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hormone replacement and s/p tah bsoFrom: Jomyrwhipt@aol.comTue Oct 26 18:33:34 1999
I was just precepting a Family Practice Resident and the woman presented for another complaint. In the presentation, the resident mentioned that this pt was s/p tah/bso and was taking prem-pro. I was under the impression and teaching that if you didn't have your uterus, then progesterone wasn't indicated. The resident, however, mentioned that the unopposed estrogen would increase the patients risk for breast cancer. I have two questions for the list. 1. What does the latest date suggest on unopposed Estrogen in a post-menopausal woman with tah/bso, and no family history of breast ca and no other risk factors, in increasing her risk for breast ca? 2. Is replacement of progesterone in a woman without a uterus necessary for other reasons, physiologically. I appreciate responses and articles to support your feedback would be helpful. Thanks, A. Todd Miller, MD Maternity Care Coordinator Columbia University Dept of Family Medicine
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