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Re: Persistent hot flashes.From: Braun, R. Daniel (rbraun@iupui.edu)Wed Aug 18 10:11:45 1999
Her symptoms are not due to estrogen deficiency. FSH 4.8 rules that out. There are many causes for hot FLUSHES, ranging from embarrassment to stress. These causes will not respond to estrogen no matter what the dose. Sometimes there will be an initial response for a short time which is the well documented placebo effect. 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: Isaac Ben-Or M.D. [mailto:ibenor@shore.intercom.net] Sent: Tuesday, August 17, 1999 7:57 PM To: Multiple recipients of list OB-GYN-L Subject: Persistent hot flashes. 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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