Re: Gyn: Amenorrhea

From: Andrew Folley (agfolley@hotmail.com)
Thu Oct 6 10:13:36 2005


Good question. I was thinking that perhaps the MIrena with its progesterone was causing some of the "emotional symptoms" moody hot etc. It may very well all be serotonin imbalance but we all know the effects of progesterone on moods etc. andy

>From: "R. Daniel Braun" <rd.braun@gmail.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Gyn: Amenorrhea
>Date: Thu, 6 Oct 2005 08:47:18 -0500
>
>Why?????????????????????????
>
>On 10/6/05, Andrew Folley <agfolley@hotmail.com> wrote:
> >
> > Conider offering IUD removal and alternate barrier contraception. andy
> >
> > >From: garrys@mindspring.com (Garry E. Siegel, M.D.)
> > >Reply-To: ob-gyn-l@obgyn.net
> > >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> > >Subject: Gyn: Amenorrhea
> > >Date: Wed, 5 Oct 2005 17:20:08 -0500
> > >
> > >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
> >
>FREE!
> >
>
>--
>R. Daniel Braun
>Kinky for Governor





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