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Re: Continuous OCP's From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk) Tue Jun 4 16:24:41 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Michel Mueller: "Re: date of FIRST CESAREAN SECTION" Previous message: GEOFFREY: "Re: FETAL DISTRESS" In reply to: dahmd@gate.net: "Re: Continuous OCP's" Next in thread: DoctorJoe@aol.com: "Re: Continuous OCP's" In message <dahmd.821.00170F26@gate.net>, dahmd@gate.net writes >>>What are your thoughts on the chronic use of continuous OCP's (q 21 days) for >>>women who just do not want to menstruate, or have jobs that menses would >>>interfere with their performance? > >I have used this in some patients with good results. The two most common >problems I see are spotting (probably due to endometrial atrophy similar to >spotting seen with Depo-Provera or Norplant), and weight gain (probably due to >the progesterone dominance of OCPs). The spotting can be fixed with a course >of estrogen, but I haven't figured out how to fix the weight gain (in *myself* >or my patients)! > I was at a meeting some months ago where the speaker showed a graph of mean weight with duration of use for a variety of contraceptive methods. Weight tends to slowly go up with OCP, POPs IUCDs and barrier methods - it's simply a fact that on average people get heavier with time. Of course if you don't use contraception you see large swings in weight - pregnancy/delivery/puerperium/pregnancy/etc :-) -- Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) 01525-222849 (home) Fax: 01582-497424 email: Malcolm@mgriff22.demon.co.uk "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) Next message: Michel Mueller: "Re: date of FIRST CESAREAN SECTION" Previous message: GEOFFREY: "Re: FETAL DISTRESS" In reply to: dahmd@gate.net: "Re: Continuous OCP's" Next in thread: DoctorJoe@aol.com: "Re: Continuous OCP's"

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