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Re: Estrogen replacement post TAH-BSOFrom: Philip Suarez (philip@icsi.net)Tue Apr 28 23:05:30 1998
I place them on estrogen when they're ambulatory. Of particular note: I do NOT believe that a "one-size-fits-all" estrogen dose is appropriate. It's amazing how many VERY YOUNG (35 - 40ish) women are given the patch when their estrogen needs are dramatically greater than the older 60ish menopausal woman. I, therefore, have been using a low dose OC in these patients (Lo Estrin 1/20 works very well) for their long-term HRT regimen. It works dramatically better than the lower dose patches. I usually start after they're home and ambulating very well, I do NOT start the OCs in the hospital while the patient is still significantly immobile.
> I have a general poll for all the list members- how soon after a TAH-BSO > do you start your patients on HRT if they were still menstruating prior > to the procedure. I was always taught 6-12 weeks post-op if the surgery > was for benign disease. What are your thoughts and why?
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