WOMENS-HEALTH Messages for August, 2000: Re: Dr Marchbein

Re: Dr Marchbein

From: Peggy (anonymous@obgyn.net)
Thu, 31 Aug 2000 06:36:22 -0500 (CDT)

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Reply: Harvey S. Marchbein, M.D.: "Re: Dr Marchbein"

At Wed, 30 Aug 2000, Harvey S. Marchbein, M.D. wrote:

Dr. Marchbein,

Thanks for your responce, I have already tried Lupron, I had 4 injections and it was after the 3rd injection that I had levels checked and they were FSH 17 Estradiol 42,And it did not help the pain at all.I am a bit confused with you saying that endometriosis shouldn't produce estrogen, I have read that endometriosis can feed off of its self ??? Maybe I misunderstood ? Thanks again for your help, Peggy

>
>At Wed, 30 Aug 2000, Peggy wrote:
>>
>>Dr. Marchbein,
>>
>>What would you do with a case like mine ?Over the past couple of months
>>the pain in the LLQ has gotten worse and I am having pain in the LRQ
>>that radiates down into the vagina and rectum!I think that I already
>>questioned you on the aromatase inhibitor??? Have you ever had such a
>>case like mine ?
>
>Yes.
>
>>If so what was the treatment ?
>
>Lupron, initially followed by HRT after 3 months to reduce side effects
>and osteoporosis.
>
>>I had the hysterectomy
>>and LSO 4/98 and the RSO 11/99 I was only on HRT for about 2 weeks in
>>12/99 but due to the pain increase my Dr. had me discontinue taking it,
>>So I have not had ant HRT since.I have not taken anything with soy
>>either.I am really frustrated with this.In your own opinion would these
>>levels be enough to keep endometriosis alive ?
>
>Yes.
>
>>And if Lupron shuts down
>>ovarian function(or ovarian remnant) why wouldn't it work on stopping
>>estrogen that is produced by the endometriosis?
>
>Endometriosis shouldn't produce estrogen but an ovarian remnant can.
>
>Hope this helps.
>
>HSM
>
>>Sorry for so many
>>questions :0) Peggy
>>
>>>At Wed, 23 Aug 2000, chris wrote:
>>>>
>>>>At Wed, 23 Aug 2000, Peggy wrote:
>>>>>
>>>>>Hi Chris,
>>>>>
>>>>>Good question you just asked! I am totally confused with all of this. My
>>>>>levels are as follows
>>>>>
>>>>> FSH 2/00 -36.9
>>>>>
>>>>> 7/00 17
>>>>>
>>>>> 8/00 4.9
>>>>>
>>>>> Estradiol 2/00 57
>>>>>
>>>>> 7/00 42
>>>>>
>>>>> 8/00 67
>>>>>
>>>>>If not ovarian remnant what would cause these levels ?Remembering that I
>>>>>have no ovaries!
>>>>>
>>>>>Hi Peggy:
>>>>
>>>>This is very strange. Are these tests all being done at the same lab?
>>>>Makes you wonder if you should be retested at another lab. I'm not
>>>>familiar with normal estradiol levels. Are these levels typical of a
>>>>non-menopausal woman? What happens to FSH levels when Lupron is given?
>>>>Do they rise as they would in natural menopause? Doctors?
>>>>
>>>>Chris S.
>>>
>>>These levels would certainly imply an estrogen sourse. If there is no
>>>estrogen being taken, then it may be coming from an ovarian remnant. the
>>>gonadotropins (FSH)goes up significantly at first with lupron therapy,
>>>then goes back down...
>>>Lynn
>>>
>>>--
>>>Lynn D. Montgomery, MD
>>>Director, Maternal-Fetal Medicine
>>>Rocky Mountain Perinatal Center
>>>Missoula, Montana
>>>
>>>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>>>
>>>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>>>
>>>**Thank you for your understanding ;-)
>>>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
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>

Next message: Catherine: "Could low estrogen or other hormone problem explain my problems?"
Previous message: R. Daniel Braun, MD: "Re: Hysterectomy or not?"
In reply to: Harvey S. Marchbein, M.D.: "Re: Dr Marchbein"
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Reply: Harvey S. Marchbein, M.D.: "Re: Dr Marchbein"

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