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Re: AmenorrheaFrom: ainsron (ainsron@sbcglobal.net)Wed Oct 5 17:31:48 2005
The hormones that are "off" are the neurotransmitters in the brain, Serotonin, dopamine, etc. Her shrink should adjust or change her meds. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Wednesday, October 05, 2005 3:20 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: Amenorrhea 38 YO P2002 with a Mirena IUD since 12/02; she's been amenorrheic since placement. She complains of expressable galacotorrhea (proven by micro) for a month, emotional changes, moody, hot, etc. She is seeing a psychiatrist and is Lexapro 30 mg/day, and before he adjusts her meds, the question "are my hormones normal" has come up. FSH 6.9, TSH 4.3 (normal), and AM non-fasting prolactin before breast exam is 2.5, which is a bit low (normal 2.9 to 30). Any thoughts? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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