ENDO Messages for September, 2007: Re: Dr. Daiter

Re: Dr. Daiter

From: Eric Daiter, MD (anonymous@obgyn.net)
Sun Sep 30 10:08:28 2007

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In reply to: ada: "Re: Dr. Daiter"

Hi and sorry for delay in response

Progestins are usually thought of as progesterone like substances. Progesterone is a specific molecule that is made within your body, but there are many other formulations with "progesterone like" activity that are synthetic.

All birth control pills have a predominant progesterone activity although they usually contain both estrogen like (synthetic estrogen) and progesterone like (progestin) hormones. The birth control pills are generally thought to reduce the rapidity of progression of endometriosis rather than having much impact on existing implants. Surgery can reduce implants and medications like lupron or femara (that dramatically reduce estrogen production) or progestins (including progesterone itself or any of the synthetics, which act to reduce the bioactivity or effects of estrogen) have been shown to reduce implants. Birth control pills have not been shown to do this significantly, although they can help with the pain of endometriosis in many women (possibly by reducing the amount of growth of endometrium which is estrogen dependent, the amount of menstrual flow, and the flucuations in growth of the endometriosis implants).

The progestins used for endometriosis treatment have varied. Provera has been studied in the past and research suggests a significant impact on implants and pain (though there can be lots of side effects and the return to ovulation may be delayed after stopping the medication). Norethindrone has also been studied and has been shown to have a significant impact on implants and pain... this is often used in add back treatment if lupron management is extended past 6 months.

For some basic info on these topics, you might want to look at these links with easy to read presentation (although I don't always agree with everything said there, it gives a lot of information)

http://www.endometriosis.org/progestins.html http://www.aafp.org/afp/991015ap/1753.html http://www.thenewjerseyfemaleinfertilitycenter.com/endometriosis.php

Good luck!!

At Mon, 24 Sep 2007, ada wrote: >
>Good for You!!! Ada
>At Mon, 24 Sep 2007, Jess wrote:
>>
>>Anon,
>>
>>I know that Dr. Daiter may not be familiar with progesterone...I was
>>simply asking his opinion (if he had one). Please do not immediately
>>put me down just for reaching out for another point of view. Leave it
>>to him, and others who may have helpful info to say what they can. Do
>>not shut down my questions or concerns concerning alternative treatment
>>if that is the way I would like to research.
>>
>>And by the way, I know Dr. Lee doesn't "recommend" any progesterone
>>cream. I simply meant that he is the knowledgeable force behind
>>estrogen dominance, which I have the symptoms of, and have never
>>received treatment for. If I want to do something to better the way I
>>feel (or at least try) that is my prerogative, no matter what you say or
>>how you put me down.
>>
>>Be careful with your words. None of us knows what will work for us
>>until we try. Give me the respect I deserve for being my own advocate!
>>
>>At Mon, 24 Sep 2007, anonymous wrote:
>>>
>>>did you see the alt list of doctors who work with progesterone (NOT
>>>progestin, some doctors do NOT understand the difference)
>>>
>>>At Sun, 23 Sep 2007, Jess wrote:
>>>>
>>>>Could you shed some light as to what your opinion is with me quiting
>>>>birth control and using progesterone instead? I just don't feel
>>>>comfortable using it anymore because of my elevated estrogen level and
>>>>close to nothing progesterone level. I also have a strong history of
>>>>reproductive cancers in my family, including my mom who had breast
>>>>cancer and died. I don't want to be feeding estrogen to my body!
>>>>
>>>>I have been on BCP for 11 years non-stop, Endo pain is so bad now I fear
>>>>I will have to let go of my job tomorrow. I am going to have excision
>>>>some time in January.
>>>>
>>>>Just wondering how you feel about it since I haven't talked to any other
>>>>Dr. about this change...
>>>>
>>>>Thanks, Jessie
>
>--
>Ada
>

--
http://www.infertilitytutorials.com

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