WOMENS-HEALTH Messages for February, 1998: Re: HRT help asked

Re: HRT help asked

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 27 Feb 1998 14:50:15 -0600 (CST)

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At Fri, 27 Feb 1998, J. wrote: >
>My doc is open for any suggestions.
>
>I am 39, 1/97 TAH/BSO for stage IV endo. Not getting relief with HRT
>(Premarin .625 bid). Dose changed 11/97 to Women's International which
>includes 2.5 estrodial, 100 progesterone and 2.5 testosterone..bid.
>Symptoms intensified and recent tests showed elevation cholesterol-284,
>I am not overweight and I eat a low-fat diet and walk for exercise, soft
>plaque forming on aorta..father died at age 37 from MI. Worried I am
>not getting vascular benefits from this dose. Doctor added .625 of
>Premarin every other day along with the WIP dose above..still no relief.
>LH is elevated to 59. I cannot take man-made progestins so the b.c.
>pill is not an option. What would you suggest to include in the WIP
>compound? They will tailor to my needs, doc is not quite sure what to
>do...seeing endocrinologist in April (first available appointment). Any
>suggestions welcomed.
>
>Janet

Janet,

I'd like to know what the estradiol (E2) level of your blood is. If it's normal for HRT, then I would wonder if something in addition is going on. If the E2 level is low with what you're taking, dosage can be temporarily increased or the question of malabsorption must be addressed.

Black cohash (Remifemin) has been used by many to reduce or eliminate hot flushes, as has Vitamin E and soy protein isolate. Why not discuss these options with your doctor?

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**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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Previous message: Harvey S. Marchbein, M.D.: "Re: Postpartum Haemorrhage"
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