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Re: Gyn: Breakthrough Bleeding From: Gordon Goldman (obgyndoc@swbell.net) Sat Dec 29 20:57:43 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Breakthrough Bleeding" Previous message: robert berg: "Re: Difficult Case Microcephaly" In reply to: Garry E. Siegel, M.D.: "Gyn: Breakthrough Bleeding" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Breakthrough Bleeding" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Breakthrough Bleeding" Garry, would you consider 84days or continuous suppression with something like lybrel? How about putting her on O/N-1/50 dose cycle for a few months to stabilize her then drop to one of the lower doses? -- Gordon M. Goldman, M.D., FACOG Private Practice, St. Louis, Mo. On Dec 29, 2007, at 9:18 PM, Garry E. Siegel, M.D. wrote: > 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 Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Breakthrough Bleeding" Previous message: robert berg: "Re: Difficult Case Microcephaly" In reply to: Garry E. Siegel, M.D.: "Gyn: Breakthrough Bleeding" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Breakthrough Bleeding" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Breakthrough Bleeding"

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