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Re: Starting continuous BCP right after delivery of baby?

From: Kim (anonymous@obgyn.net)
Mon Jan 26 18:56:38 2009


At Wed, 21 Jan 2009, Sara wrote: >
>Has anyone had success in starting continuous bcp after delivery of
>baby? I have endometriosis and possibly adenomyosis. It was diagnosed
>by my ob and endo specialist by lap. I had a lap done in Oct 06. Then
>again in Jul 07. The first had adhesions (no risk factors for them but
>ob did not biopsy them). The second showed endo lesions. At that point
>I asked for a referral to an endo specialist. After examining me and
>going through all the reports and everything, he confirmed the endo
>diagnosis. We did trigger point injections which did not work (works
>longer than 24 hrs it is referred pain, shorter than 24 hrs, it is endo
>pain). He gave me three options at that point, 1) lupron, MRI, and a
>lap 2) pregnancy 3) hysterectomy. I chose to get pregnant since we
>wanted one more child.
>
>After 2 miscarriages (one at 13 1/2 weeks and one at 5 weeks), I finally
>had my baby on Friday. I had one period between the 3 pregnancies in
>March (after the 13 1/2 week mc) and it was HORRIBLE AND HORRENDOUS. It
>was horrible pain. Guess I wasn't pregnant for long enough. With this
>last pregnancy, my pain went away. I REALLY want it to stay gone. I am
>all for a hysterectomy in a year (no debating please). My ob started me
>on continuous bcp (loestrin which I did well on) starting this past
>Monday. He also is doing the prometrium days 12-21 of the pill pack. I
>asked him when I could have my hysterectomy and he said he wants to give
>meds a try first. He said it should decrease my ovarian function by
>70-80%. With my last daughter, I was diagnosed a year after she was
>born. However, I did not do continuous bcp until Oct 06.
>
>So has anyone else done the same thing starting immediate continuous bcp
>right away and how long did it work for? Thanks.

Similar situation.....had twins in april 08 and started continuous BCP (seasonal) with really great success. I haven't had much pain at all. Just a few twinges here and there...nothing a tylenol wouldn't fix (which hadn't happened in years....used to have to take percocet). I didn't want to go back on Lupron. I did have surgery to remove more endo in June of 07 (which would be about 2 months before I finally got preganant and I think that really helped...ie no periods for a REALLY long time!)

good luck




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