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Re: GYN: Initiation of ERT after OCPs From: John Robertson M.D. (john.robertson@obgyn.net) Thu Feb 25 08:02:43 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "FRI- Wonder What the CPT Code For THIS Is?" Previous message: John Robertson M.D.: "Re: GYN: Initiation of ERT after OCPs" In reply to: John Robertson M.D.: "Re: GYN: Initiation of ERT after OCPs" Sorry to reply twice, the ditto was for what you said (ie, I treat #2 as you do) John. At Thu, 25 Feb 1999, John Robertson M.D. wrote: > >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. >> >>Generally, I'll go straight to the continous combined method. >> >ditto > >>3. Someone on a low dose OCP nearing 50, who has a screening FSH after >>the skipped week of pills that clearly is menopausal. >> >>Would you go continous combined, or cyclic? Again, I tend to go cyclic >>for a year or two. >> >Cycle one year then continuous combined > >>Garry >> >>-- >>Garry E. Siegel, M.D., FACOG >>Private Practice >>Roswell, Ga. >> >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 > -- 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 Next message: art fougner, md: "FRI- Wonder What the CPT Code For THIS Is?" Previous message: John Robertson M.D.: "Re: GYN: Initiation of ERT after OCPs" In reply to: John Robertson M.D.: "Re: GYN: Initiation of ERT after OCPs"

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