[NPInfo] Gyn question

[David Mittman]

Melissa is a good friend.
Any advice would be  appreciated

Begin forwarded message:

> From: Melissa Murfin <mel.kat at verizon.net>
> Date: August 8, 2008 8:06:29 AM EDT
> To: PAFORUM at MC.DUKE.EDU
> Subject: [PAFORUM] Gyn question
> Reply-To: mel.kat at verizon.net
>
> I've been recommended to have an endometrial biopsy, but given a  
> choice
> if I want to go straight to D&C or do hystersonography, then biopsy
> which would lead to D&C if they find anything. Which way is best?
>
> I have zero risk factors for endometrial carcinoma. I'm 40, normal  
> flow
> with menses, I've only missed periods the two times I was pregnant  
> and I
> don't take unopposed estrogen. Chief complaint was two periods from  
> hell
> in May, then June which seem to have settled though I still have some
> pelvic and back pain that I'm starting to think may be related to
> sciatica. U/S was done trans abdominal and transvag, 1.9 cm R ovarian
> cyst, 1.5 cm fibroid, nonspecific endometrial thickening of 14 mm.
>
> Thoughts?
>
> TIA!
> Melissa
>
>
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