Re: GYN: low dose estrogen

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Fri Apr 22 14:57:50 2005


Not a continuous unopposed oestrogen regime so no progestagen needed until she stops cycling.

Steve Raymond

Garry E. Siegel, M.D. wrote:

>One of our CNMs has a 43 YO who is having regular cycles, but having hot
>flashes for around 2 weeks/month. The patient has been prescribed a low
>dose patch, Climara 0.025, for those two weeks, with good results.
>
>I just reviewed the chart today and discussed it with the CNM.
>
>Would you add a Progestin? If so, how often? She is still cycling
>regularly.
>
>I bet she is not at risk for hyperplasia because she is cycling (and
>thus converting her endometrium to secretory).
>
>Garry
>





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