Re: OB: Pregnancy management post BSO

From: =?UTF-8?Q?Gerald_P._Rodríguez?= (geraldpr@cybermesa.com)
Tue Nov 22 18:00:40 2005


Yes, I would agree with you, Peter. The worst atrophic vaginitis I ever saw was in breast-feeding women. And they were often bitterly sore during and after coitus.

Gerald P. Rodríguez, M.D., FACOG Santa Fe ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

>----- Original Message -----
From: "Peter Wein" <pwein@unimelb.edu.au> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Tuesday, November 22, 2005 5:11 PM Subject: Re: OB: Pregnancy management post BSO

>I would doubt that - breastfeeding women are hypo-oestrogenic. vaginal
> atrophy etc. Women with hyperprolactinaemia get galactorrhoea despte very
> low oestrogen.
>
> Peter
>
>> I would bet that she would need ERT and maybe in increased amounts while
>> breastfeeding. Estrogen in some amount is needed to breastfeed. Giving
>> pharmacologic doses will stop or slow it, but I think some is needed.
>> Dan
>>
>> On 11/21/05, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote:
>>>
>>> 25 YO P0 now 11 weeks after IVF with donor eggs, as she's had BSO due to
>>> two separate ovarian torsion events.
>>>
>>> She's off all hormones, and all is well.
>>>
>>> Is there anything special to do during the pregnancy? I can't think of
>>> anything. . .
>>>
>>> When does she resume ERT after delivery? Of course, if breastfeeding, I
>>> assume no ERT until after feeding.
>>>
>>> I'll do some research tomorrow, but any thoughts welcome.
>>>
>>> Garry
>>>
>>> --
>>> Garry E. Siegel, M.D.
>>> Private Practice
>>> Roswell, GA
>>>
>>
>> --
>> R. Daniel Braun
>> Kinky for Governor
>>
>





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