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Re: Estrogen supplementation of premenopausal woman From: Ronald R Helm (rrhelm@juno.com) Thu Jul 31 20:19:06 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ronald R Helm: "Re: Prior cesarean" Previous message: J. Bulley: "Re: GKlein SGA/Late Pres" Maybe in reply to: Betsy Hyde: "Estrogen supplementation of premenopausal woman" Next in thread: Robert J. Woolley: "Re: Estrogen supplementation of premenopausal woman" Why didn't the nephrologist prescribe the estrogen if he felt so strongly about it? Why refer her to an "expert" and then reject her obviously sage advice? Let the nephrologist stew in his own juices, don't compromise your integrity to appease him. Ron On Thu, 31 Jul 1997 16:00:21 -0500 elishyde@connix.com (Betsy Hyde) writes: >A 40-ish year old woman was referred to me (by her nephrologist) for >initiation of HRT for prevention of osteoporosis. Menstruating fairly >regularly. > >She and multiple family members have polycystic kidneys. Her renal >function >is pretty normal. Her mother has very strong history of osteoporosis, >with >numerous fractures starting in late 40's-early 50's. She is a blonde >non-smoker, takes Ca plus vit D, does weight-bearing exercises and is >of >normal weight. > >I sent her for a DEXA scan which showed osteopenia at all sites, but >no >osteoporosis. Her FSH was 3, and her serum estradiol 125. The >nephrologist >was pretty insistent that she be started on estrogen. Given >non-menopausal >female with normal serum estradiol, neither I nor any of the gyns in >my >practice could see much reason for estrogen replacement. Both the >nephrologist and the patient are now mad! > >Any thoughts? Would Fosamax be useful in this case? > >Betsy Hyde CNM >Branford, CT >Midwife in private OB/CNM practice >Assistant Clinical Professor, Yale University > Next message: Ronald R Helm: "Re: Prior cesarean" Previous message: J. Bulley: "Re: GKlein SGA/Late Pres" Maybe in reply to: Betsy Hyde: "Estrogen supplementation of premenopausal woman" Next in thread: Robert J. Woolley: "Re: Estrogen supplementation of premenopausal woman"

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