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Re: Vaginal dryness in a 17-year-old From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Wed Jul 26 20:33:23 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Vaginal dryness in a 17-year-old" Previous message: Anna Meenan, MD: "Vaginal dryness in a 17-year-old" In reply to: Anna Meenan, MD: "Vaginal dryness in a 17-year-old" Next in thread: Joanne Bulley, MD: "Re: Vaginal dryness in a 17-year-old" Reply: Joanne Bulley, MD: "Re: Vaginal dryness in a 17-year-old" The progestagenic fraction of the patch is probably responsible. There are some who get quite a lot of atrophy from progestational agents in the OC and I would feel confident that that is the mechanism here; especially as the particular progestational agent here is a metabolite of norgestimate which is quite potent. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Anna Meenan, MD Sent: Thursday, 27 July 2006 6:27 AM To: Multiple recipients of list OB-GYN-L Subject: Vaginal dryness in a 17-year-old Precepting residents today. One of them saw a 17-yr-old with cc of vag dryness, interfering with intercourse. Clinically dry on exam also. She has regular menses, no other indicators of estrogen deficiency. Wt. 230. She is on Ortho-Evra for past 2 years. Have any of you ever seen this in a young woman? Is the patch causing it? Anna Meenan, MD Next message: Joanne Bulley, MD: "Re: Vaginal dryness in a 17-year-old" Previous message: Anna Meenan, MD: "Vaginal dryness in a 17-year-old" In reply to: Anna Meenan, MD: "Vaginal dryness in a 17-year-old" Next in thread: Joanne Bulley, MD: "Re: Vaginal dryness in a 17-year-old" Reply: Joanne Bulley, MD: "Re: Vaginal dryness in a 17-year-old"

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