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Re: Lupron in pregnancyFrom: Mark Jutras (mjutras@gate.net)Wed Mar 29 06:23:50 2000
Treatment depends on where she is in pregnancy. If she is beyond 9 weeks she is unlikely to have any problem. Less than 9 weeks I usually replace both estrogen and progesterone. Easiest way is two Climara 0.1 patches every 5 days with progesterone suppostitories 200 mg twice a day. Remember that though oral progesterone is OK for gynecologic hormone replacement it has clearly been shown to be defecient for obstetrical hormone replacement. Some women will require hormone replacement for as long as 14 weeks of pregnancy (at least that is true for ovum donation). There is no hazard to the fetus to exposure to Lupron, Progesterone, or estradiol.
-- Mark Jutras, MD Orlando
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