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Re: OB: progesterone From: Braun, R. Daniel (rbraun@iupui.edu) Thu Jun 25 14:16:45 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Mats Bergstrom: "Re: Porphyria" Previous message: Braun, R. Daniel: "Re: OB: progesterone" Maybe in reply to: Geffrey Klein: "OB: progesterone" Next in thread: Braun, R. Daniel: "Re: OB: progesterone" What does the insert say about use in pregnancy? Dan -----Original Message----- >From: Garry E. Siegel >To: Multiple recipients of list >Sent: 6/24/98 8:03 PM >Subject: RE: OB: progesterone Oral Micronised progesterone, 10 mg. BID. Available at local pharmacy or at certain pharmacies that compound it. Solvay pharmaceuticals now has this commercially, but I can't remember the name. Garry At 06:55 PM 6/24/98 -0500, you wrote: > 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 >To: Multiple recipients of list >Sent: 6/23/98 7:40 PM >Subject: Re: OB: progesterone > >>My impression is that without a clearcut diagnosis of LPD, this is a >>useless therapy. Even with LPD, it's usage is of questionable value. >>The progesterone is drawn as a PROGNOSTIC factor and does not indicate >>the need to TREAT. >> >>Am I missing something? >> >>Geffrey H Klein, MD >>Dept OB-GYN >>MacGregor Medical Association >>2200 Nasa Road 1 Suite 200 >>Houston, Texas 77058 >>(713) 741-2273 ext. 2628 >>geffrey.klein@obgyn.net > >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 > Next message: Mats Bergstrom: "Re: Porphyria" Previous message: Braun, R. Daniel: "Re: OB: progesterone" Maybe in reply to: Geffrey Klein: "OB: progesterone" Next in thread: Braun, R. Daniel: "Re: OB: progesterone"

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