WOMENS-HEALTH Messages for October, 2008: Re: MENOPAUSE: norethindrone prescription

Re: MENOPAUSE: norethindrone prescription

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 25 Oct 2008 10:57:30 -0500 (CDT)

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Reply: robsuzlee: "Re: MENOPAUSE: norethindrone prescription"

Robin

You probably mean endometrial hyperplasia-increased estrogen stimulation of the uterus, leading to thickened tissue, heavy bleeding and potentially cancer of endometrium. Your gyn probably gave you provera, a medium strength progestin and when it did not stop bleeding, switched to a more potent progestin, norethindrone. This is acceptable treatment. The norethindrone can give you all the symptoms you described-numbness. Once the bleeding stops, the hormone organizes the endometrium, and on withdrawl of the hormone, you shed the entire endometrium. Your first period will be very heavy and full of symptoms. It sounds like you are having predictable results.

I do not have a reason for the lack of call back...Dr. von Almen

At Sat, 25 Oct 2008, robsuzlee wrote: >
>My gyn diagnosed my with Endometriosis hypoplesia(SP?). He prescribed a
>10 day dosage of progestrin, off 20 days, back on 10 days to reduce the
>uterus swelling and regulate my period. I'm 48. I started taking the
>progestrin while I was bleeding(this is what drove me to the GYN in the
>first place - bleeding for 4 weeks). So I started taking this
>progestrin and the bleeding didn't stop. I called the doctor and he
>placed me on a 1 time prescription for norethindrone, after taking the
>med for 24 hours the bleeding stopped. Side effects were terrible. When
>I awoked on about the 10th day with numbness in my hands I didn't take
>the dose and contacted the doctor. Who never has contacted me back and
>it been 5 days. Anyway, about 3 days after stopping I'm in the throes
>of the period from hell. Unbearable back ache, stomach cramps and pad
>soaking about every hour or 2. How long can I expect this to last, I've
>been like this for 3 days now. Any comments would be welcome.
>
>BTW, I do plan to get a 2nd opinion. I had great faith in my GYN doctor
>until now. I guess the no call back is what annoys me the most.
>
>Thanks
>Robin

-- 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, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.

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