Re: GYN: free circulating hormones after hysterectomy

From: Terrence.Jones@kp.org
Fri Jul 31 11:11:21 2009


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The frequency and amplitude of LHRH modulation is dpndt upon the sleeping or awake state, and occurs over 15-20 minute intervals. /tj

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"Richard Chudacoff" <rchudacoff@mylinuxisp.com> Sent by: ob-gyn-l@obgyn.net 07/30/2009 03:17 PM Please respond to ob-gyn-l@obgyn.net

To Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> cc

Subject RE: GYN: free circulating hormones after hysterectomy

How long does that regulation take?

Richard Chudacoff, MD, FACOG Las Vegas International Center for Advanced Gynecologic Care (Specializing in minimally and non-invasive surgery) TEL: 702-485-8893 FAX: 702-629-4628

rchudacoff@lasvegasgyncenter.com http://www.lasvegasgyncenter.com

"The measure of a truly great man is the courtesy with which he treats lesser men.? -Anonymous

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Terrence.Jones@kp.org Sent: Thursday, July 30, 2009 3:13 PM To: Multiple recipients of list OB-GYN-L Subject: Re: GYN: free circulating hormones after hysterectomy

The hypothalamus and Pituitary will establish the serum E2 level to that which they intend. If You leave the back door open, the thermostat keeps the house temperature at that which You've chosen. /tj

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"Richard Chudacoff" <rchudacoff@mylinuxisp.com> Sent by: ob-gyn-l@obgyn.net 07/30/2009 02:11 PM

Please respond to ob-gyn-l@obgyn.net

To Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> cc

Subject GYN: free circulating hormones after hysterectomy

I had a patient come in today very emotional, one month after a supracervical hysterectomy. She has multiple psychological issues, but the thought popped into my brain that if the uterus is an end organ, and hormones attach to receptors, once the uterus is gone does that increase the free, circulating estrogen and progesterone levels? If so, can this lead to some psychological changes? Likewise, if the uterus has increased in size secondary to fibroid hypertrophy, will this lead to a decrease in circulating estrogen and progesterone?

Richard Chudacoff, MD, FACOG Las Vegas International Center for Advanced Gynecologic Care (Specializing in minimally and non-invasive surgery) TEL: 702-485-8893 FAX: 702-629-4628

rchudacoff@lasvegasgyncenter.com http://www.lasvegasgyncenter.com

"The measure of a truly great man is the courtesy with which he treats lesser men.? -Anonymous

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<br><font size=2 face="sans-serif">The frequency and amplitude of LHRH modulation is dpndt upon the sleeping or awake state, and occurs over 15-20 minute intervals. /tj<br> <br> </font><font size=1 color=blue face="Arial"><b>NOTICE TO RECIPIENT:</b></font><font size=1 face="Arial"> &nbsp;If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents. &nbsp;If you have received this e-mail in error, please notify the sender immediately by reply e-mail and permanently delete this e-mail and any attachments without reading, forwarding or saving them. &nbsp;Thank you.<br> </font> <br> <table width0%> <tr valign=top> <td width@%><font size=1 face="sans-serif"><b>&quot;Richard Chudacoff&quot; <rchudacoff@mylinuxisp.com></b> </font> <br><font size=1 face="sans-serif">Sent by: ob-gyn-l@obgyn.net</font> <p><font size=1 face="sans-serif">07/30/2009 03:17 PM</font> <table border> <tr valign=top> <td bgcolor=white> <div alignÎnter><font size=1 face="sans-serif">Please respond to<br> ob-gyn-l@obgyn.net</font></div></table> <br> <td widthY%> <table width0%> <tr valign=top> <td> <div align=right><font size=1 face="sans-serif">To</font></div> <td><font size=1 face="sans-serif">Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net></font> <tr valign=top> <td> <div align=right><font size=1 face="sans-serif">cc</font></div> <td> <tr valign=top> <td> <div align=right><font size=1 face="sans-serif">Subject</font></div> <td><font size=1 face="sans-serif">RE: GYN: free circulating hormones after hysterectomy</font></table> <br> <table> <tr valign=top> <td> <td></table> <br></table> <br> <br><font size=2 color=#1f497d face="Calibri">How long does that regulation take? </font> <br><font size=2 color=#1f497d face="Calibri">&nbsp;</font> <br><font size=2 color=#1f497d face="Arial">Richard Chudacoff, MD, FACOG</font> <br><font size=2 color=#1f497d face="Arial">Las Vegas International Center for Advanced Gynecologic Care</font> <br><font size=2 color=#1f497d face="Arial"><i>(Specializing in minimally and non-invasive surgery)</i></font> <br><font size=2 color=#1f497d face="Arial">TEL: &nbsp;702-485-8893</font> <br><font size=2 color=#1f497d face="Arial">FAX: 702-629-4628</font> <br><font size=2 color=#1f497d face="Arial">&nbsp;</font> <br><a href=mailto:rchudacoff@lasvegasgyncenter.com><font size=2 color=blue face="Arial"><u>rchudacoff@lasvegasgyncenter.com</u></font></a> <br><font size=3 color=#1f497d face="Times New Roman">&nbsp;</font><a href=http://www.lasvegasgyncenter.com/><font size=2 color=blue face="Arial"><u>http://www.lasvegasgyncenter.com</u></font></a> <br><font size=3 color=#1f497d face="Times New Roman">&nbsp;</font> <br><font size=2 color=#1f497d face="Arial"><b><i>&quot;The measure of a truly great man is the courtesy with which he treats lesser men.” &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; -Anonymous</i></b> </font> <br><font size=3 color=#800000 face="Times New Roman">&nbsp;</font> <br><font size=2 color=#1f497d face="Arial">The information in this e-mail may be confidential and/or privileged. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments, if any, or the information contained herein is prohibited. If you have received the e-mail in error, please immediately notify the sender by return e-mail or phone and delete this e-mail. Thank you.</font> <br><font size=2 color=#1f497d face="Calibri">&nbsp;</font> <br><font size=2 face="Tahoma"><b>From:</b> ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] <b>On Behalf Of </b>Terrence.Jones@kp.org<b><br> Sent:</b> Thursday, July 30, 2009 3:13 PM<b><br> To:</b> Multiple recipients of list OB-GYN-L<b><br> Subject: </b> Re: GYN: free circulating hormones after hysterectomy</font> <br><font size=3 face="Times New Roman">&nbsp;</font> <br><font size=2 face="Arial"><br> The hypothalamus and Pituitary will establish the serum E2 level to that which they intend. If You leave the back door open, the thermostat keeps the house temperature at that which You've chosen. /tj </font><font size== 3 face="Times New Roman"><br> </font><font size=2 face="Arial"><br> </font><font size=1 color=blue face="Arial"><b><br> NOTICE TO RECIPIENT:</b></font><font size=1 face="Arial"> &nbsp;If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents. &nbsp;If you have received this e-mail in error, please notify the sender immediately by reply e-mail and permanently delete this e-mail and any attachments without reading, forwarding or saving them. &nbsp;Thank you.</font><font size=3 face="Times New Roman"><br> <br> </font> <p> <table width0%> <tr valign=top> <td widthI%><font size=1 face="Arial"><b>&quot;Richard Chudacoff&quot; <rchudacoff@mylinuxisp.com></b> <br> Sent by: ob-gyn-l@obgyn.net</font><font size=3 face="Times New Roman"> </font> <p><font size=1 face="Arial">07/30/2009 02:11 PM</font><font size=3 face="Times New Roman"> </font> <p> <br> <table border=4 width0%> <tr valign=top> <td width0% bgcolor=white> <div alignÎnter><font size=1 face="Arial">Please respond to<br> ob-gyn-l@obgyn.net</font></div></table> <br> <td widthP%> <br> <table width0%> <tr valign=top> <td width%> <div align=right><font size=1 face="Arial">To</font></div> <td width‰%><font size=1 face="Arial">Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net></font><font size=3 face="Times New Roman"> </font> <tr valign=top> <td> <div align=right><font size=1 face="Arial">cc</font></div> <td> <tr valign=top> <td> <div align=right><font size=1 face="Arial">Subject</font></div> <td><font size=1 face="Arial">GYN: free circulating hormones after hysterectomy</font></table> <br><font size=3 face="Times New Roman">&nbsp;</font> <p> <br> <table width0%> <tr valign=top> <td widthP%> <td widthP%></table> <br></table> <br><font size=3 face="Times New Roman"><br> <br> </font><font size=2 face="Calibri"><br> I had a patient come in today very emotional, one month after a supracervical hysterectomy. &nbsp;She has multiple psychological issues, but the thought popped into my brain that if the uterus is an end organ, and hormones attach to receptors, once the uterus is gone does that increase the free, circulating estrogen and progesterone levels? &nbsp;If so, can this lead to some psychological changes? &nbsp;Likewise, if the uterus has increased in size secondary to fibroid hypertrophy, will this lead to a decrease in circulating estrogen and progesterone?</font><font size=3 face="Times New Roman"> </font><font size=2 face="Calibri"><br> </font><font size=3 face="Times New Roman">&nbsp;</font><font size=2 face="Arial"><br> Richard Chudacoff, MD, FACOG</font><font size=3 face="Times New Roman"> </font><font size=2 face="Arial"><br> Las Vegas International Center for Advanced Gynecologic Care</font><font size=3 face="Times New Roman"> </font><font size=2 face="Arial"><i><br> (Specializing in minimally and non-invasive surgery)</i></font><font size=3 face="Times New Roman"> </font><font size=2 face="Arial"><br> TEL: &nbsp;702-485-8893</font><font size=3 face="Times New Roman"> </font><font size=2 face="Arial"><br> FAX: 702-629-4628</font><font size=3 face="Times New Roman"> </font><font size=2 face="Arial"><br> </font><font size=3 face="Times New Roman">&nbsp;</font><font size=3 color=blue face="Times New Roman"><u><br> </u></font><a href=mailto:rchudacoff@lasvegasgyncenter.com><font size=2 color=blue face="Arial"><u>rchudacoff@lasvegasgyncenter.com</u></font></a><font size=3 face="Times New Roman"> <br> </font><a href=http://www.lasvegasgyncenter.com/><font size=2 color== blue face="Arial"><u>http://www.lasvegasgyncenter.com</u></font></a><font size=3 face="Times New Roman"> <br> &nbsp;</font><font size=2 color=#1f497d face="Arial"><b><i><br> &quot;The measure of a truly great man is the courtesy with which he treats lesser men.” &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; -Anonymous</i></b> </font><font size=3 color=#800000 face="Times New Roman"><br> </font><font size=3 face="Times New Roman">&nbsp;</font><font size=2 face="Arial"><br> The information in this e-mail may be confidential and/or privileged. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments, if any, or the information contained herein is prohibited. If you have received the e-mail in error, please immediately notify the sender by return e-mail or phone and delete this e-mail. Thank you.</font><font size=3 face="Times New Roman"> </font><font size=2 face="Calibri"><br> </font><font size=3 face="Times New Roman">&nbsp;</font> <br>





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