-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: ERT From: ainsron@msn.com Wed Apr 10 10:50:30 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: AMOL" Previous message: DoctorJoe@aol.com: "Re: Torsion" In reply to: DoctorJoe@aol.com: "Re: ERT" Next in thread: DoctorJoe@aol.com: "Re: ERT" No thyroid problems, weighs about 150#, no regular exercise program, but works as a cashier - so spends a fair amount of time walking and standing during the day. >In a message dated 4/9/02 13:09:20, ainsron@sbcglobal.net writes: > ><< I saw a 50 yo patient, on referral from an internist today. She had a >TAH/BSO 8 years ago, was initially on no ERT for six weeks, then on >Premarin, 0.3 mg for a couple of years. She changed internists and >because of severe mood swings and emotional lability, he went to >estrogen injections and over the past two years she has convinced him to >increase it to 2.5cc (12.5 mg) of depo-estradiol twice weekly and 200 mg >of testerone every two weeks. She does have some early hypertrophic >changes of the labia and clitoris. She is also being treated for >depression with Prozac (40mg/d, but adjusts the dose herself, depending >on how she feels to as little as 20mg q2-3 days). She describes >symptoms of fatigue and mental confusion, to the point where she can't >function which has improved on the higher doses of estrogen. Obviously >I'm concerned about this high dose of estrogen, other than a psych >consult, any thoughts. I did order E2, testerone levels, lipids and >hepatic enzymes. My first impression is that she probably is getting >some CNS benefit from this supra-physiologic level of E2, and I think >she would benefit from tapering while placing her on an anti-depressant >that would benefit Serotonin, Norepinephrine and GABA, such as Effexor. >What do you think? >> > >How much does she weigh? How much exercise does she get? Any thyroid problems? > >Joe P. -- Ronald E. Ainsworth, MD Next message: Anna Meenan, MD: "Re: AMOL" Previous message: DoctorJoe@aol.com: "Re: Torsion" In reply to: DoctorJoe@aol.com: "Re: ERT" Next in thread: DoctorJoe@aol.com: "Re: ERT"

Return to

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: Wed Dec 2 04:53:11 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.