Re: HRT dosing variations

From: Zach Newton (zbnewton@atl.mindspring.com)
Sat Mar 29 12:20:00 1997


Manifest depression in association with progestin use raises the question of sub-clinical depression without progestin. If she is motivated to the major benefit available to her by HRT, she might well benefit from SSRI therapy with subsequent tolerance of HRT with continuous MPA 2.5 mg and conjugated estrogen 0.625 mg. If she is so motivated, this might lead to new found will, augmented by the SSRI, to address smoking cessation in a group therapy setting.

--
Zach Newton
Z.B. Newton, III, M.D.
Atlanta/Gyn

mickey gallagher-gonzalesPA-C wrote: > > 50 yo W female, smoker, rheumatoid arthritis, states progesterone > component of her HRT makes her depressed. No menses for 4 yrs. Previous > concomitant estrogen-progestin had been reduced to progestin on days > 1-14. Is she a possible candidate for progestins every third month or > might micronized progestin help? Thank you.





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