[NPInfo] Gyn question

[Margienp at aol.com]

Endo Biopsy.
Peri menopause?
 
In a message dated 8/8/2008 6:46:46 P.M. Eastern Daylight Time,  
dmittman at comcast.net writes:

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
>
>
> * * * * * *
>
> Join the American  College of Clinicians.  Let us show you what we  
> can do.  www.amcollege.org

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