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Re: mirena and irregular bleedingFrom: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Wed Feb 21 09:47:03 2007
Young, mid 20s, one child and BMI of 28. I think you probably hit the nail on the head and that is to give her the options and make her make the decision. Thanks, Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Atkinson, Samuel M Sent: Tuesday, February 20, 2007 5:09 PM To: Multiple recipients of list OB-GYN-L Subject: Re: mirena and irregular bleeding Whoah!!!How old is she, how many children, what is BMI? Unless she is perimenopausal, no medical worry. After all you have progesterone present which many believe is preventative for endo ca. I would encourage tolerate it..If she is OCD, give her choice of estrogen, pills with IUD or after removal, remove and get preg and/or get sterilized. Make it the patient's problem, not yours. sAm PS High BMI's produce xs estrogen will spot, but need the progesterone to balance their xs estrogen. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Saturday, February 17, 2007 7:18 PM To: Multiple recipients of list OB-GYN-L Subject: Re: mirena and irregular bleeding possibly atrophic, consider 6 weeks of unopposed estrogen (ie premarin 0.625) see if the spotting stops. agf
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