Autosomal Dominant Polycystic kidneys – avoid or keep Estrogens to low dose

Recent review of Polycystic Kidneys states “Because of the proliferative effect of estrogen on hepatic cysts, oral contraceptives containing estrogen and menopausal estrogen therapy should be administered at the lowest effective dose or avoided in patients with ADPKD (autosomal dominant polycystic kidney disease)“

Am Fam Physician. 2014 Sep 1;90(5):303-7.
Autosomal dominant polycystic kidney disease.
Srivastava A, Patel N
http://www.ncbi.nlm.nih.gov/pubmed/25251090

 

Comment  – had a patient with ADPKD that moved away – hope she sees this…

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