Re: DVT risk
From: Karen Lee (karen@karenlee.org)
Fri Mar 26 12:42:29 2004
Thank you! I was hoping that was the case!
--- "Dr. Ainsworth" <ainsron@sbcglobal.net>
wrote:
> Progestins are not thrombogenic and not
> contraindicated in a patient
> with Hx of DVT. The PDR recommendations
> against use in patients with Hx
> of DVT is simply a reiteration of the
> proscription given to estrogenic
> medications and has no scientific basis. If
> you have Speroff's text,
> p750, he talks about the mini-pill and the fact
> that no measurable
> impact occurs to the coagulation system, and
> uses a reference in the Br
> J Fam Plann 15:83,1989, Fotherby, "the
> Progestogen-only pill and
> thrombosis."
> >
> >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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