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Re: PrometriumFrom: Don Shuwarger, M.D. (anonymous@obgyn.net)Mon, 30 Nov 1998 13:07:19 -0600 (CST)
At Mon, 30 Nov 1998, Laura wrote: > >Two years ago I had a complete hysterectomy. I am currently using >estrogen patches. My doctor prescribed Prometrium in response to my >complaints about mood swings and lack of energy. I am concerned about >using Promethium because I cannot find much info on it, and I am also >worried about weight gain, bloating, etc... So far, I cannot find any >info on WHY I need progesterone. I have no uterus or ovaries, what's it >for?? Any help would be appreciated!! Prometrium is micronized progesterone. When your ovaries were present they secreted estrogen (like estrace) and progesterone (like Prometrium). I suspect your physician is attempting to recreate a hormonal millieu similar to what you had before. Unfortunately, the absorption of Prometrium is poor and variable. In our practice we prefer norethindrone as progestin substitute. We use Micro-Nor rather than Prometrium. It's cheaper, better absorbed, and produces steady blood levels. Clearly the best way to get answers to your doctor's specific treatment is to ask him/her about it, just like you asked us! Good Luck.
-- Don Shuwarger, M.D. obdoc@inmind.com
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