Re: Gyn: When to stop the pill

From: Joanne Bulley, MD (islesannie@gmail.com)
Mon Oct 29 21:11:01 2007


Sounds like the ideal time for her to be "off" for 1-2 months and see if there are any spontaneous menses &/or vasomotor symptoms - maybe do an FSH. If she develops a new relationship, she needs condoms for reduction in risk of STDs anyway so they also take care of the contraceptive need.

One question I have always wondered about - is how to tell with some level of certainty - when the person on OCP up to menopause can quit using any birth control.

For those not on OCPs but using condoms and who are menstruating - I tell them condoms until 1 year of amenorrhea. I just would hate to have a patient have that immediate pre-menopause pregnancy!

For someone who is on OCPs - do you take off pills for one week or month & get a high FSH then go back o OCPs and repeat one year later?

Thanks for asking the question that made me ask more.

Joanne

At Mon, 29 Oct 2007, Garry E. Siegel, M.D. wrote: >
>54 YO P2002 happy on LoEstrin 1/20, in for an annual today.
>
>She has recently divorced and does not need the pill for contraception,
>but is reluctant to stop it due to possible menopausal symptoms.
>
>How do you transition?
>
>1. Stop it and see what happens?
>2. Go to HRT--if so, what dose/continuous combined?
>3. Stay on the pill?
>4. Other?
>
>Thanks,
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
Joanne Bulley, MD, FACOG
Solo gyn
Keene, NH USA




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