Re: Hypoestrogenic young women

From: Braun, R. Daniel (rbraun@iupui.edu)
Fri Apr 28 10:52:45 2000


I usually use 2.5 mg of Premarin in those early surgical menopauses. It seems to work well wiothout any complaints.

Dan

R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202

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-----Original Message----- From: jane@seasonedsystems.com [mailto:jane@seasonedsystems.com] Sent: Thursday, April 27, 2000 8:06 PM To: Multiple recipients of list OB-GYN-L Subject: Hypoestrogenic young women

Recently saw a Turner's syndrome patient in her late 20's who has been on Premarin 0.625mg (more recently Premphase) since her teens. This seems like a very small amount of estrogen compared to what normal ovaries supply. Would anyone suggest switching to OC's to increase the amount of estrogen?

On a similar note, when patients in their 30's have surgical menopause, seems that they would benefit from more estrogen than the standard HRT dose at least until they are menopause age.

Have tried unsuccessfully to find literature references on this subject. Would appreciate any information. Thanks.

--
Jane Helwig, MD, FACOG
Private practice
Nassawadox, VA




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