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Re: birth control & anti-depressants
From: Eric Daiter, MD (anonymous@obgyn.net)
Wed Apr 4 21:12:00 2007
Medical treatments are expensive and without insurance the treatments
best for you might be unaffordable. It may be possible for you to
qualify for medicaid or charity care in your local region, and then you
may be able to get really good care from your local hospital. If you
qualify, I would try to go to a local university hospital (one with a
medical school) - those doctors are often really excellent and they may
be able to help you get what you need. If you don't know how to begin,
maybe try calling the main teaching hospital of a local medical school
and explain your situation and they can further direct you.
Good Luck!
At Wed, 4 Apr 2007, jillian wrote:
>
>i dont' have insurance so i haven't been able to get any of those tests.
>
>t Wed, 4 Apr 2007, Alyson wrote:
>>
>>Have you ever looked into natural progesterone cream? It can be used
>>instead of birth control pills to manage your cycles. There is a web
>>site: http://www.endo-resolved.com that discusses it. You can get the cream at
>>a health food store, but you have to make sure that you buy the kind
>>that is NOT made from soy. (Soy acts similarly to estrogen when it
>>breaks down in the body). I was able to find a gynecologist who
>>practiced herbal and holistic medicine in addition to traditional. She
>>was very good at guiding me toward the correct products. It wasn't a
>>good fit for me b/c I constantly forgot it. Why I can remember my meds
>>and not a cream I have no idea. When I was using it though, I did not
>>have any of those "pill" side effects.
>>When you had the GI work up did you talk to them about the crazy bowel
>>stuff? I'm just wondering if they looked into IBS, Crohn's, or anything
>>like that.
>>Alyson
>>
>>At Tue, 3 Apr 2007, jillian wrote:
>>>
>>>Thanks, I still have crazy bm's as well. Well i know it's the lostrin
>>>thats giving me the oily skin and acne but mostly it's making me severly
>>>emotional and i'm b/t a rock and a hard place b/c i need b/c to put off
>>>another surgery for my endo. b/c i don't have insurance but i wish i
>>>could just quit all b/c.
>>>
>>>At Tue, 3 Apr 2007, Alyson wrote:
>>>>
>>>>Yep, I'm taking all three and an anti inflammatory. Apparently it takes
>>>>much larger doses than 25mg of Elavil for it to function as an anti
>>>>depressant. According to all my docs 25-50 mg is often prescribed as a
>>>>sleep aid for people with chronic pain. My rheumatologist started me on
>>>>the Cymbalta at night because it can make you feel sick to your stomach
>>>>for the first couple of weeks and she didn't want me going through that
>>>>during the day. But, now that I am through that part taking it in the
>>>>morning definitely seems to be helping the sleep issue.
>>>>I'm sure the oily skin and pimples is the Loestrin too. I'm think it
>>>>has more progesterone in it than most and I have found that progesterone
>>>>makes my skin oilier as well.
>>>>So far I haven't had any problems taking all of this at the same time.
>>>>All of my doctors are in contact with each other and everyone is aware
>>>>of what the other is prescribing to deal with this mess. The only weird
>>>>side effects that I am having I would attribute to the Cymbalta (my
>>>>bladder has become awfully shy since I started taking it and it has
>>>>disrupted my already whacky bm's).
>>>>Feel free to pick my brain. This is a bit of a learning process for me
>>>>as well.
>>>>Alyson
>>>>
>>>>At Mon, 2 Apr 2007, jillian wrote:
>>>>>
>>>>>so you take Elavil and Cymbalta and birth control? do they all mesh well
>>>>>together? you're right, i have been taking the Cymbalta at night. i was
>>>>>considering Wellbutrin b/c I've been so tired but Wellbutrin by no means
>>>>>helps with insomnia. So Elavil can be used as a sleep aid instead of
>>>>>anti-depressant then? also, i'm noticing oily skin and oddly more
>>>>>pimples and it's got to be Loestrin b/c it's def. differnt then before.
>>>>>Have you heard of that? sorry for all the questions.
>>>>>
>>>>>At Mon, 2 Apr 2007, Alyson wrote:
>>>>>>
>>>>>>I'm on Loestrin and haven't had any of those problems.
>>>>>>The Cymbalta is often prescribed to treat people with chronic pain
>>>>>>conditions. Unfortunately one of the side effects is that it may keep
>>>>>>you awake at night. I am also on Cymbalta for fibromyalgia. My
>>>>>>reproductive endocrinologist initially put me on Elavil for the endo to
>>>>>>help me sleep. It is also an anti depressant, but in small doses (I'm
>>>>>>taking 25mg at night) functions as a sleep aid. I started feeling much
>>>>>>more rested and did not got exhausted as easily. When I was diagnosed
>>>>>>with the fibro, the rheumatologist put me on Cymbalta (30 mg, 2 pills at
>>>>>>night). I went back to being exhausted again. So, we switched the
>>>>>>Cymbalta to taking it in the morning instead of night, and I feel alot
>>>>>>better.
>>>>>>I don't really think it would be the Loestrin causing the sleepiness,
>>>>>>but if you don't typically tolerate birth control very well it could
>>>>>>contribute to the depression. I would start by talking to your doctor
>>>>>>about changing the dosage time if you are taking the Cymbalta at night.
>>>>>>If you are still having any difficulty sleeping or you feel tired it may
>>>>>>be worth asking about the Elavil. Also ask the gyn about the
>>>>>>depression. Especially if you have had any of those symptoms while on
>>>>>>birth control previously.
>>>>>>Alyson
>>>>>>
>>>>>>At Sun, 1 Apr 2007, jillian wrote:
>>>>>>>
>>>>>>>I have a history of sever endometriosis and do not have insurance to get
>>>>>>>another surgery. my gyn. put me on Cymbalta and Loestrin24/Fe but i
>>>>>>>feel more tired and depressed than before. is this common?
--
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