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Re: Gyn: AmenorrheaFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed Sep 27 23:43:14 2006
TSH and Prolactin OK a while back, I think. I'll review. I had tried to withdraw her last year (she doesn't come in much or worry about this too much), and she didn't respond--thus the ultrasound. I would have to assume that she has been Estrogen "primed" with a 16 mm endometrium, and am awaiting another progestin challenge. That said, if she doesn't bleed, can't we assume she is NOT tending towards hyperplasia? Furthermore, I wouldn't think that I would need to give her estrogen, Joe, to prevent hyperplasia--as estrogen is the culprit. . .and if she doesn't withdraw, then that is a biologic test for estrogen, I believe. Garry
At Wed, 27 Sep 2006, DoctorJoe@aol.com wrote:
>
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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