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Re: menopause, HRT & periods

From: Barbara (anonymous@obgyn.net)
Sat, 28 Feb 1998 11:58:45 -0600 (CST)


At Wed, 23 Jul 1997, Harvey S. Marchbein, M.D. wrote: >
>At Wed, 23 Jul 1997, wrote:
>
>>I am 38 years old and have been going through menopause for 3 yrs. I am
>>taking Premarin and Provera daily and for the last year
>
>Were you menopausal (no periods for an extended period of time) or
>perimenopausal (changes nearing the menopause but still with some
>periods). If the former, Premarin and Provera was a fine choice. If
>the latter, the treatment was premature. I bring this up only because
>of the way you phrased "have been going through menopause". Usually,
>you're menopusal or you're not.
>
>>I have been
>>having "Periods".
>
>After 3 years I wouldn't expect this.
>I too have been taking premarin and provera for about 3 months now. I had been menapausal for about 2 1/2 years. Initially I had experienced hot flashes daily during the day and at nightime. I had begun controlling them with soy bean milk, roasted soy beans with good success. In December during my last gyn exam my M.D. suggested the combination of premarin and provera. Is it really necessary and what are your thoughts on the pros and cons? Would I be wise to discontinue and how would I be able to discontinue this medication without any complications?
>>be negative. What I am concerned about now is the bleeding comes at
>>least every 2 weeks and there is very little cramping and lasts any
>>where from 4- 8 days.
>
>Enough is enough already! If the D&C showed atrophic endometrium or
>endometrium consistent with Premarin-Provera administration, we know
>there's nothing serious going on. What might be helpful is a
>sonohysterogram to evaluate the physical aspect of the inner lining of
>the uterus as well as the appearance of the ovaries. This being normal,
>it may be necessary to change the dosage of the medication.
>
>>I am seeing my gyn in 2 weeks, am wondering if I
>>should see a different one.
>
>If this doesn't straighten out, it couldn't hurt to get a second opinion
>from another gynecologist.
>
>>I also have a neuromuscular disorder called
>>Spasmodic Torticollis and I take Artane, Prozac, Clonapin, Prevacid,
>>besides the Premarin and Provera. Help, I am too young for all this.
>
>Kim, you are too young for all of this. the stress of any disease
>process can be enough to throw off the action of hormones, endogenous
>(made by your body) or exogenous (taken as medication). The second
>opinion may be helpful if only to corroborate the opinion of your
>doctor.
>
>The best of luck with all of this. BTW, at age 38 with 3 years under
>your belt, this is by definition, premature menopause. This may be part
>of an auto-immune process with many "tentacles". Not being a
>rheumatologist, don't know if the Spasmodic Torticollis fits in the
>family of auto-immune diseases.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>OBGYN.net U.S. Representative, New York
>Great Neck, New York
>http://www.obgyn.net/states/bios/marchbein.htm
>http://www.obgyn.net/women/heroes/harveym.htm
>
>*Note: Opinions expressed here are for educational purpose only.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options.
>

--
Barbara Cloherty Wilmington NC



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