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Re: severe dysmenorrhea...From: Jay A. Naliboff, MD (nalbf@ime.net)Tue Mar 31 16:40:15 1998
At Sun, 29 Mar 1998, Mark Perloe, M.D. wrote: > >Jay, HOw do you monitor add back. I have actually had a few patients with >Prempro who have very high NTX levels and the potential bone loss was >confirmed by scan. Mark, I must admit to being a theraputic nihlist when it comes to measuring bone loss in women on gnrh therapy. I have found that women on higher dose add back get add back of their symptoms. I try to use the lowest dose that relieves hot flashes but doesn't cause recurrent pain. I don't think that anyone has shown an increased risk of symptomatic osteoporosis later on in these women. We'll just have to wait 40 years or so. Jay Jay Naliboff, MD Farmington, ME
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