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Re: AmenorreiaFrom: Braun, R. Daniel (rbraun@iupui.edu)Wed Apr 24 10:14:44 2002
OR reassure her this is normal and continue the Depo. Most of my patients on depo want this outcome. R. Daniel Braun, MD There are strange things done in the midnight sun By the men who moil for gold; The Arctic trails have their secret tales That would make your blood run cold; The Northern Lights have seen queer sights, But the queerest they ever did see Was that night on the marge of Lake Lebarge I cremated Sam McGee. Robert W Service -----Original Message----- From: gynendohaiti jean louis [mailto:gynendohaiti@hotmail.com] Sent: Wednesday, April 24, 2002 7:57 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Amenorreia 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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