Re: Dr Sam....... from DEEDEE
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Fri, 7 Sep 2001 04:14:13 +0200
<anonymous@medispecialty.com (anonymous)> 2001.09.06. 02:59:53 -5h-kor írta:
> Hi again Dr Sam.
>
> He says he will get a scan done if I have this problem again after I
> have finished my course of Prim-N. as for other options he did not
> mention anything else. you said that Prim-N will shrink the the lining
> is this a bad thing?
Basically this is what progesterone also causes during the second half of the cycle, but if you give an unnecessary high dose, the shrinking will be exagerated and the endometrium will not be able to accept a fertilized egg during the next cycle.
>
> You say that 15mg is too high. what must I do must I stop taking 15 mg
> and go down to 10mg a day, Is this going to harm me in any way by been
> on 15mg a day?
> is 10days too long to take this or must I cut this down too.....
I did studies on this (compared the endometrial effect of norethisterone to that of provera and 5 mg norethisterone proved to be equal to 10 mg provera. As 10 mg provera is more than enough for the endmoetrium, the same is true for 5 mg norethisterone).
Sam
>
> So I will have to work from my bleed after the Prim-N to work out a new
> cycle.
>
> as ever appreciative of your help.....
>
> Thank you very much Dr Sam.
>
> DEEDEE
>
> At Wed, 5 Sep 2001, =?iso-8859-2?q?Zalányi wrote:
> >
> > Hi DEEDEE,
> >
> >> Hi Doctor Sam,
> >>
> >> Thank you for the reply, my doctor did check for the possibility of a
> >> miscarriage and the results were negative.
> >
> >As predicted
> >
> >> My doctor does not want to check the thickness of the endometrium just
> >> yet,
> >When does he want? If you start primolut, it will transform your
> >endometrium and shrink it.
> >
> > he says that he wants me to try the primulot -n first if this does
> >> not help he will look at other options.
> >
> >What are they?
> >
> >he has prescibed 15mg/a day.
> >
> >It is way too high
> >
> >> The Very heavy bleeding has now stopped and it has returned back to what
> >> it was before, very slow bleeding and tiny clots now and then, I can
> >> where a pad and there will be nothing only when I go to toilet there
> >> will be blood on the TP(sorry for the decription). I have now started
> >> to Primulot-N.
> >>
> >> Can you tell me when the course is finished and I start to bleed then
> >> will that be my new cycle
> >Yes
> >For your help
> >Sam
> >
> >or will I work from the previous date???
> >>
> >> Thank you very much for your time
> >>
> >> DEEDEE
> >>
> >> > Hi DeeDee,
> >> >
> >> >Although you didn't return my leter, I think I suggested to measure
> >> >estradiol and/or endometrial thickness. You can thinlk on miscarriage,
> >> >but
> >> >not if your cycles are anovulatory (as yours). Primolut only helps if
> >> >your
> >> >endometrium is thick, but I do not know if it was measured or not. The
> >> >usual
> >> >doasage is 5-10 mg/day.
> >> >
> >> >Sam
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