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Re: Add back therapyFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed May 21 21:32:53 1997
At Wed, 21 May 1997, Richard Chudacoff, MD wrote: > >20 yr old G0 four months on GNRH agonist for endometriosis, who has minimal >disease by laparoscope, and wonderful pain free response. Now I am going to >start add-back therapy, and this thought, suddenly, hit me. Maybe I'm slow, >but the GNRH agonist is not going to infer protection for the endometrium, >correct? If I extend this add-back therapy further than three months or so, >do I need to withdrawal her? I would think so, but then the withdrawal might >precipitate pain, and I'd be back where I started. Better off giving low >dose continuous HRT. What do y'all do? > >Rick I would agree that you have to withdraw her, or use continuous combined therapy to cover the endometrium. BTW, why is a 20 year old with minimal disease on Lupron? Garry
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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