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Re: AmenorrheaFrom: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)Wed Sep 4 07:34:44 1996
how would you replace in a woman who smokes > 1ppd cigarettes? Would you go ahead and use OCP's, would you go to ERT, or would you not give anything until she quits smoking? Mitch N. IMHO, if she is estrogen deficient, she needs estrogen replacement. I am unaware of any evidence that smoking is a contraindication to estrogen replacement or even estrogen replacement with occasional (monthly) progesterone supplementation. There has been shown to be a small (1-2/100,000 in very young(under 35 y/o) & 20-30/100,000 in young (35-50 y/o) women) problem with the use of oral contraceptives which are a whole diferent ballgame from estrogen replacement.
-- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R.Daniel Braun, MD FACOG "Money will buy you a fine dog, Clinical Professor but only love can make it wag its Department of OB/GYN tail" Indiana U. School of Medicine Richard "Kinky" Friedman OBGYN.net, International Representative, U.S. @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
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