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CASE 663: ENDOMETRIOSIS and DIENOGEST, Dr PHAN THANH HAI, Dr NGUYEN THI XUAN HOA, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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A 38 year-old female patient, TPAL 1001, with sideropenia, dysmenorrhea and menorrhagia that has been diagnosed endometriosis in uterus and right ovary by transvaginal ultrasound  (TVUS) and pelvic MRI.

On MRI, size of endometriosis in uterus # 5×7 centimeter and, in ovary # 1.5 centimeter.



She is managed for iron deficiency, and her endometriosis with Dienogest 2mg one tablet per day. For 5 months, focal lesions in her uterus and right ovary are getting smaller sizes. Dysmenorrhea appears slightly and she is with the new generation of progestin acceptable menorrhagia.




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