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Re: Gyn:  Amenorrhea From: Rafael Haciski (haciski@earthlink.net) Thu Sep 28 09:11:37 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Gyn: Amenorrhea" Previous message: ainsron: "Re: OT-completely" In reply to: Garry E. Siegel, M.D.: "Re: Gyn:  Amenorrhea" If she does not respond, and ahs a 16 mm endometrium, I would still investigate. I would obtain Serum E2 level, and probably push on to hysteroscopy especially is she does not withdraw and if her E2 is low, because then the contents of the cavity may be a polyp or fibroid, or worse. I do not like assumptions without confirming them. -- Rafael Haciski MD FACOG Palmetto, FL On Sep 28, 2006, at 12:44 AM, Garry E. Siegel, M.D. wrote: > TSH and Prolactin OK a while back, I think. I'll review. > > I had tried to withdraw her last year (she doesn't come in much or > worry > about this too much), and she didn't respond--thus the ultrasound. > > I would have to assume that she has been Estrogen "primed" with a > 16 mm > endometrium, and am awaiting another progestin challenge. > > That said, if she doesn't bleed, can't we assume she is NOT tending > towards hyperplasia? Furthermore, I wouldn't think that I would > need to > give her estrogen, Joe, to prevent hyperplasia--as estrogen is the > culprit. . .and if she doesn't withdraw, then that is a biologic > test > for estrogen, I believe. > > Garry > > At Wed, 27 Sep 2006, DoctorJoe@aol.com wrote: >> >> In a message dated 9/27/06 8:29:43 PM, Terrence.Jones@kp.org writes: >> >>> Strange that She failed to withdraw bleed from initial progestin >>> with an >>> EEC of 16 mm. Was that just recently? >>> >> My thought exactly. Maybe an estrogen priming and then repeat >> withdrawal >> might get the ball rolling. >> >> And you do need to get the ball rolling, to prevent endometrial >> hypertrophy, >> yada, yada, yada. >> >> Joe P. > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA Next message: Andrew Folley: "Re: Gyn: Amenorrhea" Previous message: ainsron: "Re: OT-completely" In reply to: Garry E. Siegel, M.D.: "Re: Gyn:  Amenorrhea"

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