Re: GYN/INFERTILITY: Crinone

From: Laurie Lovely, M.D. (llovely@med.unc.edu)
Tue Mar 31 05:12:23 1998


At Mon, 30 Mar 1998, Kelly Shanahan, MD wrote: >
>Oh wise REs of the list:

Well, I'll answer anyway...

>
>Have you used Crinone before?

Not on me personally, but yes!

>
>What's your experience with it?

Most patients much prefer it to the messiness of the vag suppositories and the discomfort of the P4 injection. However, I did have one patient who preferred the suppositories because they were easier.

>
>Do you think it's as effective as a) vaginal suppositories or b) IM
>injections?

Yes, according to the literature. And while we haven't had enough cases here for statistical analysis, anecdotally we've not had worse outcomes. Much of the reason for less widespread use is, as you alluded to, the cost.

--
Laurie Lovely, MD
RE fellow, UNC-Chapel Hill




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