Re: Gyn: Breakthrough Bleeding
From: Gordon Goldman (obgyndoc@swbell.net)
Sun Dec 30 12:12:40 2007
Garry,
Use the 1/50 continuous for 84days then withdraw and start lower
dose, using continuous w/o withdrawal.
--
Gordon M. Goldman, M.D., FACOG
Private Practice, St. Louis, Mo.
On Dec 30, 2007, at 12:06 PM, Garry E. Siegel, M.D. wrote:
> Dear all listers:
>
> I forgot one important thing: She is breaking through on Yasmin,
> having
> previously done well on it using a 42/7 schedule.
>
> She is of normal weight.
>
> I like Gordon's thought of O/N 1/50 for a few months, but I'm worried
> that it will increase her headaches.
>
> Her migraines are not necessarily during the placebo week.
>
> If that changes thoughts, please re-post with my apology for having
> left
> out that information initially.
>
> Garry
>
> At Sun, 30 Dec 2007, Larry Glazerman wrote:
>>
>> Yaz has shown effectiveness over placebo but its true that there are
>> no studies comparing different OCPs
>>
>> Sent from my iPhone
>>
>> --
>> Larry R. Glazerman, MD
>> St. Luke's Center for Advanced Gynecologic Care
>> Glazerl@slhn.org
>>
>> On Dec 30, 2007, at 12:01 PM, AllanHo@aol.com wrote:
>>
>>> In a message dated 12/30/2007 6:56:10 AM Eastern Standard Time,
>>> johnprov@sympatico.ca
>>> writes:
>>> PMDD is a diagnosis created by the medical community and
>>> strongly reinforced by the pharmacetical industry, there has been no
>>> randomized trials comparing the effectiveness of different OBCP
>>> preparations for for PMS's new poster child PMDD if there ever is
>>> you
>>> can just about bet there will be no difference in effectivness.
>>>
>>> --
>>> Take care, John
>>> Women don't suffer from PMS, the men around them do! Having had a
>>> wife with PMDD, I can attest to it's existence as a first hand
>>> sufferer. And many of my patients' husbands have thanked me for
>>> putting the beast at bay. I think PMDD is one of those things that
>>> if you don't specifically ask for it, most patients won't tell you
>>> that they are suffering. As for lack of clinical trials comparing
>>> the effectiveness of different OBCP preparations for for PMDD, I
>>> wonder how Yaz claims it's indication for PMDD.
>>>
>>> Allan
>>>
>>> See AOL's top rated recipes and easy ways to stay in shape for
>>> winter.
>>
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
