Re: IDDM and the menstrual cycle

From: mark decker (mdecker@nconnect.net)
Fri Jan 31 21:14:46 1997


>28 YO P1001, post tubal ligation, is a long standing insulin dependent
>diabetic with no other medical problems. She came to me with complaints of
>frequent/irregular menses usually 2X per month, with severe insulin
>reactions and difficult diabetes control during menses. She also complained
>of dysmenorrhea and menorrhagia. She stated, without solicitation, that she
>wanted it out, ie a hysterectomy.
>
>She had a normal exam, and a normal hemoglobin. With further questioning,
>she has had this problem for a year, and had been tried on oral Provera
>without any change. She has taken OCPs in the past, but had trouble with
>her glucose control and would not consider using them again. Similarly, she
>was reluctant (ie she refused) to attempt DepoProvera, or Lupron.

>Garry E. Siegel, M.D.
>Roswell, Ga.

why not micronor?

Mark

--
mark decker md
obgyn: midwest multi-specialty clinic
drug of choice:  Harley-Davidson




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