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Re: HRT dosing variationsFrom: Betsy Hyde (elishyde@connix.com)Sat Mar 29 14:56:22 1997
>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. > >-- >Mickey Gallagher-Gonzales, PA-C Lovelace Family Practice, Santa Fe, NM What progestin has she used? Provera can be pretty brutal. How about norethindrone 0.7 mg days 1-14 or 0.35 mg daily? It's pretty well tolerated and Speroff feels these dosages are protective of the endometrium. Have no experienced with micronized progesterone.
-- Betsy Hyde CNM Branford, CT Midwife in private ob/cnm practice Assistant Clinical Professor/Yale University
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