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Hormone therapy - was low dose estrogen From: Joanne Bulley, MD (islesannie@yahoo.com) Mon Apr 25 21:20:32 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Ob-Gyn Blogger" Previous message: art fougner, md: "Re: GYN: low dose estrogen" In reply to: art fougner, md: "Re: GYN: low dose estrogen" Next in thread: ENDODOK@aol.com: "Re: GYN: low dose estrogen" I is not 100% in the graveyard - if you listen to some great EBM talks by William Butler from Georgia - or David Archer from Virginia I think ... but it has been tarred and feathered by many in medicine and in the press. (It certainly is partway into the grave ... but not all the way) I still have many patients that wouldn't stop it - they have tried and find the quality of life is much better on it. Needless to say - I don't try to talk anyone into it - just try top give information - and I am surprised by how many come in and say they want something for the vasomotor symptoms - but not hormones then we talk and I give a rather impartial set of information pro & con - but they want something that works at the 99% level for the vasomotor and estrogen is what does that. They are also usually sexually active and having problems with vaginal function that is not completely resolved with various lubricants. There are plenty who have gone off and / or never started - and they still have (or again have) their hotflashes but decided to make do. I am sure others here have similar experiences. Joanne At Mon, 25 Apr 2005, art fougner, md wrote: > >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 >> -- Joanne Bulley, MD Keene, NH, USA Next message: art fougner, md: "Ob-Gyn Blogger" Previous message: art fougner, md: "Re: GYN: low dose estrogen" In reply to: art fougner, md: "Re: GYN: low dose estrogen" Next in thread: ENDODOK@aol.com: "Re: GYN: low dose estrogen"

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