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                  <text>0%
January 13. 1975
William E. Crisp, M.D., Chairman
Department of Obstetrics &amp; Gynecology
Maricope County General Hospital
2601 East Roosevelt,
85008

Phoenix, Arizona
Dear Dr. Crisp:

Your letter of January 3 raised a number of
questions, the answers to which are unclear. I couldinteresting
not
these from my own experience, and referred to the volume byanswer
Kalinowshy and Hippius (see page 198), and discussed these with
Lothar Kalinowsky, Richard Abrams, and Dr. Edward Sachar of the
Albert

Einstein College or Medicine.
The observation you

cite, that

hypothalamic stimulation

ovulation is true if the locus in the brain and the
electrical parameters are well defined. In EDT, seizures are
generalized, currents are large and many areas of the brain may he
affected—~1ndeed the effects may vary with the location of the
electrodes and the configuration of the skull so that effects
may
be more variable than in depth electrode studies.
may induce

we are not aware of an increased
rate of pregnancies after
Since patients who are severely depressed often complain of
interrupted menses, their appearance after successfuly treatment
is usually interpreted as a facet of their improvement.
Whether
the return of menses and the likelihood of pregnancy may follow
has not been studied.
ECT.

In menopausal women who become depressed, there may be
interruption of the menses, as with younger women. Following
treatment, these women occasionally menstruete again and it is
difficult to say whether their menses have returned after meno‘
pause or whether the depression inhibited their menses and the
lifting of the depression resulted in a continuation of the menses
an

until a later
inquiry.

menopause.

I trust these answers are of

some

use.

Thank you

for the

Sincerely yours,
Fink, M. D.
Professor of Psychiatry
Max

MF:ed

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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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