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Re: Severe Menorrhagia after Menarche From: Braun, R. Daniel (rbraun@iupui.edu) Mon Aug 2 11:50:50 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: james connerth: "Re: Behcet's disease and OC's" Previous message: AYKAN YUCEL: "Behcet's disease and OC's" What makes you think that OCP's will close epiphyses any faster than her own estrogen has already done? Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 International Representative for United States OBGYN.net -----Original Message----- From: elvis@door.net [mailto:elvis@door.net] Sent: Friday, July 30, 1999 6:29 PM To: Multiple recipients of list OB-GYN-L Subject: Severe Menorrhagia after Menarche Case involving heavy menses in 12 year old, menarche 10 months ago. Clotting parameters, labs, all normal. Tanner stage 4 breasts, small build (under 5 feet), hymen intact, not sexually active. Patient is losing many days from school due to dysmenorrhea, soiling of clothes. Started cycling her with Provera first 10 days of month. Limited success...flow remains heavy. Would like to begin OCP's, especially as she has severe acne, but do not want to initiate early epiphyseal closure. Any tips on when I can safely begin OCP's in this type of patient? Would 1/20's affect the epiphyseal closure rate as well? Would DMPA affect epiphyseal closure? Thank you for your input. -- Michael J. Wolpmann, M.D. Next message: james connerth: "Re: Behcet's disease and OC's" Previous message: AYKAN YUCEL: "Behcet's disease and OC's"

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