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Re: HRT Problem From: Peter V. Weston, M.D. (weston@riverwalk-obgyn.com) Sat Apr 27 17:00:39 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Mark Perloe: "Re: clomid and single shot pergonal for first line obgyn's" Previous message: PDBurstein@aol.com: "Re: HRT Problem" Maybe in reply to: Clifford J. Goodman, Jr., MD: "HRT Problem" Next in thread: Barry Mizes: "Re: HRT Problem" At 12:39 PM 4/27/96 -0500, you wrote: >Please, group, I need help on a case: > >A 43-year-old G2P2002 underwent TAH/BSO for hard indications four years ago. Since then >she has gone through every oral, vaginal cream and transdermal preparation available in >Arizona. What this young lady needs is subcutaneous estradiol pellets. Yes, I know that they are not available in USA anymore but perhaps she can get some in Mexico and her gynecologist can insert them with, of course, appropriate consent. If they cannot be found in Mexico perhaps one of our European colleagues on the list would be able to send you a supply. Using a few ml Xylocaine they are inserted through a tiny incision in the subcutaneous tissues of the abdominal wall in a manner identical to the insertion of Norplant. I think that they were a little larger than Norplant so you may have to get you local instrument maker to make an introducer for you out of some stainless steel tubing of the appropriate size. I used them regularly until they were taken off the market. If I remember correctly they were made by Schering. The late Greenblat was a great advocate of their use. Good luck, Regards Peter -- Peter V. Weston, M.D. Private Practice, Gynecology, San Antonio. weston@riverwalk-obgyn.com Visit the Home Page of our great PC Organization (Alamo PC) <http://www.alamopc.org> "More harm is done because you do not look Than from not knowing what is in the book" Zachary Cope Next message: Mark Perloe: "Re: clomid and single shot pergonal for first line obgyn's" Previous message: PDBurstein@aol.com: "Re: HRT Problem" Maybe in reply to: Clifford J. Goodman, Jr., MD: "HRT Problem" Next in thread: Barry Mizes: "Re: HRT Problem"

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