Re: disappearing breasts

From: Gerald P. Rodríguez (geraldpr@cybermesa.com)
Wed Jun 16 10:36:20 2004


Richard,

Just curious, what is her BMI?

Gerald P. Rodríguez, M.D., FACOG Santa Fe

> ----- Original Message -----
From: Richard Chudacoff, MD To: Multiple recipients of list OB-GYN-L Sent: Wednesday, June 16, 2004 8:47 AM Subject: disappearing breasts

Patient comes in complaining that her breasts have disappeared. Prior to her last delivery she was a 'c' cup. 6 months after breast feeding she is a 'b' cup. One year later she comes to see me because she cannot even fill an 'a' cup. Physical exam notes minimal breast tissue. Lab w/u is totally normal (metabolic panel, FSH, LH, Progesterone, Prolactin, E2, DHEA-S). Testosterone is < 20 ng/dl. MRI of brain is pending to rule out central tumors (overkill since there is no elevation of Prolactin.) Not sure where to go, but I've never seen this before. I mean there is MINIMAL breast tissue, similar to pre-puberty.

Any suggestions? (I know this is Houston, but she is a military wife and Tricare does not offer augmentation surgery.)

Richard Chudacoff, MD, FACOG

Chudacoff Obstetrics & Gynecology, PA

15200 Southwest Freeway, #270

Sugar Land, TX 77478

Tel: 281-277-3900

Fax: 281-277-3901

rchudacoff@mylinuxisp.com

Richard.Chudacoff@obgyn.net

http://www.mdhub.com/281-277-3900

http://www.chudacoffobgyn.yourmd.com

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