>>Possible.
>>
>>>I am interested in hearing what you think
>>>about this . I follow the forum and I am very impressed with how you
>>>answer everyones questions. I will be awaiting your responce.
>>>Thank You.Peggy
>>
>>Good luck.
>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**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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