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Re: OCP's and Anticardiolipin antibodies From: Anna Meenan, MD (annam@uic.edu) Mon Jul 9 15:29:43 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman: "==== AAMC STAT ==== 7-9-01" Previous message: Gerald P. Rodriguez: "Re: My computer's virus" In reply to: mark decker: "Re: OCP's and Anticardiolipin antibodies" Next in thread: Anna Meenan, MD: "Re: OCP's and Anticardiolipin antibodies" Reply: Anna Meenan, MD: "Re: OCP's and Anticardiolipin antibodies" But if she's never been pregnant and never had a blood clot she can't by definition have apa syndrome, and I can't find much that says whether COCP's are safe if she just has positive anticardiolipin antibodies and nothing else. I've sent for records from the rheumatologist who diagnosed her. I'm not sure even what her titer of anticardiolipin ab was. My gut feeling is she should not take them (mainly because I would not take them if I was her. -- Anna Meenan, MD At Sat, 07 Jul 2001, mark decker wrote: > >reviewing for boards = the entire compedium front to back - reviewed this >last night and reviewed it again for this question today > >if she has definite positive apa igG antibodies above 15 - 20 gpl units she >is then truly positive for the apa - > >if she had fetal loss, low platelets or thrombosis then she has the syndrome > >with the antibodies she should still try to avoid pregnancy until truly >ready to be pregnant with attendant low dose heparin and baby asa > >but management of pts with antibody and no pg and no hx of thrombosis , >fetal loss, thrombocytopenia best management is not known - >low dose asa suggested. > >and they say if the syndrome is present estrogen ocp's are contradicted > >acog bulletins > >mdmd > >At 12:49 PM 7/7/2001 -0500, you wrote: >>18 y.o young woman in my office yesterday for refill on OCP's. Been on >>'em a coupla years with no problems. Takes Desogen because she also has >>acne and it helps that. In the past year developed Reynaud's and was >>seen elsewhere. Positive family history of Lupus so they tested her for >>that. Don't have the results but she says they told her she doesn't >>have lupus but she is anticardiolipin positive. Should she continue to >>take OCP's? She says the doctor who saw her said it would not be a >>problem. Should I switch her to a 1st-generation progesterone even >>though her acne will probably get worse? >> >>-- >>Anna Meenan, MD, FAAFP Next message: Dean Huffman: "==== AAMC STAT ==== 7-9-01" Previous message: Gerald P. Rodriguez: "Re: My computer's virus" In reply to: mark decker: "Re: OCP's and Anticardiolipin antibodies" Next in thread: Anna Meenan, MD: "Re: OCP's and Anticardiolipin antibodies" Reply: Anna Meenan, MD: "Re: OCP's and Anticardiolipin antibodies"

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