WOMENS-HEALTH Messages for October, 2001: Re: [Birth Control] A question for Dr. Chudacoff

Re: [Birth Control] A question for Dr. Chudacoff

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 24 Oct 2001 13:10:48 -0500 (CDT)

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At Tue, 23 Oct 2001, anonymous@obgyn.net wrote: >
>Hello,
>
>I'm a little confused about a reply you gave to anther person on the
>forum. You said it is your opinion that women over 30, especially 40
>should be on a 20 birth control pill.
>
>I have endometriosis and my doctor put me on Loestrin 1/20 continously
>in February. Last month, he switched me to Loestrin 1.5/30 because I
>started experience a lot of spotting and breakthrough bleeding. My
>question is this: what risks am I putting myself at by taking the higher
>dose pill?
>
>Thank you so much for your time in answering this question!

I did not read Dr. Chudacoff's post, but he was talking about using the pill for contraception, whereas you are using the pill for endometriosis control. You are going to need to take what it takes to control your symptoms. It is safe to for most women to use any pill up until age 35, and many up until menopause. In general, the lower the dose you can take of any medicine, the better, but it still has to do the job. Taking the pill is likely to provide more health benefits than not taking them, including cycle control, contraception, protection against ovarian and endometrial cancer, anemia prevention, and so on. It could be said, somewhat tongue in cheek, though not entirely, that the OCP is practically a vitamin.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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