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Re: RPL From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk) Wed Aug 14 15:58:19 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Philip Suarez, M.D.: "Re: water birth" Previous message: Malcolm Griffiths: "Re: PROM at 25 weeks" In reply to: Richard Chudacoff, MD: "Re: RPL" Next in thread: Richard Chudacoff, MD: "Re: RPL" In message <199608141507.KAA24459@watson.bcm.tmc.edu>, "Richard Chudacoff, MD" <richardc@bcm.tmc.edu> writes > >>Female 28 yold, with recurrent pregnancy lost (3 in one year all around 8 >>weeks). Her husband has a jewish heritance, normal semen analysis. >>I asked for the usal basic exams for RPL, the results are the following: >>Basal Body temp.:Biphasic, but the temperature falls 5 days before menses on >>the 3recorded cicles. >>My hypothesis is lutheal insuficience due to hyperprolactinemia. I intend to >>treat her with Parlodel(Bromocriptine) 5 mg a day intravagina. My questions >>are: >> >>1. Do you agree with my diagnosis? >>2. How long would you treat the patient? >>3. When would you realese the couple for unprotected intercourse for another >> trail? >>4. How would you do the follow up of this case? >>5. Anything to add? >> >>Thanks a lot >> >>Ricardo Savaris,MD, MSc >>savaris@vortex.ufrgs.br >>Porto Alegre Brazil >> > >How about progesterone supplimentation? Accepting the mis-spelling !!! Correct me if I'm wrong - but there is not ( nor has there ever been ) any evidence whatsoever for progesterone deficiency being a remedial cause of miscarriage. This is a subject which has been endlessly researched and subject to meta-analyses - all of which have conclusively proved absoloutely nothing !!! -- Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) 01525-222849 (home) Fax: 01582-497424 email: Malcolm@mgriff22.demon.co.uk "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) Next message: Philip Suarez, M.D.: "Re: water birth" Previous message: Malcolm Griffiths: "Re: PROM at 25 weeks" In reply to: Richard Chudacoff, MD: "Re: RPL" Next in thread: Richard Chudacoff, MD: "Re: RPL"

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