WOMENS-HEALTH Messages for December, 1997: Re: androgyn-included estrogen therapy

Re: androgyn-included estrogen therapy

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 10 Dec 1997 21:49:16 -0600 (CST)

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In reply to: Kelly: "androgyn-included estrogen therapy"

At Wed, 10 Dec 1997, Kelly wrote: >
>Iam a 38 year old who has had a complete hysterectomy. The surgery was
>necessary to relieve unbearable and uncontrollable menstrual pain, and
>also to remove a previously unsuspected (and benign) dermoid terratoma
>on one ovary. I am 2 months post surgical, and have resumed the largest
>part of my activities - well ahead of schedule - and for the most part
>am doing wonderfully.
>
>My question - I have one particularly irritating menopausal symptom -
>HOT FLASHES. I am currently taking estradiol 1mg on a schedule of one
>pill one day, two the next, one the next. This was my doctor's solution
>to the problem.
>
>I recently read in a Copenhagen journal article that inclusion of
>androgyn in the estrogen therapy routine greatly reduces the flash
>syndrome, as well as decreasing the possibility of bone density loss.

There's actually a combo pill, called Estratest. Separate methyl testosterone may be easier to manipulate the dosage.

>I should also mention that I smoke a pack a day, and am chronically
>obese.

Looking for trouble with these two items, as I'm sure you know.

>Opinions??

If the testosterone level is carefully monitored and liver function tests are done first, it may be a good choice.

-- Harvey S. Marchbein, M.D. FACOG OBGYN.net U.S. Representative, New York Great Neck, N.Y. http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/advisor/harveym.htm

*Note: Opinions expressed here are for educational purposes only. This information is not intended to supplant the need for you to consult your physician prior to choosing or planning therapeutic options and/or interventions.

**Private emails cannot be answered.

**Thank you.

Next message: Sunshine: "PCO and Depression"
Previous message: Harvey S. Marchbein, M.D.: "Re: Chronic exocervicitis"
In reply to: Kelly: "androgyn-included estrogen therapy"

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