WOMENS-HEALTH Messages for May, 2000: Re: HRT

Re: HRT

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 16 May 2000 20:50:12 -0500 (CDT)

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In reply to: Tracy: "Re: HRT"

At Tue, 16 May 2000, Tracy wrote: >
>At Tue, 16 May 2000, anonymous@obgyn.net wrote:
>>
>>At Tue, 16 May 2000, Tracy wrote:
>>>
>>>I had a hysterectomy 3 months ago and was initially put on .625
>>>Premarin, I continued to have hot flashes on that amount and it was
>>>increased to 1.25 at 6 week check up. I felt fine for the last few
>>>months and now am noticing vaginal dryness (even with arousal) making
>>>sex difficult and a reoccurence of hot flashes. Do I need to increase
>>>my estrogen? My doctor said he would like to keep me on the lowest dose
>>>possible, why would he say that? I am 38.
>>>
>>>--
>>>Tracy
>>>
>>this is a regular problem, and adding more oral estrogen is unlikely to
>>help. I prefer to add a little topical estrogen cream directly to the
>>vagina once or twice a week. It works great, there is little systemic
>>absorption, and my patients swear by it.
>>
>>--
>>William D. McIntosh, MD, FACOG
>>Clarksville, TN
>
>Is the estrogen cream by prescription only?

Yes.

>In other words, would I have
>to make an appointment with my gynecologist to get it?

Tha's up to your gynecologist. If I've seen someone recently enough and there's no reason not to, I prescribe it by phone.

HSM

>>
>>This is for educational purposes only, and is not intended to be replacement
>>or substitute for consultation and examination by an appropriate medical
>>professional. Due to time constraints, private e-mails cannot be answered.
>>
>--
>Tracy
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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Previous message: Harvey S. Marchbein, M.D.: "Re: Can Vitamin Supplements with Yeast Contribute to or Aggravate a Yeast Infection?"
In reply to: Tracy: "Re: HRT"

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