Re: GYN: low dose estrogen

From: Diane Castellanos RN/C, WHNP (tdrcaste@yahoo.com)
Mon Apr 25 11:02:23 2005


This is not specific to the scenario presented but, in general; I wondered if anyone used Mirena as the opposing progestin for peri/menopausal women? My understanding is that the action is local, not systemic, therefore ovulation or physiological attempt at ovulation is not prevented. Since it's effective (as birth control) for 5 years, a woman may need E2 for menopausal sx's before removal is necessary.

Thanks, Diane

>
>Why add back?
>
>--
>Richard Chudacoff, MD
>

>
>Anyone use Mirena with add-back E2?
>Thanks, Diane

>





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