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Re: DOSE OF ERTFrom: Diane E. B. Petersen, M.D. (peter261@gold.tc.umn.edu)Thu Jul 18 20:54:44 1996
In message <960717121549_158149289@emout09.mail.aol.com> writes: > LETS SEE WHAT THE CONSENSUS OF OPINION IS REGARDING THIS 43 YO LADY WHO IS > AMENORRHIC FOR 4 MONTHS WITH AN LH AND FSH IN MENOPAUSAL RANGE. SHE DOES > HAVE HER UTERUS. WOULD YOU START HER ON .625 OR 1.25 MG OF ESTROGEN. OF > COURSE SHE WILL BE ON MPA AS WELL. I'M INTERESTED TO SEE THE VIEWS ON > ESTROGEN DOSE FOR A WOMEN THIS AGE AS OPPOSED TO EXPERIENCE WITH WOMEN IN > THEIR 50'S > > JAY M KULKIN, MD, FACOG > ATLANTA, GA Since this is a natural menopause not surgical and it is not premature menopause, I would start her on conjugated estrogen.625 mg or Estrace 1mg q day. Since she is recently menopausal (although she actually hasn't reached the defined 6 months of amenorrhea, regardless of her LH and FSH levels) I would encourage her to cycle for 2-3 years to avoid possible annoying unscheduled bleeding and subsequent investigation of this bleeding.
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