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Re: Gyn: When to stop the pill From: Karen Lee (karen@karenlee.org) Tue Oct 30 06:42:09 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Phillippa Meyer: "Re: HRT and vaginal bleeding" Previous message: Douglas Krell: "Re: Gyn: Positive margins on a LEEP" In reply to: Garry E. Siegel, M.D.: "Gyn: When to stop the pill" I have them take 1/2 tablet of the 1/20 for a pack, then go to the Femhrt, which is the same ingredients, but lower dose. It eases them in. Of course there are some that worry about need for contraception, so I have them go off for 2 weeks, then do an FSH. I have never had anyone that age have a low FSH, but I know they can. I also have not yet had anyone who bled as they transitioned to the lower doses and their endometria on ultrasound were always really thin. -- Karen Lee, ARNP --- "Garry E. Siegel, M.D." <garrys@mindspring.com> wrote: > 54 YO P2002 happy on LoEstrin 1/20, in for an > annual today. > > She has recently divorced and does not need the > pill for contraception, > but is reluctant to stop it due to possible > menopausal symptoms. > > How do you transition? > > 1. Stop it and see what happens? > 2. Go to HRT--if so, what dose/continuous > combined? > 3. Stay on the pill? > 4. Other? > > Thanks, > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA > Next message: Phillippa Meyer: "Re: HRT and vaginal bleeding" Previous message: Douglas Krell: "Re: Gyn: Positive margins on a LEEP" In reply to: Garry E. Siegel, M.D.: "Gyn: When to stop the pill"

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