Re: Dr Marchbein
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 31 Aug 2000 14:36:40 -0500 (CDT)
At Thu, 31 Aug 2000, Peggy wrote:
>
>At Wed, 30 Aug 2000, Harvey S. Marchbein, M.D. wrote:
>
>Dr. Marchbein,
>
>Thanks for your responce, I have already tried Lupron, I had 4
>injections and it was after the 3rd injection that I had levels checked
>and they were FSH 17 Estradiol 42,And it did not help the pain at all.I
>am a bit confused with you saying that endometriosis shouldn't produce
>estrogen, I have read that endometriosis can feed off of its self ???
>Maybe I misunderstood ? Thanks again for your help, Peggy
To my knowledge, that has to do with hormone receptors, not the hormones
themselves, as well as chemical reaction, aromatase .... yada, yada,
yada and tons of stuff we don't even know yet.
HSM
>>
>>At Wed, 30 Aug 2000, Peggy wrote:
>>>
>>>Dr. Marchbein,
>>>
>>>What would you do with a case like mine ?Over the past couple of months
>>>the pain in the LLQ has gotten worse and I am having pain in the LRQ
>>>that radiates down into the vagina and rectum!I think that I already
>>>questioned you on the aromatase inhibitor??? Have you ever had such a
>>>case like mine ?
>>
>>Yes.
>>
>>>If so what was the treatment ?
>>
>>Lupron, initially followed by HRT after 3 months to reduce side effects
>>and osteoporosis.
>>
>>>I had the hysterectomy
>>>and LSO 4/98 and the RSO 11/99 I was only on HRT for about 2 weeks in
>>>12/99 but due to the pain increase my Dr. had me discontinue taking it,
>>>So I have not had ant HRT since.I have not taken anything with soy
>>>either.I am really frustrated with this.In your own opinion would these
>>>levels be enough to keep endometriosis alive ?
>>
>>Yes.
>>
>>>And if Lupron shuts down
>>>ovarian function(or ovarian remnant) why wouldn't it work on stopping
>>>estrogen that is produced by the endometriosis?
>>
>>Endometriosis shouldn't produce estrogen but an ovarian remnant can.
>>
>>Hope this helps.
>>
>>HSM
>>
>>>Sorry for so many
>>>questions :0) Peggy
>>>
>>>>At Wed, 23 Aug 2000, chris wrote:
>>>>>
>>>>>At Wed, 23 Aug 2000, Peggy wrote:
>>>>>>
>>>>>>Hi Chris,
>>>>>>
>>>>>>Good question you just asked! I am totally confused with all of this. My
>>>>>>levels are as follows
>>>>>>
>>>>>> FSH 2/00 -36.9
>>>>>>
>>>>>> 7/00 17
>>>>>>
>>>>>> 8/00 4.9
>>>>>>
>>>>>> Estradiol 2/00 57
>>>>>>
>>>>>> 7/00 42
>>>>>>
>>>>>> 8/00 67
>>>>>>
>>>>>>If not ovarian remnant what would cause these levels ?Remembering that I
>>>>>>have no ovaries!
>>>>>>
>>>>>>Hi Peggy:
>>>>>
>>>>>This is very strange. Are these tests all being done at the same lab?
>>>>>Makes you wonder if you should be retested at another lab. I'm not
>>>>>familiar with normal estradiol levels. Are these levels typical of a
>>>>>non-menopausal woman? What happens to FSH levels when Lupron is given?
>>>>>Do they rise as they would in natural menopause? Doctors?
>>>>>
>>>>>Chris S.
>>>>
>>>>These levels would certainly imply an estrogen sourse. If there is no
>>>>estrogen being taken, then it may be coming from an ovarian remnant. the
>>>>gonadotropins (FSH)goes up significantly at first with lupron therapy,
>>>>then goes back down...
>>>>Lynn
>>>>
>>>>--
>>>>Lynn D. Montgomery, MD
>>>>Director, Maternal-Fetal Medicine
>>>>Rocky Mountain Perinatal Center
>>>>Missoula, Montana
>>>>
>>>>**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>>>>
>>>>**Thank you for your understanding ;-)
>>>>
>>--
>>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 ;-)
>>
>>Please be aware that all e-mail on this forum is archived and can be viewed at
>>http://forums.obgyn.net/womens-health,
>>http://forums.obgyn.net/pregnancy-birth or
>>http://forums.obgyn.net/young-women
>>and is accessible to anybody on the
>>internet including internet search engines. This should be taken into
>>consideration before sending postings of a personal or confidential nature.
>>
--
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 ;-)
Please be aware that all e-mail on this forum is archived and can be viewed at
http://forums.obgyn.net/womens-health,
http://forums.obgyn.net/pregnancy-birth or
http://forums.obgyn.net/young-women
and is accessible to anybody on the
internet including internet search engines. This should be taken into
consideration before sending postings of a personal or confidential nature.
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)