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Re: OCP's and ovarian cystsFrom: Diane Castellanos RN/C, ARNP (tdrc@sbcglobal.net)Tue Nov 16 09:52:53 2004
Anna; I consulted my most recent(however outdated) edition of Dickey's Managing Contraceptive Pill Patients. And seeing that the client has no CV risk factors, I would conclude that this client may receive a high dose pill. Dickey reports a need for an increased progestational activity such as one seen in ogestrel or ovral, Ovcon 1/50 has only intermediate progestational activity. It also suggests shortened pill free interval. However since this occurs about the 3rd withdrawal day, why not continuous cycle? Hope this helps. Diane At Mon, 15 Nov 2004, Anna Meenan, MD wrote: > >Have a pt. 37 y.o. who clinically has had 2 ruptured ovarian cysts in >the past 4 mo. (had one 6 yrs ago where sm amt of fluid was seen on U/S >shortly after severe pain in lower quadrant that resolved on its own >over several hours). She says these two episodes have felt the same but >not as bad, beginning with sudden sharp, severe pain that faded to an >ache over 3-4hours and gone the next day. This most recent one actually >occurred the day before next menses was due, not at mid-cycle, normal >CBC and negative HCG. My question is, I know OCP's are supposed to cut >down on the incidence of ovarian cysts, and this pt. is on Necon, but >is there a particular OCP that does this better than Necon or are they >all about the same. > >-- > Anna Meenan, MD >
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