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DVT riskFrom: Karen Lee (karen@karenlee.org)Fri Mar 26 08:53:55 2004
42yo patient with irregular menses and peri-menopausal DUB for 2 months, no dysmenorrhea, also severe mood swings, night sweats disrupting her life, crying at 'nothing', etc (you all know the story). Hx of DVT years ago, hospitalized on streptokinase. She haas 'factor V'. Obviously, no ET can be used. PDR lists thrombolic events as a contraindication for both Provera and Prometrium. Is this a case of 'hormones are bad' by the FDA or is this a real risk? ===== -- Karen Lee, ARNP OB/GYN Nurse Practitioner Certified Menopause Practitioner Mount Vernon, WA "Courage is the opposite of the instinct to keep everything under control. It is against inertia and death, toward intensity and life. The little courages of life add up to big courage over time. Resist the offers of small safe quarters in your mind."
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