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Re: Menopause and HRT From: Bernard Cristalli (bcrist@club-internet.fr) Thu Mar 19 23:31:17 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby MD: "Re: Medicine Text of Choice" Previous message: Bernard Cristalli: "Re: To terminate or not to terminate" Maybe in reply to: Roger Bouchard md OB-GYN. FRCSC, FACOG: "Menopause and HRT" Next in thread: K. Joy Kemper: "Re: Menopause and HRT" Caryn Rybs wrote: > > Case report: > 47 years old female, healthy and athletic. > T.A.H. at 41 for fibroid tumors. > Pulmonary embolism in the past (post-partum ) > Protein C deficiency runs in the family. > Refuses anticoagulation therapy. > 4 sisters with history of pulmonary embolism. > All four of them are under long term warfarin therapy > Mother, 67 years old with severe osteoporosis. > > Any suggestion on how to approach HRT for that patient ? > > Has she been checked for protein C deficiency? If she is not deficient and wants to try HRT, > I would offer her that but would have her sign informed consent stating she understands > risk of DVT/PE and the possibility of significant morbidity and mortality. > -- OK. and if she is Prot C deficient: no HRT -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Gail Waldby MD: "Re: Medicine Text of Choice" Previous message: Bernard Cristalli: "Re: To terminate or not to terminate" Maybe in reply to: Roger Bouchard md OB-GYN. FRCSC, FACOG: "Menopause and HRT" Next in thread: K. Joy Kemper: "Re: Menopause and HRT"

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