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DepotProveraFrom: Rafael Haciski (haciski@earthlink.net)Fri Jun 8 23:18:19 2007
Not being a fan of this drug, and not having much experience with the pts who used it, I am interested in how others would handle a 23 yo who took DepotProvera for 3 years then stopped in 2 years ago and still has no menses. Current bloods: E2 18, PRL 12, FSH 6, TSH 1.508 She is not interested in fertility at this time, but concerned over amenorrhea this far out. My concern is the continued low E2 and the effects on bone. My initial inclination is to put her on OCP. On another topic, I have inherited several pts in late reproductive years who are on progestin only OCP with very low E2 (10-20 pg). Should I be concerned about bone health sufficiently to recommend change to estrogen containing OCP or discontinuation of progestin only OCP?
-- Rafael Haciski MD FACOG Naples, FL.
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