Replacement therapy in hypoestrogenaemia. This term refers to decreased oestrogen production due to ovarian disease, or to hypothalamic/pituitary disease (hypogonadotropic hypogonadism). Treatment is by cyclic oestrogen (conjugated oestrogens 0.625/1.25 mg daily or ethinylestradiol 20-30 micrograms daily for 21 days) plus a progestogen, medroxyprogesterone 2.5 to 10 mg daily for the last 10 to 14 days of oestrogen treatment. An alternative treatment is the oral contraceptive (see p. 721).
Unless the cause of the hypo-ovarian state is primary ovarian failure, treatment should be stopped after every third cycle to see if spontaneous menstruation will occur.
Was this article helpful?
Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.