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Re: Frustrating Case From: art fougner, md (evsono@pipeline.com) Tue Apr 17 08:00:25 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: OB: Gestational Diabetes Labor management" Previous message: art fougner, md: "Re: Defining Immediately Available" In reply to: Ira Bachman, MD: "Re: Frustrating Case" Next in thread: Efrain Ramirez: "Re: Frustrating Case" Reply: Efrain Ramirez: "Re: Frustrating Case" most oc's being progestin dominant may not maintain endometrial integrity - consider adding small dose of estrogen. just my opinion - i could be wrong. art At Mon, 16 Apr 2001, Ira Bachman, MD wrote: > >Prolactin is normal. Based on sono and fsh/lh ratio and menstrual >irregularities I believe she has PCO, But I should be able to obtain >good cycle control with an OCP. > >Her problem is not menorrhagia. She doesn't bleed heavy...just often. > >At Mon, 16 Apr 2001, D. Ashley Hill, MD wrote: >> >>At Mon, 16 Apr 2001, Ira Bachman, MD wrote: >> >> two years later still >>>poor cycle control. >> >>Tough case. Here are some random thoughts: >> >>Is her prolactin normal? If her bleeding is heavy, how about a platelet >>function analysis to rule out von Willebrand's disease (since up to 10% >>of patients with menorrhagia have this)? Adenomyosis is a possiblility, >>although she is nulligravid. What about PCOS? It might be worthwhile to >>do a workup for this. Please let us know what you found. >> >>Ashley >> >>-- >>David Ashley Hill, MD >>Associate Director >>Department of Obstetrics and Gynecology >>Florida Hospital Family Practice Residency >>Orlando, Florida >> >>The above is general medical information, and should not >>be construed as specific treatment advice. Due to time >>constraints, I am unable to answer individual emails. >>Thank you. >> >-- >Ira Bachman, MD > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: OB: Gestational Diabetes Labor management" Previous message: art fougner, md: "Re: Defining Immediately Available" In reply to: Ira Bachman, MD: "Re: Frustrating Case" Next in thread: Efrain Ramirez: "Re: Frustrating Case" Reply: Efrain Ramirez: "Re: Frustrating Case"

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