Catamenial insulin reactions treated with a long-acting gonadotropin releasing hormone agonist |
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Authors: | GS Letterie PN Fredlund |
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Affiliation: | Department of Obstetrics and Gynecology, Virginia Mason Medical Center, Seattle, Wash. |
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Abstract: | Exacerbation of a variety of symptoms during the menstrual cycle is a well-described phenomenon. The exact causes of these changes are poorly understood, and no specific and efficacious therapy has been described. We successfully treated a patient with severe catamenial insulin reactions with a long-acting gonadotropin releasing hormone agonist to suppress menstrual function and added a combination of estrogen and progestin to offset any adverse effect of the resultant hypoestrogenemia for 1 year. |
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