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Re: Premature Menopause (surgical) and Bioidentical hormonesFrom: RModugno@aol.comTue Jan 18 12:02:10 2005
> >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry >E. Siegel, M.D. >Sent: Monday, January 17, 2005 9:07 PM >To: Multiple recipients of list OB-GYN-L >Subject: Gyn: Premature Menopause (surgical) and Bioidentical hormones > >Advice on how to handle please: > >23 YO P0 > >Age 16 had unilateral S and O for torsion by good REI in town. > >1.5 years ago presented with an acute abdomen and torsion; ovary very >blue at lapscope and even at laparotomy (even did a frozen section at 5 >AM--infarcted ovarian tissue)--had other ovary and tube removed. > >Now on OCPs for HRT, so to speak. > >I got a nice email this past week asking if she needed to come in and >talk, or talk by phone, or just email about 2 topics. > >1. I have found a doctor who has done research on Bioidentical >hormones. They are better, less side effects, yada yada. She's not on >my insurance, but could you work with me (and her) for blood tests, etc. > >2. I am considering IVF in the future; will you work with Dr Local REI >(to whom I refer frequently, partner of 1st REI) for bloodwork, etc. > >My reply: > >1. What is the doctor's name/specialty--answer--Dr. I don't know of, >General Practitioner. > >So, it is pretty obvious that the patient has found someone who likely >profits from visits/tests and maybe drug sales--who knows. > >Normally, I would really want to have no part with Dr. I don't know GP, >and am happy to do whatever for the REI. > >I've asked her to come in to talk. > >What should I tell her? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > Garry, glad to see that your time on the phone or on email is valueless - just like our lawyer colleagues ;+) Seriously, there is no harm on putting her on the "bio-identical hormones" of estradiol & progesterone. The only tests that might be indicated is sex-hormone binding globulin and a free testosterone because she might require some "bio-identical" testosterone, until she is ready for ART! Robert Modugno MD MBA FACOG Marietta, GA http://www.novaobgyn.yourmd.com
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