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Re: 50 yo & contraception From: Joanne Bulley, MD (islesannie@yahoo.com) Tue Oct 11 22:26:42 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Peter Wein: "Re: methadone in pregnancy" Previous message: Efrain Ramirez: "Re: Active management - third stage" In reply to: Garry E. Siegel, M.D.: "Re: 50 yo & contraception" Next in thread: Cheri Van Hoover: "Re: 50 yo & contraception" Reply: Cheri Van Hoover: "Re: 50 yo & contraception" NO OCPs ... normal, spontaneous menses ... women in their mid 50s I just can't say the chances of pregnancy are nil, zippo, 100% won't happen. Although conception would be highly unlikely at that age -- if one of us were to tell a patient "oh you are too old to conceive" ... and then she conceives ... sounds like a set up for the doc to get sued for support ... or something else. If I have someone on OCPs and is 50 or 51 or 52 and we are trying to figure out "are we there yet" ... I may do the FSH at the end of the placebo week ... or have her go off for a month (using condoms) and then check the FSH. But I had a couple of patients recetnly who are mid 50s with totally normal menses without OCPs and no TL or Vas ... Do you tell them to use contraception of some sort? One patient was laughed at by her doc in another state 2-3 years ago -- she was having regular menses and the doc laughed about any need for birth control ... just because she was then 51 or 52. Joanne At Tue, 11 Oct 2005, Garry E. Siegel, M.D. wrote: > >FWIW, if on OCPs, the FSH may be altered. I've done that before, >usually at the end of the placebo week. > >Garry -- Joanne Bulley, MD Keene, NH, USA "Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974). Next message: Peter Wein: "Re: methadone in pregnancy" Previous message: Efrain Ramirez: "Re: Active management - third stage" In reply to: Garry E. Siegel, M.D.: "Re: 50 yo & contraception" Next in thread: Cheri Van Hoover: "Re: 50 yo & contraception" Reply: Cheri Van Hoover: "Re: 50 yo & contraception"

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