Re: BTB on OCPs
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Jun 27 20:52:36 2003
Agree!!
>At Fri, 27 Jun 2003, Steve & Eryl Raymond wrote:
>
>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
>
--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."
Niels Bohr (1885 - 1962)
