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Old 03-24-2014
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Help Ob/Gyn question about DUB

Any explanations for why estrogen can be used in massive bleeding to control the situation? Why not progesterone instead?

I am more than happy to know the rationale behind this management. Thanks a lot!
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Old 03-24-2014
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it is not the estrogen that is used it is the progesterone that is used or OCPs
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Old 03-24-2014
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Quote:
Originally Posted by hydrocephalus View Post
it is not the estrogen that is used it is the progesterone that is used or OCPs
I agree with you but i encountered a question stating that in heavy bleeding patients, they should be given estrogens instead of OCPs or progestins.
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Old 03-24-2014
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U R RIGHT! for heavy menstrual bleeding use high level of estrogen which trigger the rapid growth of uterus endometrium.this stops sudden heavy bleeding from the uterus surface. they give 24h IV or PO therapy followed with 7 to 10 days po estrogen plus progestin.
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Old 03-24-2014
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that is usually in anovulatory cycles in adolescents , in first 2 years of menarch in which menstrual cycles is anovulatory ,other than this case i have no idea
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Old 03-24-2014
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its used for perimenopausal women when body makes less estorgen to regulate MS and reduce DUB..
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