Re: GYN: low dose estrogen

From: art fougner, md (evsono@pipeline.com)
Mon Apr 25 19:13:33 2005


Apparently HRT has joined operative vaginal delivery in that graveyard of litigious practices. We can only await the Resurrection and the Dawning of the Light.

art

At Mon, 25 Apr 2005, Joanne Bulley, MD wrote: >
>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
>

--
art fougner, md

"If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Fri May 2 04:40:24 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.