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Re: OB: progesteroneFrom: Braun, R. Daniel (rbraun@iupui.edu)Thu Jun 25 14:09:56 1998
What do people use as "Progesterone"????? Not Provera, I hope. We used to use Provera as a Pregnancy test before we had HCG. We had to stop that because of supposed birth defects (VACTERL Syndrome) caused by the Provera. As a result of this, Progesterone and all progestational agents carry a warning on the label (in the U.S.) that they are not to be given in pregnancy. Dan
-----Original Message-----
>From: garrys@mindspring.com
>My impression is that without a clearcut diagnosis of LPD, this is a You are missing an opportunity to treat the patient's wishes, not a condition, and to make yourself a hero when nature is the real hero. Your approach is exactly as mine is, and I abhor the useage of the progesterone level in early pregnancy to treat spotting. I do use it as a prognosticator frequently. There is probably one patient every year or two who *insists* on progesterone to prevent a miscarriage when she's spotting, or because she had it in a successful pregnancy elsewhere after a miscarriage. After a frank discussion, I will generally give it. I make this decision with the patient, and I make it so as to not lose or alienate a patient over an treatment that is likely harmless, and, frankly is prescribed commonly by others. Garry
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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