Gyn: Breakthrough Bleeding

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sat Dec 29 20:17:10 2007


20 YO P0 on OCPs for cycle control (irregular, up to 60 day cycles) is taking Yasmin 42 days on/7 off, and has been successful on that for around 2 years. Previously, she had been tried on Mircette and Levlen, but had breakthrough on those. Also germane is that she has migraines for which she needs Imitrex from time to time.

I am thinking about suggesting either LoOvral or O/N 1/35, and can't decide whether to recommend a normal 21/7 regiment, versus the 42/7.

Any thoughts about which pill/how to take are most welcome.

Thanks,

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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