Re: Is vaginal estrogen unnaposed?

From: Ronald Ainsworth (ainsron@sbcglobal.net)
Wed Feb 25 16:05:50 2009


I use vaginal estrogen - premarin cream, estrace cream, Vagifem and Estring unopposed.

--- On Wed, 2/25/09, Christopher Jones <christopj@msn.com> wrote:

> From: Christopher Jones <christopj@msn.com>
> Subject: Is vaginal estrogen unnaposed?
> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
> Date: Wednesday, February 25, 2009, 8:07 AM
> I just diagnosed a postmenopausal woman with endometrial
> adenocarcinoma.
> Her only identifiable risk factor, if any, is a history of
> premarin
> cream unnaposed by progestins.
>
> My question is
>
> 1. Do you consider giving local estrogen without progestins
> unnaposed?
>
> 2. In your patients on local estrogen for vulvovaginal
> symptoms, if you
> give a progestin what is your protocol?
>
> Thanks
>
> Chris





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