Re: Premature Menopause

From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)
Sun Jul 28 03:04:31 1996


In message <960727160318_165582349@emout18.mail.aol.com>, CNMPAT@aol.com writes Sorry it was me who introduced this expression of "iatrogenic" menopause. I simply meant that as a gynaecologist most of the premature menopauses I see are due to ( Abdo/vag ) hysterectomy & BSO - for endometriosis, pelvic congestion, etc.

>What would you folks consider the causes of 'iatrogenic' menopause. What
>management for the woman with premature menopause (ovarian failure) at age 35
>with no apparent iatrogenic causes? Is HRT the usual management, after being
>certain there are no other causes?
>
>>>Malcolm Griffith says "most of the premature menopauses I see
>areiatrogenic, but can't imagine that changes much."
>I imagine that iatrogenic menopause is associated with much more radical
>hormonal changes than a spontaneous menopause. I would initiate HRT with any
>dose equivalent to Premarin 0.625 and if symptoms were not significantly
>improved by 72 hrs, I'd double to dose.
>Terri Rosenbaum, MD
>Lihue, Hawaii>>
>
>Pat Sonnenstuhl, CNM,ARNP,RH
>South Sound Women's Center: 2 CNMs and 3 OB/GYNs
>Olympia, WA
>cnmpat@aol.com
>HTTP://home.aol.com/CNMPAT
>July 27, 1996
>11:49 am

--
Malcolm Griffiths               MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist    Luton & Dunstable Hosp.,UK.
Tel:    01582-497459 (office)
        01525-222849 (home)
Fax:    01582-497424
email:  Malcolm@mgriff22.demon.co.uk

"It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire)





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