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Re: Gyn: Amenorrhea From: Rafael Haciski (haciski@earthlink.net) Wed Sep 27 18:21:39 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Zachariah Newton: "OT-completely" Previous message: Dr Eberhard Lisse: "Re: Gyn: Amenorrhea" In reply to: Garry E. Siegel, M.D.: "Gyn: Amenorrhea" Next in thread: Terrence.Jones@kp.org: "Re: Gyn: Amenorrhea" What's her serum estradiol, PRL, FSH? With endometrium of 16 mm her E2 should be mid to high, and she shoulld bleed from Provera withdrawal. -- Rafael Haciski MD FACOG Palmetto, FL On Sep 27, 2006, at 6:19 PM, Garry E. Siegel, M.D. wrote: > 46 YO P2002 with amenorrhea for 4 years. > > A bit heavy-set, has a habitus not inconsistent with PCOS, as well > as a > bit of facial hair and oily skin. > > Multiple FSH levels have been less than 10. > > She was found to have an elevated fasting insulin of 12, but a glucose > of around 85, a year or so ago, along with elevated lipids. She has > been referred to an internist and is on Metformin and Vytorin for > lipids, yet still hasn't menstruated. She failed a Provera challenge > last year, and had a scan showing a 16 mm endometrium. > > I am repeating the Provera now. > > I will do some homework, but any thoughts are welcome. > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA Next message: Zachariah Newton: "OT-completely" Previous message: Dr Eberhard Lisse: "Re: Gyn: Amenorrhea" In reply to: Garry E. Siegel, M.D.: "Gyn: Amenorrhea" Next in thread: Terrence.Jones@kp.org: "Re: Gyn: Amenorrhea"

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