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Re: BTB on OCPs From: Steve & Eryl Raymond (eryl@intekom.co.za) Fri Jun 27 11:43:27 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: JSBowpat@aol.com: "Re: Tubs in labor" Previous message: midwife@moment.net: "Re: Tubs in labor" Next in thread: Efrain Ramirez: "Re: BTB on OCPs" Reply: Efrain Ramirez: "Re: BTB on OCPs" Ever hear of the expression "non sequitur"? BTB is usually due to a relative excess of progestagen, thus you can either decrease the PRG or increase the oestrogen. Either way it is not reasonable to say that you would never use a higher oestrogen containing pill. If you are already using a very low progestagen containing pill you would have no alternative but to increase to a 50 mcg pill. If you are concerned about the level of oestrogen over the long term it is usually sufficient to use the higher oestrogen pill for about three cycles. Repeat after me "Never say never or always in medicine"! Steve Jay Kulkin wrote: >In this case I really believe never is an OK answer. It's never the dose in >my experience. It's the ratio, the progestin or the estrogenic compound. If >none work I'm thinking, and looking, for anatomical etiologies. >Hysteroscopy or hysterosonogram > >Jay > >Jay M. Kulkin MD MBA FACOG >Women's Institute For Health PC >975 Johnson Ferry Road >Suite 460 >Atlanta, GA. 30342 >ph: 404-832-0300 >fax: 404-832-0070 >http://www.wifh.com > >This email may contain confidential or proprietary information which may be >legally privileged. If you are not the named recipient, you should >immediately delete it from your computer system. > >>----- Original Message ----- >From: "Garry E. Siegel, M.D." <garrys@mindspring.com> >To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> >Sent: Thursday, June 26, 2003 3:32 PM >Subject: Re: BTB on OCPs > >>Never say never in our business, my friend. >> >>I do it twice a year, if that. >> >>What do you do with BTB if lateral changes haven't been sucessful? >> >>Garry >> >>At Wed, 25 Jun 2003, Jay Kulkin wrote: >> >>>NEVER! >>> >>>-- >>>Jay M. Kulkin MD MBA FACOG >>>Women's Institute For Health PC >>>975 Johnson Ferry Road >>>Suite 460 >>>Atlanta, GA. 30342 >>>ph: 404-832-0300 >>>fax: 404-832-0070 >>>http://www.wifh.com >>> >>>This email may contain confidential or proprietary information which may >>> >be > >>>legally privileged. If you are not the named recipient, you should >>>immediately delete it from your computer system. >>> >>>>>----- Original Message ----- >>>> >>>From: "Garry E. Siegel, M.D." <garrys@mindspring.com> >>>To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> >>>Sent: Wednesday, June 25, 2003 2:43 PM >>>Subject: Gyn: BTB on OCPs >>> >>>>Are any of you stepping up to 50 mcg. pills when various 30 and 35 >>>> >mcg. > >>>>pills aren't controlling BTB? >>>> >>>>Garry >>>> >>>>-- >>>>Garry E. Siegel, M.D. >>>>Private Practice >>>>Roswell, GA >>>> >>-- >>Garry E. Siegel, M.D. >>Private Practice >>Roswell, GA >> > -- S.H. Raymond FRCOG Principal Specialist Department of Obstetrics & Gynaecology Empangeni Hospital Private Bag X20005 Empangeni SOUTH AFRICA 3880 Phone: (+27)-35-9028560 Fax: (+27)-35-7922596 Next message: JSBowpat@aol.com: "Re: Tubs in labor" Previous message: midwife@moment.net: "Re: Tubs in labor" Next in thread: Efrain Ramirez: "Re: BTB on OCPs" Reply: Efrain Ramirez: "Re: BTB on OCPs"

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