Re: possible diagnosis

From: Andrew Folley (agfolley@hotmail.com)
Fri Sep 30 09:14:37 2005


it may not be menopause. Need to know what her FSH TSH and prolactin levels are. Giver her progesterone challenge provera 10 for 10 days. She may have an end organ problem with her uterus. With cirrhosis she is not going to metabolize estrogen as quickly. andrew

>From: LARRY DAVIS <larry8995@sbcglobal.net>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: possible diagnosis
>Date: Fri, 30 Sep 2005 09:00:09 -0500
>
>patient, female, 38 years old, recovering alcoholic. This woman has had
>ovarian cysts drained from the sapling on the right side and consequently
>has a shriveled up ovary. Just recently under went a risky surgery to
>remove an 11.8cm ovarian cysts from the left side. Her liver functions
>were extremely low due to an extensive case of cirrhosis. There was no
>sign of cancer or endometriosis. She also has not had a menstral cycle for
>over fifteen years. Her last cycle was prior to her one and only
>successful pregnancy. What could be the cause of early menopause or is it
>obviously the alcoholism?
>





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