WOMENS-HEALTH Messages for September, 2001: Re: Which is best

Re: Which is best

From: M. Kelly Shanahan, MD, (anonymous@obgyn.net)
Sat, 29 Sep 2001 18:02:17 -0500 (CDT)

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In reply to: anonymous: "Which is best"

At Fri, 28 Sep 2001, anonymous wrote: >
>They (obgyn and endo) diagnosed me as having hypothalamic ammenoria.
>
>I've had this post-pill ammenorhea for a year now. I'm 24 yrs old and
>want to have a regular cycle again like I did before I used the pill for
>three years.
>
>They suggesting medroxy-progesterone every other month. Will this prod
>my body to regulate itself on it's own without the medroxy-progesterone?
>I don't want to have to rely on the progesterone every time I want a
>period.
>
>WHICH IS BEST:
>A) Waiting for my body to find it's natural cycle again?

there are health consequences to prolonged amenorrhea (outside of that associated with pregnancy, breastfeeding or while on the pill or depoprovera) such as increased risk of uterine cancer and osteoporosis

(Until I want >to concieve...which will be a year from now)
>B) Keep prodding my body with medroxy-progesterone as per my obgyn's
>suggestion? (I just want to make sure that it's not encouraging my body
>to become dependant on the medroxy to induce periods).

your body will not become dependent on the provera (medroxyprogesterone acetate). Inducing a withdrawal bleed at least 4 times a year lowers the incidence of endometrial cancer that is associated with prolonged anovulation and amenorrhea

-- M. Kelly Shanahan, MD, FACOG South Lake Tahoe, CA

author, Your Over-35 Week-by-Week Pregnancy Guide available in all major bookstores and on-line at amazon.com

****Responses are for educational purposes only and do not construe a doctor-patient relationship. This does not replace a face-to-face consultation with your own doctor.****

***Private e-mails will NOT be answered***

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In reply to: anonymous: "Which is best"

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