Re: irregular bleeding

From: ATFSOCCER@aol.com
Thu Nov 6 20:34:46 1997


In a message dated 97-11-04 06:17:01 EST, you write:

<< I have a simple yet common problem.How do people control irregular menstrual bleeding in a 47 year old lady.[fully investigated ]I find that HRT (continuos) does not seem to work very well in regulating the cycle.What if she smokes. >>

I would consider the following options:

1. Depo-provera 150-300mg IM monthly until amenorrhea 2. Lupron 11.25 q 3months IM with add back low dose estrogen. 3. Endometrial ablation if either of the above two fail.

Andrew Folley MD FACOG Toledo, Ohio





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