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Re: colitis and HRT From: Joanne Bulley, MD (islesannie@yahoo.com) Mon Jul 10 21:09:52 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: 24 week-er" Previous message: Larry Glazerman: "Re: 24 week-er" In reply to: Henry Gregor: "Re: colitis and HRT" Next in thread: Henry Gregor: "Re: colitis and HRT" Reply: Henry Gregor: "Re: colitis and HRT" I try to present the valid data, reinforce that qulaity of life, quality of sleep, maintenance of BMD and sexuality are ALL valid reasons for continuing the HT and let the patient make the choice. I have all sorts of docs - lots of primary care docs trying to tell the early to mid 50's women that "of course you have to be OFF that (awful) estrogen" with flimsy reasoning other than the knee jerk response that has come about post WHI - even with te various WHI retractions. Then they want to put them on an SSRI and a Hypnotic and then they need something for their vagina. And their symptoms are STILL not treated despite at least three co-pays extra per month. WHI showed us (again) that we should NOT start estrogen on women who are over 60 and are NEW starts who do NOT have vasomotor symptoms. But To Quote (may be a paraphrase rather than exact quote) Dr. William Butler from Atlanta, "We already knew that and it was bad medicine to even have that population in the WHI." He did volunteer his services on the side of the 70-something women injured by WHI as other studies (like HERS) said not to do new starts on that age population. He also argued in defense of any of us starting the newly menopausal woman on HT for a number of reasons and without any sort of planned end date of treatment. I suppose all those that have the knee jerk response to "No estrogen treatment of any kind" are fine with relegating those women to atrophic vaginitis and related problems while at the same time giving their spouses Viagra (which does have a statistically significant risk of casuing a type of blindness). Joanne At Mon, 10 Jul 2006, Henry Gregor wrote: > > Listers, > > In the last year I have had two patients present stating that there gastroenterologists advised them to d/c their estrogen therapy out of concern for its possible cause of ischemic colitis. I'm not the best PubMed searcher, but the only data I came up with noted a higher incidence of estrogen use in females bleeding from ischemic colitis vs from diverticulitis. Association, but without p values or confidence limits given (couldn't be done in any event; case reports were small in number.) ... so I would say correlation, without causation. The patients feels the needs the estrogen for quality of life, but are concerned re inciting bleeding. What are your thoughts? > > Hank -- Joanne Bulley, MD Keene, NH, USA Next message: Joanne Bulley, MD: "Re: 24 week-er" Previous message: Larry Glazerman: "Re: 24 week-er" In reply to: Henry Gregor: "Re: colitis and HRT" Next in thread: Henry Gregor: "Re: colitis and HRT" Reply: Henry Gregor: "Re: colitis and HRT"

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