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Re: possible diagnosis From: LARRY DAVIS (larry8995@sbcglobal.net) Fri Sep 30 23:17:26 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard W Lisse: "Re: Laptops for the world" Previous message: Andrew Folley: "Re: Sublingual Misoprostol for PPH" In reply to: Atkinson, Samuel M: "Re: possible diagnosis" Thanks Sam! "Atkinson, Samuel M" <ATKINSONS@mail.ecu.edu> wrote:v\:* {behavior:url(#default#VML);}o\:* {behavior:url(#default#VML);}w\:* {behavior:url(#default#VML);}.shape {behavior:url(#default#VML);}st1\:*{behavior:url(#default#ieooui) } I would also bet that her FSH is Normal and her LH is elevated. Serum estrogen should help also in DX. I suspect she is persistently running high levels of estrogen due to failure of liver to detoxify estrogen. With no estrogen dip, she gets no LH surge, thus no ovulation and no periods. Gets persistent FSH to ovary with cysts. A modified PCO if you will. If this is true, she will be at some risk of endometrial hyperplasia. sAm --------------------------------- --------------------------------- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of LARRY DAVIS -- --------------------------------- Sent: Friday, September 30, 2005 10:01 AM To: Multiple recipients of list OB-GYN-L Subject: possible diagnosis patient, female, 38 years old, recovering alcoholic. This woman has had ovarian cysts drained from the sapling on the right side and consequently has a shriveled up ovary. Just recently under went a risky surgery to remove an 11.8cm ovarian cysts from the left side. Her liver functions were extremely low due to an extensive case of cirrhosis. There was no sign of cancer or endometriosis. She also has not had a menstral cycle for over fifteen years. Her last cycle was prior to her one and only successful pregnancy. What could be the cause of early menopause or is it obviously the alcoholism? Next message: Dr Eberhard W Lisse: "Re: Laptops for the world" Previous message: Andrew Folley: "Re: Sublingual Misoprostol for PPH" In reply to: Atkinson, Samuel M: "Re: possible diagnosis"

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