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Re: AmenorreiaFrom: gynendohaiti jean louis (gynendohaiti@hotmail.com)Wed Apr 24 07:55:46 2002
people who use injectable contaceptive such as depo provera for a long time very often experience amenorhea. the test you have done would be normal and they will fail to bleed with progesterone withdrawal because the endometrium is already thin . what you should do is to try oestrogen instead at increased doses for two weeks and control the endometrium growth with ultrasound .than introduce progesterone in low dose for a week. she will probably bleed than. once you have that response try to induce regular cycle using clomiphene citrate for two cycles (the patient must be aware of the risk of pregnancy) .Normal status should resume than and you will shoose another contraception method.
>From: lac.@uol.com.br (Luiz Antonio C. M. Mario)
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