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Re: GYN: low dose estrogenFrom: Diane C. (tdrcaste@yahoo.com)Mon Apr 25 09:46:44 2005
Anyone use Mirena with add-back E2? Thanks, Diane At Mon, 25 Apr 2005, Richard Chudacoff, MD wrote: > >Personally, I think NuvaRing works best in these situations > >-- >Richard Chudacoff, MD > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Steve & >Eryl Raymond >Sent: Friday, April 22, 2005 2:59 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: GYN: low dose estrogen > >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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