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Re: Gyn: Breakthrough BleedingFrom: Ginny Lee (kaupilimakoa@hotmail.com)Sun Dec 30 13:38:29 2007
does she have migraine with aura? I would hesitate to use a 1/50 if so. How long has she been having the BTB on the Yasmin? How significant is it?---wearing sanitary protection daily? any new stressors in her life? Most of my patients without significant lifestyle issues secondary to the BTB respond well to reassurance and time.... also, I'm making the assumption you've ruled out other causes for bleeding, i.e. std/bv....
> Date: Sun, 30 Dec 2007 12:06:37 -0600> From: garrys@mindspring.com> To: ob-gyn-l@dns.obgyn.net> Subject: Re: Gyn: Breakthrough Bleeding> > 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 t
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