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catamenial pneumothorax

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Dear Doctors and practitioners,I have a lovely new 45 year old female patient who has experienced catamenial pneumothorax 4 times!!!  The first time 2007, they did not know what caused the problem, but when it reoccurred about the 3rd day of her period the second time in 2009 the correlation was made.  Her pulmonologist sent her to an OB-Gyn who of course wanted to put on OCP's continuously.  She has tired at least 3 types (including Seasonique) but has had 2 more episodes along with breakthrough bleeding/spotting.  Most recently she was seen by the cardiothoracic surgeon who did pleurodisis on her after her most recent large pneumothorax episode requiring chest tube and hospitalization.

I contacted Dr. Hilger's office, but he says he has not had experience with it.  He suggested making sure to balance her hormones and suspected, as I did, that her perimenopausal time may need progesterone support in luteal phase.  Does anyone else have experience with this rare condition?  I suppose I may need to consider writing a case study report if I learn anything new with this lovely (relatively YOUNG) woman.

Blessings in Christ,Amy Hogan, MDPS  At the very least, pray for wisdom and light for me and for those who care for this woman, for a future and a hope.

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