ENDO Messages for January, 2003: Re: PAP-SMEAR OR NOT ??????????

Re: PAP-SMEAR OR NOT ??????????

From: Victoria (anonymous@obgyn.net)
Wed Jan 29 16:19:42 2003

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Maybe in reply to: nuzum1earthlink.net: "PAP-SMEAR OR NOT ??????????"

Before you consider trying the progesterone creams, I made an investigation into them into a webpage: (http://nichollsvi.tripod.com/p_cream.html). The issues I mainly deal with are:

1) the FDA (regulatory body in America) and its legal stance on the products potentially being in violation of current laws. 2) the lack of facts or science (validity) behind the product/theories taken from doctor comments, Medline, and other reliable medical science sites. There is no evidence to support that it is anything other than a placebo. 3) Other information, including a heavily promoted website (may/may not be stated with the product) where you become an 'associate', earning $ on books to 'get the most' out of progesterone creams (Letter I, #2).

Always do thorough medical based research on anything (especially herbal products/supplements) you want to take that is given a reputation to alleviate, cure, treat or deal with a specific problem or problems. It may be in violation of the law, or there might be no evidence to support its doing any of the above.

www.quackwatch.com, http://www.quackfiles.com, http://quackbusters.quackfiles.com are good places to review all sorts of questionable health products and practices. For pretty reliable medical information, check out Medline (medical research abstracts), Medscape (http://www.medscape.com), and mdlinx.com (ob/gyn and endocrinology), and http://www.obgyn.net for medical research studies. Some of the medical journals can be searched for full text papers, some only allow an abstract for free. BMJ is about the only one I know that is permanently free.

Points to look for in medical research:

1) double blind study (meaning neither patient nor doctor knows what you are getting) 2) placebo controlled (compares drug against placebo or fake do nothing pill) 3) large number of study subjects 4) same repeatable results over different studies, different doctors with the above criteria 5) are published in peer reviewed journals that are associated with particular specialty associations (like ACOG)

If a doctor or website is recommended to you, check them out thoroughly before you go with their recommendations.

-- Victoria

From: anonymous@obgyn.net (BJ)

Hi Angela, No, removing the ovaries does not cure endo. The ovaries are not the only organ in the body that makes estrogen so the endo will continue to act up unless all of the endo is removed (not an easy job!). That's why I always recommend progesterone supplementation to balance the estrogen and control the endo. You shouldn't be needing any more pap tests but talk to the doc about that. And don't count on that remaining ovary to last too long. Abdominal surgery will often cause premature ovarian failure. The theory is that the surgery interfers with the blood flow to the ovary and damages it or causes it to fail. Dr. John Lee's book on menopause would provide you all the information you will need to deal with the HRT decisions, whether they come sooner or later. His website is http://www.johnleemd.com and his books are also available at many health food and book stores as well as on the web (Amazon.com, etc.). Take care. BJ

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