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Re: Gyn: Breakthrough Bleeding From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Sun Dec 30 14:51:49 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: Family practice and OB" Previous message: Henry Gregor: "Re Sent from iPhone" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Breakthrough Bleeding" Next in thread: Raymond Stephen: "Re: Breakthrough Bleeding" All pills rely on their progestagen for their contraceptive action so all pills induce atrophy of the endometrium. The rationale for putting oestrogen in the pill in the first place, was to produce cycle control. Therefore there is absolutely no reason to expect endometrial hyperplasia and subsequent risk of cancer! What she needs is less progestagen or more oestrogen. People who get breakthrough bleeding on the pill are the very ones who get spotting with progesterone only contraception e.g. minipill, Depo Provera, Implanon, and Mirena. Sorry John, but you are dead wrong in my opinion. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. Sent: Sunday, 30 December 2007 10:56 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: Breakthrough Bleeding At Sun, 30 Dec 2007, AllanHo@aol.com wrote: > >In a message dated 12/29/2007 11:05:53 PM Eastern Standard Time, >johnprov@sympatico.ca writes: > >Overwieght? Sounds like a good candidate for mirena, but that seems to >be my answer for almost every thing these days. > >-- >Take care, John > >Mirena is a great product, but... it won't help with PMDD, and it probably >won't help this girl's Migraines either. Finally, let's not forget some >women may have breakthrough bleeding with the Mirena in-situ. Why is she a good >candidate for Mirena? > >Allan > Breakthrough bleeding is a problem made up by the medical community, it can happen almost as often with someone on no oral or other birth controll, Garry described irregular 60 day cycles so she is set up for proliferative endometrium, hyperplasia and in the long run endometrial cancer, that's what she needs the merina for. Merina is much less likely to give her migraines than any other OBCP or patch out there. I am not belittling the inconvience and aggravation of breakthrough bleeding, but there is basically no way of gauranting it does not happen in someone who needs an potentially healthy endometrium for future child bearing. PMDD is a diagnosis created by the medical community and strongly reinforced by the pharmacetical industry, there has been no randomized trials comparing the effectiveness of different OBCP preparations for for PMS's new poster child PMDD if there ever is you can just about bet there will be no difference in effectivness. -- Take care, John CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: Charlie Chambers: "Re: Family practice and OB" Previous message: Henry Gregor: "Re Sent from iPhone" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Breakthrough Bleeding" Next in thread: Raymond Stephen: "Re: Breakthrough Bleeding"

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