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Re: Breakthrough BleedingFrom: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au)Sun Dec 30 07:47:18 2007
Breakthrough bleeding is usually due to atrophy after months on progesterone. Thus it would be better to increase the oestrogen or decrease the progestogen, which is the opposite of what you are suggesting. I think you will fail. Better to suggest Brevinor. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Sunday, 30 December 2007 2:19 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: Breakthrough Bleeding 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 CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose.
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