Re: GYN: low dose estrogen

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Apr 22 14:56:28 2005


Couldn't agree more--again, CNM initiated of her own accord.

Garry

At Thu, 21 Apr 2005, R. Daniel Braun wrote: >
>Concur that not at risk, but also concur with Charlie that Alesse
>would be a great option, if she's neither single or RC.
>
>On 4/21/05, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote:
>> One of our CNMs has a 43 YO who is having regular cycles, but having hot
>> flashes for around 2 weeks/month. The patient has been prescribed a low
>> dose patch, Climara 0.025, for those two weeks, with good results.
>>
>> I just reviewed the chart today and discussed it with the CNM.
>>
>> Would you add a Progestin? If so, how often? She is still cycling
>> regularly.
>>
>> I bet she is not at risk for hyperplasia because she is cycling (and
>> thus converting her endometrium to secretory).
>>
>> Garry
>>
>> --
>> Garry E. Siegel, M.D.
>> Private Practice
>> Roswell, GA
>>
>--
>R. Daniel Braun
> Kinky for Governor
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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