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Re: Osteoporosis From: ainsron@msn.com Wed Apr 25 11:09:15 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron@msn.com: "Re: Osteoporosis" Previous message: art fougner, md: "Re: GYN: recurrent abnormal paps" In reply to: Zach Newton: "Re: Osteoporosis" Next in thread: Zach Newton: "Re: Osteoporosis" She is on calcium. Like you, I was concerned that the bleeding might not be "normal cycles." However, they appear to be. She is on continuous HRT, not cyclic and the pattern is perfectly 28 days. I did a vaginal probe ultrasound, and found a thin endometrium, <6mm, so I have no reason to biopsy her. >ainsron@msn.com wrote: >> >> In a 48 y.o female, premenopausal woman who is on chronic steroids after >> a renal transplant, with documented osteoporosis, would anyone place >> this type of patient on HRT as well as fosomax? I'm seeing such a >> patient now who was started three years ago on Prempro+ 0.3mg of >> Premarin by her GP and its hard for me to see the rationale behind it. >> Her cycles have continued to be regular, although over the last six >> months she is every 3-6 weeks, rather than the 4 week cycles she used to >> have. She is probably beginning menopause now, so I doubt I'll >> discontinue HRT, but under those circumstances, would anyone have even >> started it? >----------------------------------------------------------------------- > >----------------------------------------------------------------------- >The bleeding episodes can not be ascribed to a native cycle, if she is >----------------------------------------------------------------------- >----------------------------------------------------------------------- >adhering to the schedule described. She is having abnormal uterine >----------------------------------------------------------------------- >----------------------------------------------------------------------- >bleeding, which demands evaluation. > >The regimen described does afford exogenous stability. The additive >value of biphosphanates to HRT for treatment of osteoporosis has been >established. Absent the input of tj, I defer to Medline as a source of >support. Calcium supplementation is not mentioned. It w/ D is an >important part of the dynamics. > >-- >Zach Newton >Z. B. Newton, III, M.D. >Atlanta/Gyn > -- Ronald E. Ainsworth, MD Next message: ainsron@msn.com: "Re: Osteoporosis" Previous message: art fougner, md: "Re: GYN: recurrent abnormal paps" In reply to: Zach Newton: "Re: Osteoporosis" Next in thread: Zach Newton: "Re: Osteoporosis"

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