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Re: Gyn: When to stop the pill From: Garry E. Siegel, M.D. (garrys@mindspring.com) Tue Oct 30 11:37:21 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Gyn: Positive margins on a LEEP" Previous message: DoctorJoe@aol.com: "Re: HPV vaccine and resistance" In reply to: Gordon Goldman: "Re: Gyn: When to stop the pill" Next in thread: Joanne Bulley, MD: "Re: Gyn: When to stop the pill" That is pretty much what I did, though I did renew her Rx as to not pull the rug out from under her feet. I like the 1/2 dose of 1/20 for a month--great idea! If she went straight from 1/20 to HRT, I would probably favor a middle of the road dose (i.e. Prempro 0.625) or the equivalent, as opposed to low dose, in order to ease the transition. In an ACOG update tape within the last year or two, which was on perimenopause, the discussants suggested that age 54 was the safe time to stop OCPs in terms of contraception, i.e. very few, if any, conceptions occur at age 54. Garry At Mon, 29 Oct 2007, Gordon Goldman wrote: > >Garry, > >I would advise her that she should attempt off OCs and observe. If >Sx of menopause, she can start w/lowest doses of HRT and work higher >if need. It is likely the dose of HRT is significantly less >potentially dangerous to her than continued OCs. Document the offer >and her response in the chart. > >Gordon > >On Oct 29, 2007, at 8:14 PM, Garry E. Siegel, M.D. 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 -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Re: Gyn: Positive margins on a LEEP" Previous message: DoctorJoe@aol.com: "Re: HPV vaccine and resistance" In reply to: Gordon Goldman: "Re: Gyn: When to stop the pill" Next in thread: Joanne Bulley, MD: "Re: Gyn: When to stop the pill"

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