Re: Depo and menopause

From: Efrain Ramirez MD (eramirez@icepr.com)
Wed Feb 17 13:21:19 1999


I always have handy Contraceptive Technology By Hatcher et. al..

Agree with Jim..IUD..great option. Dan is right. HRT is a good choice. I start most of my patients at 50 mostly when they are on Oc's.

Good luck

At Wed, 17 Feb 1999, Robert J Woolley wrote: >
>I have a 47-year-old patient who has not been sexually active in many
>years, but is about to become so again. She consluts me about
>contraception. Does not want barrier methods unless nothing else
>available. She smokes, so combined OCs are contraindicated. She has never
>been able to take pills faithfully, so progestin-only pills worry me. She
>doesn't want Norplant because she thinks she's close enough to menopause
>that she doesn't need what she calls "a 5-year solution."
>
>She is most interested in Depo-Provera. However, she also wants to be able
>to tell when she enters menopause so that she can start taking estrogen
>replacement.
>
>1) Will Depo suppress the normal symptoms of menopause? (Hot flashes,
>vaginal dryness, etc.; obviously it will tend to make her amenorrheic.)
>
>2) Will Depo suppress the elevated level of FSH if we were to screen her
>periodically (every 6-12 months) for menopause even in the absence of
>symptoms?

--
Efrain Ramirez MD FACOG
"The things you learn after you know everything are the important ones"




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