Re: Hormone replacement therapy and the non-risk patient
From: Harvey S. Marchbein, M.D. (harvey.marchbein@OBGYN.net)
Fri Oct 31 08:26:49 1997
I feel like I went to HRT heaven. This is what I try to explain to my
patients too.
Harv
At Thu, 30 Oct 1997, Joanne Bulley wrote:
>
>Phillip - This is EXACTLY my thread with my patients!! You hit all the main
>points!
>
>--
>Joanne Bulley MD
>
>> I firmly believe the premise that the condition of "menopause" is
>>an endocrinopathy - pathologic lack of estrogen; a failure of a
>>hormonal organ which produces a required hormone.
>> Historical points: the word "menopause" didn't exist in the English
>>language till the late 1800's - because women didn't live that long.
>>Only this century did the average life expectancy go beyond the
>>tender age of 40 (facts, look them up). Reality: the ovaries were
>>NOT designed to be outlived by their "host."
>>
>> So, my question. WHY is it when a patient (not client) comes to
>>their doctor (not provider) and is discovered to have another
>>endocrinopathy (diabetes), the recommendation to replace THAT
>>required hormone (insulin) is generally acted upon faithfully. When
>>the thyroid gland fails, the patient eagerly takes thyroid
>>replacement.
>>
>> So **WHY**, when informed that another endocrine organ
>>has failed (the ovary) and replacement of the vital hormone is
>>required, do the patients "think" about this "very personal
>>decision?" Rather than rational thought this sounds quite
>>"glandular" to me.
>>
>> My wife's on OCPs and will be on estrogen till, God willing, she's
>>hit by a train at age 98.
>>
>>With frustration,
>>
>>Philip
>>
>>-----------------------------------------------------
>>Philip Suarez, M.D. philip@icsi.net
>>-----------------------------------------------------
>> Fellow - American College Ob/Gyn
>>-----------------------------------------------------
>> Delegate - Texas Medical Association
>> President - Internet Connect Services, Inc.
>> Advisory Board Member - OBGYN.net
>>-----------------------------------------------------
>> Internet Connect Services, Inc.
>>-----------------------------------------------------
>> http://www.icsi.net
>>-----------------------------------------------------
>>-----------------------------------------------------
>
>>-----------------------------------------------------
--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm
*Note: Opinions expressed here are for educational purpose only.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options.
**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.
**Thank you for your understanding ;-)
