|   NBME ,,NOTHING RIGHT ! 
 
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| Author | 5 Posts |
dr_jojo
| | 03/22/07 - 02:27 PM  
 
   
 
|   #1 |
Six months after the delivery of her fourth child, a 37-year-old woman undergoes laparoscopic tubal ligation. Menses occur at regular 28-day intervals. During the operation, she is found to have a small dark lesion in the cul-de-sac and filmy adhesions surrounding the ovaries. A biopsy specimen of a cul-de-sac lesion confirms the diagnosis of endometriosis. Which of the following is the most appropriate next step in management? A ) Danazol therapy B ) Gonadotropin-releasing hormone agonist therapy C ) Oral contraceptive therapy D ) Total abdominal hysterectomy and bilateral salpingo-oophorectomy E ) No further treatment indicated
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| robin082006 Forum Hero

Topics: 471 Posts: 5,123
| | 03/22/07 - 02:29 PM  
 
   
 
|   #2 |
E--> No further treatment indicated
___________________ The Key to Succeed is Patience.
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| damngood Forum Newbie
Topics: 0 Posts: 79
| | 03/26/07 - 03:13 AM  
 
   
 
|   #3 |
is it not b why dosent she need treatment she still has a long sexual cycle and endometriosis can cause dysparuenia and bleeding as well
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| vradojc1 Forum Elite

Topics: 21 Posts: 309
| | 03/29/07 - 08:54 PM  
 
   
 
|   #4 |
but she has no symptoms you still don't treat preemptively
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| mdwannabe Forum Guru
Topics: 37 Posts: 1,133
| | 04/07/07 - 09:00 AM  
 
   
 
|   #5 |
agree with no treatment... No smx...no worries...
___________________ "Life not lived for others, is not worth living" Uncle Einstein "A life is not important, except in the impact it has on other lives" -Jackie Robinson
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