Re: DVT risk

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Fri Mar 26 09:09:06 2004


This is a case of you only lose if she develops another DVT and you have put her on hormones. CYA all the way.

I'd try her on Effexor and endometrial ablation.

--
Richard Chudacoff, MD

As Mankind becomes more liberal, they will be more apt to allow that all those who conduct themselves as worthy members of the community are equally entitled to the protections of civil government. I hope ever to see America among the foremost nations of justice and liberality.

George Washington

If the freedom of speech is taken away then dumb and silent we may be led, like sheep to the slaughter.

George Washington

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Karen Lee Sent: Friday, March 26, 2004 9:55 AM To: Multiple recipients of list OB-GYN-L Subject: DVT risk

42yo patient with irregular menses and peri-menopausal DUB for 2 months, no dysmenorrhea, also severe mood swings, night sweats disrupting her life, crying at 'nothing', etc (you all know the story). Hx of DVT years ago, hospitalized on streptokinase. She haas 'factor V'. Obviously, no ET can be used. PDR lists thrombolic events as a contraindication for both Provera and Prometrium. Is this a case of 'hormones are bad' by the FDA or is this a real risk?

===== Karen Lee, ARNP OB/GYN Nurse Practitioner Certified Menopause Practitioner Mount Vernon, WA "Courage is the opposite of the instinct to keep everything under control. It is against inertia and death, toward intensity and life. The little courages of life add up to big courage over time. Resist the offers of small safe quarters in your mind."

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