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Re: Depo-Provera From: Andrew Folley (agfolley@hotmail.com) Tue Jun 12 12:32:34 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ghassan swaid: "Re: Ob: After delivery inspection/exploration" Previous message: R. Daniel Braun: "Re: Ob: After delivery inspection/exploration" In reply to: Rafael Haciski: "Re: Depo-Provera" Next in thread: Raymond Stephen: "Re: Depo-Provera" Reply: Raymond Stephen: "Re: Depo-Provera" Disagree. Put an 80 year old woman on BCPs and she will start having periods. See Speroff. >From: Rafael Haciski <haciski@earthlink.net> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: Depo-Provera >Date: Mon, 11 Jun 2007 22:25:35 -0500 > >I agree with the OCP vs HRT, as she technically is in the range of HRT tx >at present with her estrogen level. >I do not think that menses is the issue, and if she is amenorrheic it will >be OK (with me and the pt) but I am more concerned with the low estrogen >levels and the effects on bone, and possible sporadic ovulation leading to >an unintended pregnancy. Hence I would be perfectly OK with OCP treatment >for the time being. > >Rafael Haciski MD FACOG >Naples, FL. > >On Jun 11, 2007, at 6:59 PM, Raymond Stephen wrote: > >>Putting her on the OCP is not the best idea. It will probably produce a >>withdrawal bleed, but as her problem is endometrial atrophy due to long >>term progestogen exposure, what she needs is oestrogen. All OCPs produce >>endometrial quiescence (atrophy) so any pill you give her will, in >>theory, add to the problem unless there is sufficient oestrogen in what >>she takes to give her some endometrial proliferation. Hence she will get >>a better result from oestrogen alone, and that is why she should take >>Premarin (or any other oestrogen you prefer). Andrew’s last statement >>“Estrogen supplement with pill or HRT would be adequate” is an oxymoron >>as the OCP is more progestagenic than oestrogenic. >> >>Steve >> > Next message: ghassan swaid: "Re: Ob: After delivery inspection/exploration" Previous message: R. Daniel Braun: "Re: Ob: After delivery inspection/exploration" In reply to: Rafael Haciski: "Re: Depo-Provera" Next in thread: Raymond Stephen: "Re: Depo-Provera" Reply: Raymond Stephen: "Re: Depo-Provera"

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