Re: Amenorrhea

From: DoctorJoe@aol.com
Wed Sep 4 08:07:56 1996


<<I don't understand this attitude. If this patient also has psoriasis, should I tell her, "We *could* prescribe an ointment for your skin, but there's no point worrying about that when you're still smoking." If she has genital warts, should I refuse to treat them until she stops smoking?>>

No, you're absolutely missing the point. The drug-drug interaction effect of smoking and hormones is what's being discussed. It is the patient's responsibility to quit smoking before you take the liability for giving her the estrogen. What we're saying is that the physician shouldn't feel guilty about withholding estrogen (if you think it's dangerous in this situation) if the patient won't even stop smoking.

Joe P.





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Dec 2 05:17:16 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.