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Re: Help with vasomotor symptoms From: Joe Cutchin (forcep@intercom.net) Wed Aug 24 09:23:46 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: Help with vasomotor symptoms" Previous message: Henry Gregor: "Help with vasomotor symptoms" In reply to: Henry Gregor: "Help with vasomotor symptoms" Next in thread: Henry Gregor: "Re: Help with vasomotor symptoms" Reply: Henry Gregor: "Re: Help with vasomotor symptoms" Might wish to look at thyroid ,antibodies alittle more closely. PPD is neg? Henry Gregor wrote: > A thirty year old female complains of "hot flashes" and her description > is consistent with PM type flushes, ie, a sensation or rising warmth > from the thorax going cephalad, followed by deaphoresis and a chill, > occurring most nights a week and about three to four days per week. > > Presents with hx s/p BTL, with past hx of laparoscopic ablation of > pelvic endometriotic implants, with subsequent laparoscopy without > recurrent/persistent endo changes, cycles regulary, has a normal FSH and > normal TSH and FWIW a very adequate premenopausal estradiol serum level. > She takes quinine salts for restless leg syndrome, but the > thermoregulation problems predate the quinine therapy.Had been given HRT > and ocp's without symptom improvement. > > My inclination is endocrine referral, but that is distant, not easiy > travelled to by the patient, and the proposed consultant actually has > expressed little interest in the situation. Suggestions would be greatly > appreciated. > > Thanks, > > Hank > > Tired of spam? Yahoo! Mail has the best spam protection around > Next message: Anna Meenan, MD: "Re: Help with vasomotor symptoms" Previous message: Henry Gregor: "Help with vasomotor symptoms" In reply to: Henry Gregor: "Help with vasomotor symptoms" Next in thread: Henry Gregor: "Re: Help with vasomotor symptoms" Reply: Henry Gregor: "Re: Help with vasomotor symptoms"

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