Re: von Willebrand's

From: Andrew Folley (agfolley@hotmail.com)
Mon Sep 19 18:56:31 2005


Agree, recall that one treatement regimen for severe hemorrhage in adolescents is use of IV estrogen 25mg q 4 hours. for 6 doses. andrew

>From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: von Willebrand's
>Date: Mon, 19 Sep 2005 18:13:16 -0500
>
>She needs oestrogen not progesterone. Use a 50 mcg pill for three
>cycles, then put her on a low progestagen pill. Mirena will probably
>have the same effect as the Seasonale.
>
>Steve Raymond
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Diane
>Petersen
>Sent: Tuesday, 20 September 2005 8:43 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: von Willebrand's
>
>I recently saw a young lady ( 16-year-old) with mild type 1 von
>Willebrand's disease. She has been treated with oral contraceptive
>pills. She started with Seasonale but developed breakthrough bleeding.
>She was switched to a variety of OCP's with continued breakthrough
>bleeding. The most recent change placed her on 35 microgram estrogen
>OCP but she is requiring two pills per day to control her bleeding.
>
>--
>Diane E.B. Petersen, M.D.
>
>Tasmania Together 5 Year Review: Have your say
>http://www.tasmaniatogether.tas.gov.au/
>

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