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* q6232 Anovulatory cycle +high dose estrogen OCP tx
 #864459  
  r0ja - 02/15/21 21:57
 
  quick question from uworld.

pt has heavy vaginal bleeding for 3 days with clots. +hx of mentrual irregularities, with normal BMI, and a negative pregnancy test.

she has anovulatory cycles>> tx with High dose estrogen for the breakthrough bleeds

reason: promotes hemostasis and proliferation of disordered endometrium and repairing the bleeding site.

my question is, is this a tapered estrogen that mimics the normal cycle in that their is a surge of estrogen and then a drop. its explanation seem difficult to understand
 
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* Re:q6232 Anovulatory cycle +high dose estrogen OCP
#3392480
  r0ja - 02/15/21 21:58
 
  q6323*** uworld  
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