WOMENS-HEALTH Messages for December, 2000: 2 Questions: persistent edema and osteopenia

2 Questions: persistent edema and osteopenia

From: AMS (anonymous@obgyn.net)
Fri, 8 Dec 2000 10:15:58 -0600 (CST)

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Reply: Harvey S. Marchbein, M.D.: "Re: 2 Questions: persistent edema and osteopenia"

I have developed a moderate, pitting edema in both legs to just below my knee. I first noticed this in early August following the beginning of what turned out to be 70 days of DUB. I am 49 years old, obese, regular periods until this episode and moderately active. The only time the edema has abated is the 14 days on levlen and 3 days in the past week while on sudafed for a cold. The edema was really pronounced while on 17 days of provera to induce a bleed (which it did not). I am now, 45 days later, on a 7 day course of aygestin to induce a bleed and off the sudafed and the edema is back in full force. Since I have not yet identified a new primary care doc, my gyn ordered a metabolic panel which was normal. She dismissed the edema as possibly a hyper estrogenic state and said no more. My question is, do I just sit tight and wait for nature to take its course, (I can live with that) or become more aggressive about getting this managed.

Second question: my dentist noticed bone loss over 6 months in my jaw unrelated to dental health and so my gyn order DEXA. Came back with mild osteopenia both spine and femur at -1.4. Gyn said tx threshold is -1.5 so just take calcium and we'll repeat the scan in 2 years. Problem with this is I've taken 1000mg of calcium from age 35 to 48 and past 2 years at 1500mg. Also, I do walk a lot and until we moved I have regularly done resistance exercise. And the dental finding is new. When I tried to discuss this further, she dismissed me with some sort of mumble. THis is new gyn for me and have already decided time to find a new one as the office is disorganized and way too busy.) I don't want to be behind the 8ball in 2 years - are her recommendations adequate or do I need to find someone new sooner rather than later?

Thank you for your help.

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Next in thread: Harvey S. Marchbein, M.D.: "Re: 2 Questions: persistent edema and osteopenia"
Reply: Harvey S. Marchbein, M.D.: "Re: 2 Questions: persistent edema and osteopenia"

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