Re: Gyn: Amenorrhea

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Jun 25 19:41:16 2007


I also think that this is menopause, and haven't really thought that looking at her endometrium or withdrawing her were needed. Ron, you are always so well thought out--why do you want these? That said, I thought about a simple progestin withdrawal today, actually, but decided to get an internet consult :).

If she were 59 with 10 years of amenorrhea, you wouldn't do those things routinely, of course.

If she indeed has been menopausal since 29, I wonder about chromosomes--that's why I mentioned it.

Garry

At Mon, 25 Jun 2007, Ronald Ainsworth wrote: >
>Most likely premature menopause. What does her endometrium look like? Does she withdraw with provera? I wouldn't do chromosomes.
>

>>>----- Original Message ----
>From: "Garry E. Siegel, M.D." <garrys@mindspring.com>
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Sent: Monday, June 25, 2007 1:31:42 PM
>Subject: Gyn: Amenorrhea
>
>39 YO Black P0121 seen today for an annual examination.
>
>She has been amenorrheic for around 10 years.
>
>She is obese, BMI 39.2, and has hypertension and diabetes, both treated.
>
>Recent labs:
>
>FSH 49, LH 28, TSH, Prolactin normal, 17 OHP normal.
>
>Is her diagnosis premature menopause, versus a PCO pattern?
>
>Does she need chromosomes done?
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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