Re: GYN: low dose estrogen

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Mon Apr 25 08:22:29 2005


Personally, I think NuvaRing works best in these situations

--
Richard Chudacoff, MD

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Steve & Eryl Raymond Sent: Friday, April 22, 2005 2:59 PM To: Multiple recipients of list OB-GYN-L Subject: Re: GYN: low dose estrogen

Not a continuous unopposed oestrogen regime so no progestagen needed until she stops cycling.

Steve Raymond

Garry E. Siegel, M.D. 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 >





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