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Re: Continuous OCP's From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk) Tue Jun 4 19:25:31 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: dahmd@gate.net: "Re: IUD/Abruption" Previous message: Armando Fuentes: "Re: IUD/Abruption" In reply to: OBDocRick@aol.com: "Continuous OCP's" Next in thread: Philip Suarez, M.D.: "Re: Continuous OCP's" In message <960603164649_406367867@emout09.mail.aol.com>, OBDocRick@aol.com 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? > This question came up on the midwifes list earlier this year, I can't find the postings in my files though. Essentially I'm quite happy with this, though I usually suggest a break for one week ( say ) twice a year. My understanding is that the OCP is only taken for 21/28 days because when test marketing was doen in the late 50's, women weren't happy to accept a method of conraception which gave "no period" - how could they know they weren't pregnant ? The seven day break, together with missed pills at the end or begining of the pack - so extending the seven day gap - is probably the main reason why we see method failures at all with the OCP. Whenever I see a woman regarding abortion arising from genuine OCP failure I also suggest she tries a shorter pill-free interval. The only other benefit of the break is it allows the metabolic effects of the pill to be reversed ( briefly ) every so often - I'm not sure how beneficial that is. -- 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: dahmd@gate.net: "Re: IUD/Abruption" Previous message: Armando Fuentes: "Re: IUD/Abruption" In reply to: OBDocRick@aol.com: "Continuous OCP's" Next in thread: Philip Suarez, M.D.: "Re: Continuous OCP's"

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