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add'l estrogen for pre-menop osteo?From: Tessler (tessler@frontiernet.net)Thu Dec 18 06:28:07 1997
>Date: Wed, 17 Dec 1997 16:25:18 -0600 (CST) >From: llovely@med.unc.edu (Laurie Lovely) >To: OB-GYN-L@OBGYN.net >Subject: Re: GYN: osteoporosis tx >Message-ID: <199712172225.QAA31364@talk.obgyn.net> > >At Wed, 17 Dec 1997, David Hunter wrote: >> >>I am seeing a patient whose rheumatologist recommended >>estrogen/progesterone for documented osteoporosis. She is 50, thin, >>fair, regular menses, no hot flashes, normal FSH, no estrogen levels >>obtained. Strong family hx osteo. I don't know of any evidence >>supporting the addition of estrogen for osteopororis in a women who >>appears to have endogenous estrogen production. Am I missing >>something? I think she is a candidate for a biphosphonate. If Dr. Rheum >>can give me a good answer I will pass it along for your further comments > >Hi David, > >I think we discussed this same issue a little while on this forum. Can't >remember the upshot though. It seems to me that if she's cycling >normally, she should have at least 40-50 pg/ml estradiol around, and >that's enough to maintain her bone density. I wonder if the urinary >cross-links test might provide useful information. > >-- >Laurie Lovely, MD >RE fellow, UNC-Chapel Hill
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