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Re: MENOPAUSE: norethindrone prescriptionFrom: robsuzlee (anonymous@obgyn.net)Sat, 25 Oct 2008 12:14:37 -0500 (CDT)
At Sat, 25 Oct 2008, William F. von Almen, II, MD, FACOG wrote: > >Robin > >You probably mean endometrial hyperplasia-increased estrogen stimulation >of the uterus, leading to thickened tissue, heavy bleeding and >potentially cancer of endometrium. Your gyn probably gave you provera, >a medium strength progestin and when it did not stop bleeding, switched >to a more potent progestin, norethindrone. This is acceptable >treatment. The norethindrone can give you all the symptoms you >described-numbness. Once the bleeding stops, the hormone organizes the >endometrium, and on withdrawl of the hormone, you shed the entire >endometrium. Your first period will be very heavy and full of symptoms. >It sounds like you are having predictable results. > >I do not have a reason for the lack of call back...Dr. von Almen > >At Sat, 25 Oct 2008, robsuzlee wrote: >> >>My gyn diagnosed my with Endometriosis hypoplesia(SP?). He prescribed a >>10 day dosage of progestrin, off 20 days, back on 10 days to reduce the >>uterus swelling and regulate my period. I'm 48. I started taking the >>progestrin while I was bleeding(this is what drove me to the GYN in the >>first place - bleeding for 4 weeks). So I started taking this >>progestrin and the bleeding didn't stop. I called the doctor and he >>placed me on a 1 time prescription for norethindrone, after taking the >>med for 24 hours the bleeding stopped. Side effects were terrible. When >>I awoked on about the 10th day with numbness in my hands I didn't take >>the dose and contacted the doctor. Who never has contacted me back and >>it been 5 days. Anyway, about 3 days after stopping I'm in the throes >>of the period from hell. Unbearable back ache, stomach cramps and pad >>soaking about every hour or 2. How long can I expect this to last, I've >>been like this for 3 days now. Any comments would be welcome. >> >>BTW, I do plan to get a 2nd opinion. I had great faith in my GYN doctor >>until now. I guess the no call back is what annoys me the most. >> >>Thanks >>Robin > >-- > 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. > >William F. von Almen, II, MD, FACOG >Private Practice >New Orleans, La. > Dr. von Almen, You are exactly correct. He did test my blood hormone level and determined it was not pre-cancerous, as I am not yet in menopause. I still had about 5 days left on the prescription when I stopped taking it. It sounds as though regardless when I stopped taking it, I would have have this period from hell anyways. What would be a realistic timeframe of the entire endometrium to shed? 15 days? Thank you so much for responding. Robin
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