Re: Postpartum Estrogen Patch

From: Larry Glazerman (l.glazerman@rcn.com)
Wed May 16 11:17:18 2001


I've occasionally used vaginal estrogen for atrophic like vaginitis in a nusring mom, but never heard of using a patch like this.

At 11:51 AM 5/16/01, you wrote: >Sounds like a novel invention, hardly necessary at all. I do recall a
>doctor handing out Premarin cream for vaginal lacerations in another
>hospital. Given the hormone levels in a woman of childbearing age, it truly
>is a waste of money.
>
>Dan Flaherty MD
>Watertown SD

>>----- Original Message -----
>From: "Cheri Van Hoover" <cherivh@home.com>
>To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com>
>Sent: Wednesday, May 16, 2001 9:54 AM
>Subject: Postpartum Estrogen Patch
>
> > One of the patients in our practice asked for an estrogen patch to use
> > postpartum.
> >
> > She says she was given a patch by the OB she saw with her first pregnancy
>3
> > years ago. He handed it to her on the postpartum unit, prior to
>discharge, and
> > told her to apply it on postpartum day 4 and leave it on for 10 days. He
>told
> > her she would be doing herself a "huge favor" and would avoid the
>"plunging
> > hormones" of the postpartum period.
> >
> > The patient did not experience postpartum depression, and attributes this
>to the
> > use of the patch. She says her milk came in fine. She did not develop
> > thrombophlebitis or any other postpartum problems.
> >
> > This is a new one for me. Have any of you used an estrogen patch in this
> > fashion? Is this practice based on any evidence? Was there some journal
> > article I missed? Or did this OB invent this himself?
> >
> > Cheri Van Hoover, CNM
> > San Francisco, CA
> >





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