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Re: Depo and menopauseFrom: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)Wed Feb 17 13:24:36 1999
In message <Pine.GS4.4.05.9902170854090.2602-100000@gold.tc.umn.edu>, Robert J Woolley <wooll005@tc.umn.edu> writes > >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." > How about Mirena (levonorgestrol IUCD)? Not sure whether you have it yet or not. May be reasonable also to leave in situ once she starts to need ERT. You can give continuous ERT and Mirena provides progesterone to endometrium. Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Tuffnell [1997])
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