-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: Bisphosphonates and osteonecrosis - from an OMFS From: Joanne Bulley, MD (islesannie@yahoo.com) Mon Jun 5 17:57:41 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: Vertex to Breech in labor" Previous message: Babycatchers@aol.com: "Re: Informed consent" In reply to: art fougner, md: "Re: Bisphosphonates and osteonecrosis - from an OMFS" I never quit. I just don't promote it. I present it as one of the options (and the only one that REALLY works for vasomotor symptoms and vaginal sexual function). So I present the pros and cons. It does confirm my interest in Evista along with Calcium and Vitamin D and Exercise until reachin that T score of -2.5. The major risk with HT is to the woman whose body has not had estrogen for 10-20 years and it is started de novo. (And this use was for the WHI study only as none of us in the trenches would have started a 60-79 yo woman without vasomotor symptoms on it.) So for the symptoms for the early menopausal / perimenopausal nothing else works as well. When the bisphosphonates were first being promoted (by the drug reps - by endocrinologists and rheumatologists) I would ask the question, "if this drug has been studied for roughly 5 years, are you serious about me potentially prescribing it for 20, 30, 40 years? What evidence do you have for me regarding long term use?" I never got any good answers. Anybody using Forteo? Joanne At Mon, 5 Jun 2006, art fougner, md wrote: > >It's enough to want to return to writing ERT Rx's again. > >art > >At Mon, 5 Jun 2006, Meenan, Anna wrote: >> >>I still agree with you, Kim. I'm really afraid we will be finding a >>lot more cases now that this is known, and I prefer to wait til I see >>how this all shakes out before aggressively promoting >>bisphosphonates. And again, my gut feeling for myself is that I >>would rather have a hip fracture than osteonecrosis of the jaw. >>Really. >> >>Anna Meenan, MD >> -- Joanne Bulley, MD Keene, NH, USA "Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974). Next message: Larry Glazerman: "Re: Vertex to Breech in labor" Previous message: Babycatchers@aol.com: "Re: Informed consent" In reply to: art fougner, md: "Re: Bisphosphonates and osteonecrosis - from an OMFS"

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: Wed Jul 2 04:44:06 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.