-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

R: hormone replacement and s/p tah bso From: Roberto Pasqualetti (robipas@freesurf.ch) Wed Oct 27 02:39:57 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Orlando Caruso: "twin delivery when ceph/breech" Previous message: Tempting Tear-Outs: "FREE* 1 yr USA Magazine Sub sent worldwide-200+ Choices!" -----Messaggio originale----- Da: Jomyrwhipt@aol.com <Jomyrwhipt@aol.com> A: Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net> Data: mercoledì 27 ottobre 1999 1.33 Oggetto: hormone replacement and s/p tah bso >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? Progestins seems to have a inibitory effect on the breast cellular growth, but their role in decreasing the incidence of breast cancer has not been proved. I would use them anyway in patients c/o mastodinia under E2 only HRT. However, consider the negative influence that some progestins (es. norethisteron) have on the blood lipids. >2. Is replacement of progesterone in a woman without a uterus necessary for other reasons, physiologically. Again nothing really proved, but prof. Huber in Wien is a strong suppoter of the use of progestins in different settings: mastodinia, migraine, as immunostimulants and something else I don't remember now. > >Rob Next message: Orlando Caruso: "twin delivery when ceph/breech" Previous message: Tempting Tear-Outs: "FREE* 1 yr USA Magazine Sub sent worldwide-200+ Choices!"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:32:36 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.