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Re: Bone Density From: Braun, R. Daniel (rbraun@iupui.edu) Wed Dec 17 04:36:54 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Placenta previa day." Previous message: Garry E. Siegel, M.D.: "OB: Ultrasound equipment" Maybe in reply to: Lynn D. Montgomery, M.D.: "Bone Density" Concur. Dan -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn D. Montgomery, M.D. Sent: Tuesday, December 16, 2003 2:10 PM To: Multiple recipients of list OB-GYN-L Subject: Bone Density 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 Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Placenta previa day." Previous message: Garry E. Siegel, M.D.: "OB: Ultrasound equipment" Maybe in reply to: Lynn D. Montgomery, M.D.: "Bone Density"

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