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Re: GYN: MenostarFrom: Zachariah Newton (zbnewton@bellsouth.net)Tue Sep 28 23:12:35 2004
The matter of long interval progestational additive to sustained low dosage estrogen maintenance has theoretical merit and potential clinical benefit. The limiting issue is the outlier who develops an endometrial malignancy while under such a regimen that has not been standardized The liability issue will devastate the prescriber, regardless of benefit/risk arguments. If the uterus is there with estrogen therapy, progesterone/progestin additive on a standardized basis is obligatory. By today's standards, p-therapy every 4 or 6 months for the individual who does develop endometrial carcinoma will come back to bite you. Zach Newton Z. B. Newton, III, M.D. Atlanta/ Gyn
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