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Re: Breakthrough on LupronFrom: Laurie Lovely (llovely@med.unc.edu)Sat Jun 28 13:31:48 1997
At Fri, 27 Jun 1997, tcab1@idt.net wrote: > >I have a patient with relatively severe endometriosis who after 6 months on >Depot Lupron 3.75 is still occasionally bleeding, at which time she of >course is in considerable pain. She also denies any menopausal type >symptoms. I have not encountered this problem with Lupron before. This >woman is not at all overweight and gets the injections at my office, and to >this point has not received any add back therapy. My inclination is to go >to Depot Lupron 7.5, but would be interested in your comments and >suggestions. > >Tim Brown >Private Practice >Long Island, New York > >"Life is not breath, but action . . . " Jean Jacques Rousseau With no hot flushes, it sounds like she's not suppressed. I'm assuming this bleeding is not cyclic. I would probably check an estradiol level and maybe an endometrial stripe measurement on her, and if they're not what you think they should be, give her the 7.5 mg.
-- Laurie Lovely, MD RE fellow, UNC-Chapel Hill
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