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Re: Persistent hot flashes.From: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)Thu Aug 19 12:45:41 1999
In message <199908180843.LAA09959@myra.cc.metu.edu.tr>, Dr. Fatih Demirtola <fmtola@metu.edu.tr> writes >Premarin does not decrease the level of FSH in menopause.Main reason that >FSH level increases after menopause is the stopage of inhibin production by >the ovaries . HRT can not lower the levels of FSH in menopause . I beg to differ! I would only measure oestradiol levels post-menopausally in a few patients having oestradiol implants. One routine assesses effectiveness of oestrogen HRT by a combination of symtoms and gonadotrophion levels. A suppressed gonadotrophin level suggests adequate HRT. Premarin is oestriol, oestradiol and oestrone, and assay for one of these doesn't reflect the level of oetrogen activity.
--
Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK.
Tel: 01582-497459 (office) Fax: 01582-497376
01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk
http://www.obgyn.net/board/griffith.htm
"EXPERIENCE: SOMETHING YOU DON'T HAVE UNTIL AFTER YOU NEEDED IT!"
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