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Re: GYN: Initiation of ERT after OCPsFrom: John Robertson M.D. (john.robertson@obgyn.net)Thu Feb 25 07:55:42 1999
At Wed, 24 Feb 1999, Garry E. Siegel, M.D. wrote: > >Dear listers: > >I'm interested in how everyone starts folks on ERT in certain >circumstances. I'm especially interested in how the private practice >folks do it, even those who don't post much these days (Harvey, Ashley, >Kelly, Ricky--hope I didn't forget anyone). > >Anyway, the circumstances: > >1. Perimenopausal, irregular cycles with symptoms amenable to ERT, ie >hot flashes, approximately age 50. > >Generally, I am reluctant to go straight to a continous combined method >because the breakthrough bleeding takes forever to resolve, and these >patients are impatient. I usually start cyclic therapy, and after one >or two years, offer continous combined. > >I especially am reluctant to use continous combined therapy in the >younger (45) folks. > Cycle one year then continuous combined
>2. Menopausal for several years, late 50s, not on ERT. ditto
>3. Someone on a low dose OCP nearing 50, who has a screening FSH after Cycle one year then continuous combined
>Garry John
-- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9, Canada (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV
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