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Re: Perimenopausal hot flashes From: Anatoli I. Garkusha (midilover@yahoo.com) Tue Sep 19 22:33:35 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R.Pasqualetti: "R: Smaller Cervix" Previous message: Anatoli I. Garkusha: "Re: Back to episiotomies..." Maybe in reply to: Gibbons, John: "Perimenopausal hot flashes" Dear Joanne, What does an off week mean? Sorry for the question, Anatoli I.Garkusha, MD. Kiev.Ukrain -----Исходное сообщение----- От: Joanne Bulley <islesannie@yahoo.com> Кому: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com> Дата: 20 сентября 2000 г. 0:33 Тема: Re: Perimenopausal hot flashes >Talking with women on this issue - as well as the one of "how do you >know when I can quit taking OCP's" - When they reliably get hot flushes >during the last 3 or so days of the placeboes - then I will chck an FSH >just prior to a new pack of pills. It is usually elevated. > >I *think* that in younger women - the ovary kicks in and makes a bit of >estrogen during the 'off' week - so they don't have their estrogen level >drop to squat during that week - whereas the women who have low - or no >- ovarian reserve probably DO drop to low enough estrogen blood levels >to have menopausal hot flashes. > >I suppose I could do a bit of research on this - but who will pay for me >to do all the FSH levels to document whether this is happeneing... > >Joanne > >At Tue, 19 Sep 2000, Gibbons, John wrote: >> >> Can anyone discuss the puzzling occurrence of hot flashes in >>perimenopausal women taking oral contraceptives? In my experience, it >>occurs frequently. I don't understand the pathophysiology unless it is >>simply age-related "vasomotor instability." I would also like some help on >>management. I've handled most of these problems with reassurance. >>Comments? >> >> John >>Gibbons. > >-- >Joanne Bulley, MD, FACOG >Keene, NH, USA > >All decisions are made with insufficient data. Next message: R.Pasqualetti: "R: Smaller Cervix" Previous message: Anatoli I. Garkusha: "Re: Back to episiotomies..." Maybe in reply to: Gibbons, John: "Perimenopausal hot flashes"

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