Re: Gyn: Breakthrough Bleeding

From: Joanne Bulley, MD (islesannie@gmail.com)
Sat Dec 29 22:59:41 2007


If the migraines are primarily on the "placebo" days - then she shoudl be on a 365/365 regimen - no placebo days.

Joanne

At Sat, 29 Dec 2007, Garry E. Siegel, M.D. wrote: >
>20 YO P0 on OCPs for cycle control (irregular, up to 60 day cycles) is
>taking Yasmin 42 days on/7 off, and has been successful on that for
>around 2 years. Previously, she had been tried on Mircette and Levlen,
>but had breakthrough on those. Also germane is that she has migraines
>for which she needs Imitrex from time to time.
>
>I am thinking about suggesting either LoOvral or O/N 1/35, and can't
>decide whether to recommend a normal 21/7 regiment, versus the 42/7.
>
>Any thoughts about which pill/how to take are most welcome.
>
>Thanks,
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

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




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