WOMENS-HEALTH Messages for August, 2000: Re: depo provera for period problems and lupus antiphospholipid antibody

Re: depo provera for period problems and lupus antiphospholipid antibody

From: debbie (anonymous@obgyn.net)
Thu, 31 Aug 2000 22:21:26 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: Robin: "Re: I've got a diagnosis..alllergic reaction post..."
Previous message: anonymous@obgyn.net: "Re: Post Tubal Ligation Syndrome"
In reply to: Lynn D. Montgomery, MD: "Re: depo provera for period problems and lupus antiphospholipid antibody"

At Wed, 30 Aug 2000, Lynn D. Montgomery, MD wrote: >
>At Wed, 30 Aug 2000, debbie wrote:
>>
>>hope the subject line takes all that info!
>>anyway i have lupus, i have always had severe menses, clotting CRAMPS
>>super overnight maxi plus a tampon during the day etc.there is also a
>>slight chance that i may have systemic scleroderma as i have symptoms of
>>the localized form... anyway my gyno. reccomends that i take this drug
>>depo provera via injection every 3 months to relieve my nasty menses,
>>and i can say at the very least i am aprehensive, i have the
>>anticardiolipin antibody, so i cant take the regular estrogen bc
>>pills.... first thing i read about this drug, dont take in such cases.
>>the anti card. antibody hasnt given me any complications that i know of
>>yet
>>i am also on prednisone 10 mg per day and cyclosporine 4 mg per kilo
>>(250 mg per day). i have enough problems with the drugs i am on now, i
>>dont think a permanant 3 month hormone is such a hot idea
>>my questions are
>>
>>1) should i insist that they go further investigating this (ie
>>endometriosis possibility) or do i accept lupus as a cause for this
>>(ultrasound was normal)
>>
>>2) am i overreacting about the risk of this drug, should i just ask my
>>rheumatologist for celebrex instead.
>>
>>thanks! sorry its long!
>>
>>debie
>
>Debie,
>I would consider going on a baby aspirin per day (81mg) as a
>prophylactic modality for the antiphospholipid antibody, then using
>regular birth control pills. You have to balance the birth control
>options to the risks of pregnancy. In your case, pregnancy is a far
>greater risk than using the birth control pills.
>Second, the depo is notorius for causing irregular bleeding, just what
>you want to avoid or alleviate...

>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>...........................................................

thanks! another question, since we are assuming that i am having sex LOL! if i were to consider a pill would one with progesterone only be ok? they say estrogen aggrevates lupus.

i think i have a really good rheumatologist, but she has never recommended aspirin, i guess before, i was also on celebrex and plaquinil, apparently they do the same thing, i will ask though, she said ok to ginko for my brainfog i wonder if i take it and the asperin would i get too much thinning of the blood?

we have so far been sucessful in preventing the lupus from going to the kidney (my bloodwork hinted at that would be the type of lupus i'd get, anti ds dna up and c3 dropped) so one day i may have a window of drug free and lupus remission to have a kid, should my organs be in tact after all this... DEB >**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>
>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>

Next message: Robin: "Re: I've got a diagnosis..alllergic reaction post..."
Previous message: anonymous@obgyn.net: "Re: Post Tubal Ligation Syndrome"
In reply to: Lynn D. Montgomery, MD: "Re: depo provera for period problems and lupus antiphospholipid antibody"

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: