Re: Persistent hot flashes.

From: Deborah J. Wage FNP, CNM (wagedj@home.com)
Tue Aug 17 20:14:51 1999


Assume you've ruled other causes of same symptoms such as thyroid d/o?

Deborah Wage, MSN, FNP,CNM

"Isaac Ben-Or M.D." wrote: >
> I will appreciate your opinions about the next case.
>
> 49 yo wf P2002 complaining of postmenopausal constitutional symptoms
> (hot flashes, night sweats, insomnia, etc.), inspite of management with
> premarin 1.25 per day. addition of bellargal did not improve her
> condition.
>
> estrotest (full strength ) and the patch used in the past , have not
> helped either.
>
> she had TAH and BSO 12 years ago for "bleeding". she suffers from
> depression and is managed by a psychiatrist on a weekly basis. she is
> taking prozac 40 mg per day.
>
> FSH is 4.8 and estradiol: 156.
>
> Today I switched her to estratab.
>
> Any suggestions?
>
> Isaac Ben-Or, M.D.
> Peninsula Ob/Gyn,
> Salisbury, Maryland.





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