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Re: Bone Density From: dbb@dmv.com Tue Dec 16 15:31:31 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Bone Density" Previous message: Lynn D. Montgomery, M.D.: "Bone Density" In reply to: Lynn D. Montgomery, M.D.: "Bone Density" Next in thread: Braun, R. Daniel: "Re: Bone Density" Merry Christmas back at you Comment from the peanut gallery, IMHO AS long as she is having monthlys she is producing estrogen. That was a concern for me at one point but only because I'm on inhaled steroids for asthma. Unless there is some other hormone deficient reason for the anovulation and there is a possible connection there, then I'm with you. Could be she is just hypocalcemic or has a Vit D deficiency or any number of other things. If she is very fair, it may be just the way she is. Maybe genetic. I think the orthopedist needs to look further. Blessings Donna B LPN Quoting "Lynn D. Montgomery, M.D." <apgar10@montanadsl.net>: > Happy Holidays To One and All: > I have a 29 y.o. patient who is anovulatory (folliculogram > confirmations), but has monthly periods. She recently sustained a > spiral fracture of her tibia during minimal activity and subsequent bone > scan revealed marginal density for age in her spine. > > Both orthopedist and internist are telling the patient that her > decreased bone density and subsequent fracture are the result of her > anovulation - I say no, as long as she is having her periods, she > doesn't fit the classic I haven't had the chance to check her labs and > they haven't evaluated any cause they feel they have the answer. > > I have certainly seen this in truly amenorrheic patients who are > anorexic, or extreme fitness with very low body fat percentile, but not > in regularly menstruating females who are not ovulating. > > Comments... > Lynn > > Lynn D. Montgomery, M.D. > Rocky Mountain Women's Health > 2835 Fort Missoula Rd., Suite 303 > Missoula, Montana, 59804 > 406-549-0978 > fax 406-549-0987 > e-mail: apgar10@montanadsl.net > ------------------------------------------------------ This message was sent using Delmarva Online's Webmail. ------------------------------------------------------ http://www.dmv.com/ ------------------------------------------------------ Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Bone Density" Previous message: Lynn D. Montgomery, M.D.: "Bone Density" In reply to: Lynn D. Montgomery, M.D.: "Bone Density" Next in thread: Braun, R. Daniel: "Re: Bone Density"

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