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Re: von Willebrand's From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Mon Sep 19 18:12:39 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: von Willebrand's" Previous message: Diane Petersen: "von Willebrand's" Maybe in reply to: Diane Petersen: "von Willebrand's" Next in thread: Andrew Folley: "Re: von Willebrand's" Reply: Andrew Folley: "Re: von Willebrand's" She needs oestrogen not progesterone. Use a 50 mcg pill for three cycles, then put her on a low progestagen pill. Mirena will probably have the same effect as the Seasonale. Steve Raymond -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Diane Petersen Sent: Tuesday, 20 September 2005 8:43 AM To: Multiple recipients of list OB-GYN-L Subject: von Willebrand's I recently saw a young lady ( 16-year-old) with mild type 1 von Willebrand's disease. She has been treated with oral contraceptive pills. She started with Seasonale but developed breakthrough bleeding. She was switched to a variety of OCP's with continued breakthrough bleeding. The most recent change placed her on 35 microgram estrogen OCP but she is requiring two pills per day to control her bleeding. -- Diane E.B. Petersen, M.D. Tasmania Together 5 Year Review: Have your say http://www.tasmaniatogether.tas.gov.au/ Next message: Andrew Folley: "Re: von Willebrand's" Previous message: Diane Petersen: "von Willebrand's" Maybe in reply to: Diane Petersen: "von Willebrand's" Next in thread: Andrew Folley: "Re: von Willebrand's" Reply: Andrew Folley: "Re: von Willebrand's"

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