WOMENS-HEALTH Messages for November, 2000: Re: Provera now?

Re: Provera now?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 30 Nov 2000 17:49:34 -0600 (CST)

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In reply to: Denise: "Provera now?"

At Thu, 30 Nov 2000, Denise wrote: >
>I have suffered form chronic pelvic pain for over 4 years now. I have
>had a total hysterctomy due to endometriosis. I was not put on any
>homones for 6 months after my surgery to make sure the Endo was gone. I
>was then started on prempro and have been on it since but it seems to
>have stopped working for me so when I returned to my gyn 3 weeks ago he
>put me on the climara patch which was working very well. But I had a
>follow up with my GP and he wants me to stop the climara and take 10 mg
>of provera and 0.3mg of premarin. What can the provera do for me that
>the prempro didnt

Prempro has Provera in it but daliy as opposed to 10 days.

>I asked many questions but never really got the answer
>I wanted.
>My GP still thinks that it is the Endo that is causing my pain my gyn
>thinks it is scar from the endo and the surgerys I have had.
>Has any one else been put on this dose of preovera and premarin. Dose
>it make sence to be put on this now?

I'm not completely sure about their rationale. Regardless of who may be right, there may be too many cooks here.

>I have tried just about everything else even lupron and the pain still
>never goes away.

If Lupron didn't help, I agree with the gyn.

>It seems like if it was still Endo the lupron would have
>taken care of it or being off hormones for 6 months. I would like
>anyones input on this, Thanks.
>Denise

The gyn thoughts are more plausible.

Hope this helps and write back anytime for more information.

HSM

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
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In reply to: Denise: "Provera now?"

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