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Re: GYN: 2 cases From: R. Daniel Braun (rd.braun@gmail.com) Sun Mar 19 19:13:42 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: GYN: 2 cases" Previous message: Joanne Bulley, MD: "Re: 2 cases" In reply to: Joanne Bulley, MD: "GYN: 2 cases" Next in thread: Joanne Bulley, MD: "Re: GYN: 2 cases" Reply: Joanne Bulley, MD: "Re: GYN: 2 cases" > Does anyone have any suggestions other than vaginal estrogen to treat > the radiation fibrosis? She is basically afraid to have any sort of > vaginal penetration - too short and no stretch etc. She is now 36 - > divorced for a few years .. put herself through school and is an RN. Vaginal estrogen daily > be > the thyroid. TSH now 3.6 (my preferred treatment range is 1-2.9) > Levothyroxine increased to 75 mcg. I want to have her euthroid before > changing estrogen. > > My thought is to bypass the liver and go with transdermal estradiol. Plain estrogen 1.25 mg / day if helps for 4 months and then effexct goes away, you had placebo effect and estrogen deficiency not the cause. Dan Looking for your thoughts on work up & treatment of persistent basomotor > symptoms not responding to hormones? Any other metabolic evaluation I > ought to do? > > -- > Joanne Bulley, MD > Keene, NH, USA > > "Love is indescribable and unconditional. > I could tell you a thousand things that it is not, but not one that it > is." > — Duke Ellington, American jazz artist (1899-1974). > -- R. Daniel Braun "The way to health is an aromatic bath and scented massage everyday".. Hippocrates Next message: Joanne Bulley, MD: "Re: GYN: 2 cases" Previous message: Joanne Bulley, MD: "Re: 2 cases" In reply to: Joanne Bulley, MD: "GYN: 2 cases" Next in thread: Joanne Bulley, MD: "Re: GYN: 2 cases" Reply: Joanne Bulley, MD: "Re: GYN: 2 cases"

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