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Re: GYN: low dose estrogen From: Joanne Bulley, MD (islesannie@yahoo.com) Mon Apr 25 15:18:23 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: GYN: low dose estrogen" Previous message: Diane Castellanos RN/C, WHNP: "Re: GYN: low dose estrogen" In reply to: Diane Castellanos RN/C, WHNP: "Re: GYN: low dose estrogen" Next in thread: art fougner, md: "Re: GYN: low dose estrogen" Reply: art fougner, md: "Re: GYN: low dose estrogen" In Europe they have a smaller size / lower dose Mirena specifically for the post menopausal progestin to protect the endometrium. So - yes it can be used for that. I doubt we'll ever get that approved in the US with current anti-hormone therapy as the prevailing dogma. Joanne At Mon, 25 Apr 2005, Diane Castellanos RN/C, WHNP wrote: > >This is not specific to the scenario presented but, in general; I >wondered if anyone used Mirena as the opposing progestin for >peri/menopausal women? My understanding is that the action is local, not >systemic, therefore ovulation or physiological attempt at ovulation is >not prevented. Since it's effective (as birth control) for 5 years, a >woman may need E2 for menopausal sx's before removal is necessary. > >Thanks, >Diane > >>Why add back? >> >>-- >>Richard Chudacoff, MD >> >>Anyone use Mirena with add-back E2? >>Thanks, Diane > -- Joanne Bulley, MD Keene, NH, USA Next message: art fougner, md: "Re: GYN: low dose estrogen" Previous message: Diane Castellanos RN/C, WHNP: "Re: GYN: low dose estrogen" In reply to: Diane Castellanos RN/C, WHNP: "Re: GYN: low dose estrogen" Next in thread: art fougner, md: "Re: GYN: low dose estrogen" Reply: art fougner, md: "Re: GYN: low dose estrogen"

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