|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: HRT dosing variationsFrom: Larry Glazerman (glazerman@enter.net)Mon Mar 31 16:21:08 1997
>In message <199703290622.AAA21872@talk.obgyn.net> writes: >> 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. > >Let me extend this a bit, to a hypothetical. Assume that we've tried every >form >of progestin, and none can be tolerated. Do you continue to prescribe the >estrogen? Her smoking gives her two reasons to need it even more than a >non-smoker (heart disease and osteoporosis), and the absolute risk of >endometrial Ca induced by unopposed estrogen is small (though the relative >risk >is substantial). If you do proceed with estrogen, do you recommend >hysterectomy >first? Endometrial ablation? > >--------------------------------------------------------------------------- > >--------------------------------------------------------------------------- > >--------------------------------------------------------------------------- >Bob Woolley >St. Paul, Minnesota > >"It's just a little cough." > > --Mimi, in Puccini's "La Boheme," Act IV > (about 10 minutes before dying of tuberculosis) I have some patients like this on estrogen alone. I do endo biopsy and TV Ultrasound yarrly
-- Larry R. Glazerman, M.D. FACOG Valley Ob-Gyn Associates Allentown PA
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:21:26 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.