WOMENS-HEALTH Messages for September, 2002: Re: hypothalamic problem

Re: hypothalamic problem

From: Alicia M. Lapidus M.D. (anonymous@obgyn.net)
Thu, 5 Sep 2002 15:35:06 -0500 (CDT)

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In reply to: Lucy: "hypothalamic problem"

At Thu, 5 Sep 2002, Lucy wrote: >
>I am 32 diagnosed with hypothalamic amenorhea. I had a period on my own
>in mid-May and somehow ovulated and got pregnant at the end of July. My
>first beta was 290 but my estrogen was 45. (My estrogen is normally
>very low at 11). I ended up losing the pregnancy and having a D&C. My
>doctor thinks because of my low estrogen I should use injectibles
>(follistim) to try to get pregnant again. He's worried because of my
>low estrogen i won't be able to get pregnant again on my own and even if
>I do, I'll miscarry again. Before this i have been trying to conceive
>for 1 year and get a period every 40-90 days. Does my REs advice sound
>reasonable? Are these estrogen levels a big concern? Also, if I take
>injections to get pregnant, won't I still have the same problem
>maintaining my pregnancy since the injections would stop once pregnant?
>Any thoughts would be helpful as I try to decide what to do. thanks.

It seems your amenorrhea was not that srious, there are many reasons why one aborts, hormonal imbalance is one of them, low estrogen, low progesterone,thyroid pathology,and so on, you deserve a second opinion.

-- Alicia M. Lapidus M.D. Chief of Staff Obstetrics, Hospital Fernández Assistant Professor, School of Medicine, Barcelo University Vicepresident of Argentine Society of Hypertension in Pregnancy Director Latina Obgyn.net- http\latina.obgyn.net\espanol Buenos Aires Argentina

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, they will receive no response.

**Thank you for understanding :).**

Next message: Alicia M. Lapidus M.D.: "Re: Severe dysplasia"
Previous message: Alicia M. Lapidus M.D.: "Re: Missing pills w/o making them up."
In reply to: Lucy: "hypothalamic problem"

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