WOMENS-HEALTH Messages for January, 2002: Re: Dr. Marchbein-question

Re: Dr. Marchbein-question

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 28 Jan 2002 18:20:00 -0600 (CST)

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In reply to: D.N.: "Dr. Marchbein-question"

At Sun, 27 Jan 2002, D.N. wrote: >
>Dr. Marchbein,
>
>I have ORS (s/p TAH/w/LSO and later RSO), endo and am perimenopausal. In
>September, I ovulated two times within 22 days. This month I have
>ovulated twice within 19 days. I know I ovulate because of
>mittelschmertz. My cycle starts about 7 days after I ovulate-(I know
>this is because luteal phase defect.)
>
>I understand that periods are erratic during perimenopause, but what is
>the deal with ovulating so closely together like this. It is very hard
>to deal with because of the endo pain. In fact this month, the cycle
>pain really hasn't gone away like it normally does.
>
>Is this just typical perimenopausal symptoms?

Unfortunately, yes. In most women it's no big deal but for someone with endo, it really stinks. In women able to take the pill, we use that to straighten things out.

>
>Also, I had been using 10% progesterone cream prescribed by my doc. Does
>it make sense to use this since progesterone helps to thicken the
>endometrial tissue and I have endo.

Presuming it's absorbed (and there is question in the literature as to whether this even occurs) progesterone should suppress endo as it does the endometrial lining causing a thinning of the endometrium. Of course, GnRHa such as Lupron are superior at doing this.

Hope this helps and write back anytime for more information.

Dr. M

>It seemed to help a bit with my
>mood, but this past cycle, it did not help lengthen my cycle. I am now
>wondering if it is doing more harm than good.
>
>Thanks much!
>
>--
>D.N.
>

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

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Next message: Harvey S. Marchbein, M.D.: "Re: 2 mid-trimester losses secondary to PROM"
Previous message: Maggie: "Re: [Birth Control] spotting for over a week after taking pills back to back"
In reply to: D.N.: "Dr. Marchbein-question"

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