no subject received Wed, 24 Oct 2001 21:39:10 -0500
From: Robert (anonymous@obgyn.net)
Wed, 24 Oct 2001 22:38:30 -0400
REMOVE
jarrgr@bellsouth.net
>----- Original Message -----
From: anonymous@obgyn.net
To: Multiple recipients of list WOMENS-HEALTH
<womens-health@mail.medispecialty.com>
Sent: Wednesday, October 24, 2001 8:40 PM
Subject: WOMENS-HEALTH digest 2968
> WOMENS-HEALTH Digest 2968
>
> Topics covered in this issue include:
>
> 1) Re: genital warts hpv
> by wdm@no.mail (William McIntosh, MD)
> 2) Re: [Birth Control] A question for Dr. Chudacoff
> by wdm@no.mail (William McIntosh, MD)
> 3) Vagifem
> by sblumen@home.com (SarahB)
> 4) Re: birth control for hormones ? MR. Mc FOLLOW UP PLEASE!!
> by goodwitch@home.com (Dee)
> 5) Re: [Birth Control] A question for Dr. Chudacoff or any doctor
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 6) Re: Missed cycle followed by heavy cycle
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 7) Re: upper respiratory
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 8) Re: Celebacy - affects on sexual organs?
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 9) Re: Ultrasound question
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 10) Re: [Birth Control] Tilted Cervix and pregnancy
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 11) Re: Vagifem
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 12) Re: birth control for hormones ? MR. Mc FOLLOW UP PLEASE!!
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 13) Re: [Birth Control] A question for Dr. Chudacoff
> by anonymous@worldnet.att.net (Kelly)
> 14) endometrial polyp
> by annec84@hotmail.com (anne)
> 15) Re: [Birth Control] A question for Dr. Chudacoff
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 16) Re: endometrial polyp
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 17) skin problems
> by anonymous@mail.com (Jenny Rpdgers)
> 18) pregnant on BC?
> by Chubakkah@aol.com (Linda)
> 19) Re: skin problems
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 20) Re: pregnant on BC?
> by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 21) Re: [Birth Control] Question with birthcontrol problems and
breakthrough bleeding
> by chronic@phayze.com (Keith Lutynski)
> 22) Many thanks to Chloe!
> by anonymous@medispecialty.com (Connie)
> 23) To Dr. Lynn
> by goodwitch@home.com (Dee)
>
> ----------------------------------------------------------------------
>
> ----------------------------------------------------------------------
> Date: Wed, 24 Oct 2001 13:02:48 -0500 (CDT)
> ----------------------------------------------------------------------
> From: wdm@no.mail (William McIntosh, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: genital warts hpv
> Message-ID: <200110241802.f9OI2mG23263@mail.medispecialty.com>
>
> At Tue, 23 Oct 2001, barreiro wrote:
> >
> >I`ve got genital warts . They are not in the cervix but outside the
vagina.
> >My doctor is going to remove them using some kind of acid.
> >My question is if I can have a normal sex life after that with my partner
> >who still doesn`'t know if he is infected.
> >Can I have oral sex, anal sex, without usina a condom?
> >Thank you
> >Liliana
>
> As you know, genital warts are from the Human Papilloma Virus, and you
> will continue to have the virus after treatment. So does virtually
> everyone else who ever had sex. HPV is not the best reason to practice
> safe sex, but it is good enough. If you are in a long term
> relationship, it is fairly safe to assume that your partner already has
> whatever virus that you have, and vice-versa, so the danger of future
> transmission is minimal.
>
> --
> 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.
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 13:10:48 -0500 (CDT)
> ------------------------------
> From: wdm@no.mail (William McIntosh, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: [Birth Control] A question for Dr. Chudacoff
> Message-ID: <200110241810.f9OIAmC28596@mail.medispecialty.com>
>
> 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.
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 13:16:13 -0500 (CDT)
> ------------------------------
> From: sblumen@home.com (SarahB)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Vagifem
> Message-ID: <200110241816.f9OIGD331327@mail.medispecialty.com>
>
> Hi,
> I am 39 and 5 weeks postpartum after an emergency c-section (2nd
> section, 4th baby). I am breastfeeding. At my 4 week postpartum visit
> I saw the doctor's Nurse Practitioner since the doctor had to have
> surgery himself. I mentioned to the CNP that my vaginal area felt very
> dry and very irritated. Upon exam she said the area was "atrophic" and
> prescribed Vagifem twice a week. I have used it three times and don't
> feel ANY different - it is still dry, irritated, and itchy now. She
> wanted me to come back and see the doctor in 4 weeks (because of that
> and the fact that I continue to have alot of pelvic pain/tenderness on
> my right side).
>
> Should the Vagifem have worked by now or does it take several weeks?
>
> My understanding is that it is from low estrogen levels. Am I having
> this problem postpartum because of my age and lower hormone levels then
> when I was younger? Does it resolve over time even without treatment and
> even if I keep breastfeeding?
>
> Thanks for any information.... Sarah
>
> --
> SarahB
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 13:23:31 -0500 (CDT)
> ------------------------------
> From: goodwitch@home.com (Dee)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: birth control for hormones ? MR. Mc FOLLOW UP PLEASE!!
> Message-ID: <200110241823.f9OINVR02736@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, William McIntosh, MD wrote:
>
> Thank you for your reply. I am now in day 19 of my cycle and I started
> to spot a little heavier than usual, the past 3 mos. I haven't had any
> spotting. It;s almost like the start of my period I usually get this
> but it's a little early.
> I;m not due until next week. I don't know if I should be concerned ,
> and when I should start the pill!!
> >
> >At Tue, 23 Oct 2001, Dee wrote:
> >>
> >>My Dr. just out me on Estrostep FE for mid cycle spotting and PC
> >>spotting some months. Im 43 and been having this problem off and on for
> >>awhile. Pap was normal, cervix was clean, and US was normal, had D&C 18
> >>mos. ago. So he wanted me to try this to see what happens.
> >>
> >>My periods go from very heavy to very light and last only 3 days. I do
> >>have a few 2 CM FIBROIDS.
> >>
> >>Is this a good pill to be on for this? He said to start taking it the
> >>first day of my next period, so do I start from the beginning of pack or
> >>take the first one on the day marked on package that it starts. I've
> >>never taken the pill before I don't know what to expect.
> >>
> >>Would you recommend any other tests I'm concerned?
> >>
> >>--
> >>Dee
> >>
> >This is becoming increasingly common, the use of lower dose OCPs to help
> >with the transition to menopause that for many women can last for
> >several years. It is very well tolerated, and most patients are very
> >happy with the results. You have had all the tests that I would have
> >done.
> >
> >--
> >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.
> >
>
> --
> Dee
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 13:38:23 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: [Birth Control] A question for Dr. Chudacoff or any doctor
> Message-ID: <200110241838.f9OIcNe08546@mail.medispecialty.com>
>
> Kelly,
> I believe he is making the statement because of the fact that the pill
> is very safe, combined with providing some protectant effects from
> various malignancies...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 13:45:16 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: Missed cycle followed by heavy cycle
> Message-ID: <200110241845.f9OIjGp11168@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, Shirley wrote:
> >
> >Missed cycle Aug. and Sept. Started in October and now on 12th day of
> >heavy period with lots of clotting. Had estrogens levels tested and the
> >results were 489. What could the problem be?
>
> Shirley,
> Without knowing your age, etc, I would say that you are not ovulating
> regularly and therefore your cycles are irregular. When you have them
> on an irregular basis, they can certainly be heavy or prolonged. If you
> are 40 or over, you need an endometrial biopsy...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 13:46:24 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: upper respiratory
> Message-ID: <200110241846.f9OIkO911705@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, Becca wrote:
> >
> >I have a chronic ear ache/sore throat that has been on and off for the
> >last month and seems to get worse at night. I also get headaches on the
> >back of my head quite often in the middle of the night.
> >
> >I have been tested for strep throat (it was negative) and my doctor said
> >I am fighting off something viral.
> >
> >I am nervous about the headaches and that my symptoms are not getting
> >better. I've been resting and doing my best to stay healthy.
> >
> >My concern-- I've heard many stories of women who thought they had a
> >cold that just would not go away, and it ended up being cancer or some
> >other serious disease that was surfacing in ways similar to my symptoms.
> >should I be concerned?
>
> Any kind of infection symptoms that persist for longer than about 2
> weeks should be evaluated by a physician...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 13:49:32 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: Celebacy - affects on sexual organs?
> Message-ID: <200110241849.f9OInWa12942@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, bamboo42 wrote:
> >
> >I am a 45 year old woman who recently had a total vaginal hysterectomy
> >due to several years' worth of problems. I had uterine fibroids and
> >polyps, and cysts on my left ovary. I kept my right ovary and fallopian
> >tube; at this time the ovary appears to be working normally. I did
> >appear to have symptoms of peri-menopause prior to my surgery. I am
> >still anemic; 10 weeks after surgery my iron is 15 ug/dl and my
> >hemoglobin is 9.8 gm/dl. I am trying to recover my iron stores by
> >healthy eating. I take a multivitamin that includes 18mg of iron daily.
> >I cannot take the 300mg of iron a day that my doctor prescribed. They
> >(gp + gyn) know this, but haven't been able to come up with an iron
> >supplement that I can take.
> >
> >My 20+ year marriage has been celebate for 4 years. We are staying
> >together for now because we have two teens and cannot afford to support
> >two households. Because of problems which I will not get into I don't
> >expect to ever have sex with my husband again. We do NOT have a hostile
> >or combative relationship and we co-parent and still have fun as a
> >family. Once my two kids are out of high school and "settled" I expect
> >to be getting a divorce, in maybe 3-5 more years. At that time I'm
> >hoping to find a normal loving relationship and look forward to a sex
> >life again. :)
> >
> >What happens to sexual organs in an older female if she is not sexually
> >active? Do they atrophy? Though I have a normal sex drive and masterbate
> >"as needed" I do not use a vibrator or dildo. Any information and
> >suggestions would be greatly appreciated!
>
> Used or not, your anatomy will remain normally functional as long as you
> maintain estrogen support to the tissue (which you remaining ovary is
> providing now)...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 13:53:10 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: Ultrasound question
> Message-ID: <200110241853.f9OIrAw15511@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, cathy:- wrote:
> >
> >For about six months I've been having abdominal pain on my right side.
> >It feels just like mild mittelschmerz but it comes and goes throughout
> >the whole month. (Although it mostly goes away during my period.) The
> >preliminary diagnosis from symptoms is pelvic adhesions caused by my
> >c-section 7.5 years ago. My doctor sent me for a pelvic ultrasound to
> >rule out other causes.
> >
> >I had a somewhat similar episode of pelvic pain 10 years ago that lasted
> >5 months and then went away in the 4 weeks between when I made a
> >doctor's appointment and got into see the doctor. He sent me for a
> >pelvic ultrasound then just to be cautious. That ultrasound took 45
> >minutes, and the tech had the wand all over my belly and took lots of
> >"snapshots".
> >
> >This time the ultrasound took 10 minutes, and the tech worked with the
> >wand in one spot on the left side of my (very full) bladder. This is a
> >good 8-10 inches away from where the pain is. I presume that the urine
> >in the bladder works as a kind of "magnifying glass" for the sound
> >waves, but can the ultrasound really see that far? And is 10 minutes
> >really long enough to get a good enough look?
> >
> >Has the technology really advanced that much in 10 years? I believed
> >that negative result 10 years ago because the ultrasound seemed to be
> >very thorough. Can I be as confident today with this 10-minute job?
> >
> >--
> >cathy :-)
> >
>
> Cathy,
> The technology has certainly improved dramatically in the past 10 years.
> That said, the most appropriate scan for your issues would be a vaginal
> probe scan first of all. Second, to provide a complete gynecologic
> ultrasound, one must move the transducer over the right, left and
> central parts of the lower abdomen...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 13:55:48 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: [Birth Control] Tilted Cervix and pregnancy
> Message-ID: <200110241855.f9OItm516472@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, Peggy wrote:
> >
> >I am 39 weeks pregnant. I was told that my cervix is tilted up but that
> >the baby is 0-faced. what does this mean? Will I have difficulty during
> >delivery with a tilted cervix?
>
> Peggy,
> The tilted cervix means nothing regarding the ease or difficulty of
> delivery. O effaced means the cervix has not thinned yet...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 14:00:03 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: Vagifem
> Message-ID: <200110241900.f9OJ02218280@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, SarahB wrote:
> >
> >Hi,
> >I am 39 and 5 weeks postpartum after an emergency c-section (2nd
> >section, 4th baby). I am breastfeeding. At my 4 week postpartum visit
> >I saw the doctor's Nurse Practitioner since the doctor had to have
> >surgery himself. I mentioned to the CNP that my vaginal area felt very
> >dry and very irritated. Upon exam she said the area was "atrophic" and
> >prescribed Vagifem twice a week. I have used it three times and don't
> >feel ANY different - it is still dry, irritated, and itchy now. She
> >wanted me to come back and see the doctor in 4 weeks (because of that
> >and the fact that I continue to have alot of pelvic pain/tenderness on
> >my right side).
> >
> >Should the Vagifem have worked by now or does it take several weeks?
> >
> >My understanding is that it is from low estrogen levels. Am I having
> >this problem postpartum because of my age and lower hormone levels then
> >when I was younger? Does it resolve over time even without treatment and
> >even if I keep breastfeeding?
> >
> >Thanks for any information.... Sarah
> >
> >--
> >SarahB
> >
>
> SarahB,
> The vaginal changes you are experiencing are a result of the
> breastfeeding, that results in a decrease in the estrogen production
> from the ovaries. It is normal. The estrogen application can take
> several weeks to have a beneficial result...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 14:04:47 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: birth control for hormones ? MR. Mc FOLLOW UP PLEASE!!
> Message-ID: <200110241904.f9OJ4l321809@mail.medispecialty.com>
>
> Given the fact that I am jumping in in the middle here, from what I have
> read, I would give your physician who prescribed the pill a call for
> direction on when to start...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 14:35:24 -0500 (CDT)
> ------------------------------
> From: anonymous@worldnet.att.net (Kelly)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: [Birth Control] A question for Dr. Chudacoff
> Message-ID: <200110241935.f9OJZOI01947@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, William McIntosh, MD wrote:
> >
> >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.
> >
> This is amazing to me when I see all the posts here about side effects,
> problems and questions with their pills. Would it be healthier to take
> a low dose OC if the person has regular cycles without a large blood
> loss or cramps and no family history of reproductive cancers.
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 15:11:08 -0500 (CDT)
> ------------------------------
> From: annec84@hotmail.com (anne)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: endometrial polyp
> Message-ID: <200110242011.f9OKB8l14484@mail.medispecialty.com>
>
> I was diagnosed with a polyp, multiple fibroids and an endometrial
> thickening of 10mm on day 9 of my cycle.
>
> I am 42 years of age and have 3 children. My periods last 5 to 7 days
> with 2 days of heavy bleeding. Last month only, in between periods, I
> had some spotting.
>
> I understnad that an endometrial biopsy is advisable.
>
> Should I have a D & C instead of an endometrial biopsy ?If so, why and
> if not why not.
>
> Your reply would be much appreciated and relieve much concern and worry.
>
> Thanking you in anticipation, Anne
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 15:28:04 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: [Birth Control] A question for Dr. Chudacoff
> Message-ID: <200110242028.f9OKS4F19835@mail.medispecialty.com>
>
> >This is amazing to me when I see all the posts here about side effects,
> >problems and questions with their pills. Would it be healthier to take
> >a low dose OC if the person has regular cycles without a large blood
> >loss or cramps and no family history of reproductive cancers.
>
> One should not take medications unless they have an indication for their
> use. With the person you describe, unless she desires birth control,
> there is no reason to be on the pill...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 15:33:35 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: endometrial polyp
> Message-ID: <200110242033.f9OKXZK22657@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, anne wrote:
> >
> >I was diagnosed with a polyp, multiple fibroids and an endometrial
> >thickening of 10mm on day 9 of my cycle.
> >
> >I am 42 years of age and have 3 children. My periods last 5 to 7 days
> >with 2 days of heavy bleeding. Last month only, in between periods, I
> >had some spotting.
> >
> >I understnad that an endometrial biopsy is advisable.
> >
> >Should I have a D & C instead of an endometrial biopsy ?If so, why and
> >if not why not.
> >
> >Your reply would be much appreciated and relieve much concern and worry.
> >
> >Thanking you in anticipation, Anne
>
> Anne,
> The polyp puts a bit of a wrench in your history. Without that, I would
> favor the endometrial biopsy. With the polyp (and I am assuming you
> mean an endometrial polyp) this can more assuradly be removed at the
> time of D&C. One could use a polyp forceps in the office, but it may be
> a bit more uncomfortable than a basic endometrial biopsy...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 15:45:27 -0500 (CDT)
> ------------------------------
> From: anonymous@mail.com (Jenny)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: skin problems
> Message-ID: <200110242045.f9OKjRT27373@mail.medispecialty.com>
>
> is it possible to get fungal infections in ones
> pubic area? I've never had a yeast infection so I
> don't know if that's what this is. It's just a small
> rash like bump.
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 16:31:29 -0500 (CDT)
> ------------------------------
> From: Chubakkah@aol.com (Linda)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: pregnant on BC?
> Message-ID: <200110242131.f9OLVTu11395@mail.medispecialty.com>
>
> I have been taking tri-cyclin now for about 3 years. I just got off a
> course of Biaxin for a resp infection. My boyfriend and I have been
> having sex for about 8 months, with no problems, and I can always count
> on my period to come on Tues afternoons. It was supposed to come
> yesterday, about 24 hours ago, and it still hasn't. My boyfriend always
> withdrawls, I am a religious taker of my BC tablets, and have never had
> a problem with past boyfriends who have finished inside of me. I am
> worried about my late period...any help?
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 16:51:42 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: skin problems
> Message-ID: <200110242151.f9OLpgo21862@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, Jenny wrote:
> >
> >is it possible to get fungal infections in ones
> >pubic area? I've never had a yeast infection so I
> >don't know if that's what this is. It's just a small
> >rash like bump.
>
> Jenny,
> If you are referring to the "pubic area" as the pubic hair region, you
> can get cutaneous yeast here. However, what you describe sounds like a
> folliculitis, which is an inflammation/irritation that occurs within a
> hair follicle. This is quite common and usually requires no
> treatment...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 16:53:48 -0500 (CDT)
> ------------------------------
> From: lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: pregnant on BC?
> Message-ID: <200110242153.f9OLrm422778@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, Linda wrote:
> >
> >I have been taking tri-cyclin now for about 3 years. I just got off a
> >course of Biaxin for a resp infection. My boyfriend and I have been
> >having sex for about 8 months, with no problems, and I can always count
> >on my period to come on Tues afternoons. It was supposed to come
> >yesterday, about 24 hours ago, and it still hasn't. My boyfriend always
> >withdrawls, I am a religious taker of my BC tablets, and have never had
> >a problem with past boyfriends who have finished inside of me. I am
> >worried about my late period...any help?
>
> Linda,
> Antibiotics can lessen the efficacy of birth control pills. Regardless
> of where your boyfriend "finished", there is a chance of pregnancy. I
> would check a test...
> Lynn
>
> --
> Lynn D. Montgomery, MD
> Director, Maternal-Fetal Medicine
> Rocky Mountain Perinatal Center
> Missoula, Montana
>
> **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 ;-)
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 17:41:51 -0500 (CDT)
> ------------------------------
> From: chronic@phayze.com (Keith)
> To: Womens-Health@OBGYN.NET
> Subject: Re: [Birth Control] Question with birthcontrol problems and
breakthrough bleeding
> Message-ID: <200110242241.f9OMfpi04954@mail.medispecialty.com>
>
> At Wed, 24 Oct 2001, William McIntosh, MD wrote:
> >
> >At Tue, 23 Oct 2001, Keith wrote:
> >>
> >>hi, my girlfriend is on birthcontrol.. and was for awhile. then she
> >>wasnt able to take her pills for a month, and she decided not to tell
> >>her obgyn about it.. dont ask me why. now shes started her first cycle
> >>with her pills.. again.. and shes having some bleeding problems.. she
> >>thinks its her period, but how can this be possible if it hasnt even
> >>been 2 weeks?
> >
> >If I understand the timeline correctly, she is now 2 weeks into resuming
> >her pills after one month off. Having some breakthrough bleeding is not
> >uncommon when starting the pill, or starting it over in this case. Did
> >she have a period off the pill before she resumed it?
> >
> >--
> >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.
> >
>
> yes she did, she started during or maybe it was right after her period,
> i think she said somthing about the sunday after, and thats when she was
> sapposed to start, but im not completly sure if thats when she did. i
> talked to a nurse on a nurse direct hotline.. and she said it was
> common and that if it resumed after this first month to consult a
> phisican. any other advise or knowledge you would be able to share with
> me would be greatly apprciated.
> thanks
> keith lutynski
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 17:43:14 -0500 (CDT)
> ------------------------------
> From: anonymous@medispecialty.com (Connie)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Many thanks to Chloe!
> Message-ID: <200110242243.f9OMhEw05917@mail.medispecialty.com>
>
> Hi Chloe:
>
> Many thanks to you, I feel somewhat better, but until I have this
> appointment over with, I won't feel entirely better. I just need to get
> myself geared up for the worst...and it will most likely turn out for
> the best! I am just so tired of being poked and prodded! I have had more
> gyne exams in one year than I care to that's all! Again, I can't thank
> you enough for suggesting Dr. Miklos' website.
>
> Connie
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 24 Oct 2001 19:37:56 -0500 (CDT)
> ------------------------------
> From: goodwitch@home.com (Dee)
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: To Dr. Lynn
> Message-ID: <200110250037.f9P0bu411162@mail.medispecialty.com>
>
> Thanks for your reply I will call doc to see when I should start the
> pill but I think he is on vac. until the 31st.. I've never taken it
> before and this may seem like a dumb ? but the pill package starts at
> Sun. so when I get my period do I take it starting from there or from
> whatever day I start on. I'm confused.
>
> Also your opinion on the US I had. If the lining was normal thickness s
> that sufficient to insure that these spotting and PC bleeding problems I
> am having are not from any ca. and probably hormonal or from my
> fibroids. I know that you feel strongly about endom. biopsy over 40 so
> I was wondering if I warrant that procedure again after having one 18
> mos. ago? I am having this spotting right now from day 19 but it is
> more like what I get before my period than usually spotting so I'm
> assuming I will be like 5-6 days early. I don't know what to think at
> this point.
>
> --
> Dee
>
> ------------------------------
>
> ------------------------------
> End of WOMENS-HEALTH Digest 2968
> ------------------------------
> ********************************
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)