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Re: 2 cases From: Gerald P. Rodríguez (geraldpr@cybermesa.com) Mon Mar 20 07:55:48 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Grand Rounds for MRgFUS" Previous message: Efrain Ramirez: "Re: Antibiotics and timing of surgery" For a long time, I used testosterone proprionate in oil, 20 mg./cc. I used to get it in 5 cc. bottles and the dose, I believe, was 1.0 cc IM q 3-4 weeks. Monitored pts. for hairsuitism, clitoromegally, acne, etc. Improved libido and certainly controlled otherwise hard-to-treat vasomotor activity. I must tell you, however, that I stopped my regular office/hospital practice 6 years ago, so I don't know what's out there now. I would look to your local or regional compounding pharmacy for trans dermal source or this preparation for IM dosing. Gerald P. Rodríguez, M.D., FACOG Santa Fe >----- Original Message ----- From: "Joanne Bulley, MD" <islesannie@yahoo.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Sunday, March 19, 2006 1:07 PM Subject: Re: 2 cases > At Sun, 19 Mar 2006, Gerald P. Rodríguez wrote: >> >>Case 1.: It's not clear if she has or does not have blood in her urine. > > I am bringing her into the office. I told her that GBBS is not usually > a pathogen in the vagina and that I don't treat it unless I am convinced > symptoms warrant. The PCP sent the culture and put her on the PCN > because the patient was complianing of irritation. The PCP did a urine > culture that was negative. > > I am planning on having her come in - for a cath spec for UA and exam > and recommendations. She could also have radiation cystitis as well. > > I have been trying to convince her she really needs the vaginal estrogen > (as did a gyn onc doc when consulted for related reasons about 3 years > ago). > > I didn't think there was any other new wonderful treatment I missed for > the vaginal problems after radiation. > > I have never used IM androgen. (except decades ago when I came to town > and it was occasionally given post partum) so what is the dose and the > frequency? > > Joanne > >>she does, with sterile urine, she needs cystoscopy/G-U workup. Also not >>clear if she has any symptoms from the Group B Beta Strep. If not >>symptomatic, would not treat except with lots and plenty of vaginal >>estrogen. >> >>Case 2. Would bypass the liver and go with transdermal or IM androgen. >> >>Gerald P. Rodríguez, M.D., FACOG >>Santa Fe >> > > -- > 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). > Next message: Richard Chudacoff, MD: "Grand Rounds for MRgFUS" Previous message: Efrain Ramirez: "Re: Antibiotics and timing of surgery"

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