endometriosis and breastfeeding

From: Joseph B. Stanford (stanford@MSSCC.MED.UTAH.EDU)
Fri Aug 16 20:16:14 1996


A 30 y/o woman, P1001, sought a second opinion from me regarding the following situation: She just had her first baby, and has a history of symptomatic endometriosis including some difficulty in achieving pregnancy (but did so without medical intervention). She was advised by another physician that she should use either depo or the progestin only pill for the next 6-12 months (while she is breastfeeding) to prevent the progression of endometriosis. She prefers not to take hormones while breastfeeding (understanding that there is minimal risk to her baby from progestins).

my questions: 1) what is the natural history of endometriosis during breastfeeding? (I would think that the partial suppression of ovulation during breastfeeding might theoretically in of itself be a treatment for endometriosis) 2) is there any evidence that exogenous progestins retard the progression of endometriosis at anytime? 3) is there any evidence that exogenous progestins retard the progression of endometriosis during breastfeeding? thanks for any insight you can provide Joe Stanford

--
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Joseph B. Stanford,MD,MSPH   *internet: stanford@med.utah.edu
Dept. Family & Prev. Med.    *voice: 801-581-7234 x359
50 N. Medical Drive          *fax: 801-581-2759
U.of Utah, SLC, UT  84132
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