Re: advice

From: Mark Perloe (mperloe@ivf.com)
Wed Apr 11 21:20:13 2001


Tibolone, as far as I have heard is not associated with an increased clotting risk.

While HRT may be a risk, it should be no higher risk than during a normal cycle. Perhaps baby aspirin would ameliorate that risk. One wonders if the increased risk of clotting would outweigh the health promoting benefits of HRT. Is this a case where we treat the lawyers rather than the patient?

At 08:19 PM 4/11/01 -0500, you wrote: >There is certainly a risk of thrombosis with HRT, probably higher in this
>population than in others. I'm not sure it absolutely contraindicates the
>use of HRT, though.
>
>My understanding is that the evidence that exists is clear that the SERMs
>have the same risk of thromboembolic disease as traditional HRT
>
>At 04:13 PM 4/11/01 -0500, you wrote:
>>Dear colleagues,
>>I would like to have your advice on HRT in postmenopausal women carriers
>>of a thrombophilic gene mutation
>>( Factor Leiden and others ). Do replacement therapies outweigh the
>>risks of a thrombotic event?
>>Can an HRT be continued in case of detection of a gene mutation?
>>Discussion of SERM's in this constellation ( and Tibolone more and more
>>used in Europe )
>>
>>Thanks for your response Dr. Paul
>>Gratia
>>Centre Hospitalier Luxembourg
>
>Larry R. Glazerman, MD
>Ob-Gyn at Trexlertown
>610-402-0161
>l.glazerman@rcn.com

--
Mark Perloe, M.D.   http://grs.ivf.com 404-843-2229
5445 Meridian Mark Rd, Suite 270, Atlanta, GA 30342




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 04:48:10 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.