-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Depo-Provera and osteoporosis--Monitoring long-term use? From: ainsron (ainsron@sbcglobal.net) Fri Jan 21 16:56:36 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein: "depo" Previous message: Charlie Chambers: "Re: Depo-Provera and osteoporosis--Monitoring long-term use?" In reply to: Anna Meenan, MD: "Depo-Provera and osteoporosis--Monitoring long-term use?" Next in thread: Betsy Hyde: "Re: Depo-Provera and osteoporosis--Monitoring long-term use?" Reply: Betsy Hyde: "Re: Depo-Provera and osteoporosis--Monitoring long-term use?" Information regarding the bone loss with Depo Provera has been around since we first started using it. However, I've never seen anyone in authority recommend restriction of time of use or DEXA scans for evaluation or F/U. The literature shows a 1.5% bone loss after one year on Depo Provera and some studies up to 12 years found no evidence of osteoporosis and more significantly, no increased fracture risk. It makes sense to avoid depo in young women at increased risk of osteoporosis - low BMI, thin build, steroid use, etc. but I believe you are wasting someone's time and money if you begin ordering DEXA scans after X years. Encourage weight bearing exercise, adequate calcium, avoidance of smoking - all the usual preventive measures. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Anna Meenan, MD Sent: Friday, January 21, 2005 2:28 PM To: Multiple recipients of list OB-GYN-L Subject: Depo-Provera and osteoporosis--Monitoring long-term use? My NP who does our Family planning outreach clinic asked me today if we need to restrict the length of time a woman can take it or do bone density studies in women (and girls) who have been on it for longer than X years (how many years would that be?) What do you folks do? Anna Meenan, MD, FAAFP Next message: Geffrey Klein: "depo" Previous message: Charlie Chambers: "Re: Depo-Provera and osteoporosis--Monitoring long-term use?" In reply to: Anna Meenan, MD: "Depo-Provera and osteoporosis--Monitoring long-term use?" Next in thread: Betsy Hyde: "Re: Depo-Provera and osteoporosis--Monitoring long-term use?" Reply: Betsy Hyde: "Re: Depo-Provera and osteoporosis--Monitoring long-term use?"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 04:47:39 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.