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Re: Any Problems with Continous OCs?From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Wed Mar 4 16:02:34 1998
In message <34fcfb151a3c340@mhub2.tc.umn.edu>, "Robert J. Woolley" <wooll005@tc.umn.edu> writes >In message <199803040621.AAA20137@talk.obgyn.net> writes: >> I can not think of any solid reasons we Gyns do not promote the use of >> "continous OCs"(no med-free days) more often. >> I suppose some possible reasons are: >> 1. Higher break-through bleeding rates >> 2. Overall more med is given since there is not the one week off per >> month >> 3. if there is a pill error, continous OCs may delay pregnancy detection >> 4. Psychologic and possible symptomatic benefit of withdrawl. >> >> If anyone could contribute to this list, I would greatly appreciate it. >> Also if any lit references are avail. > >Some women develop breast tenderness on this regimen, often relieved by taking a >week off every 3 cycles or so. (I understand the Brits refer to this as >"tri-cycling.") Discussed nicely in Filshie & Guillebaud's fine book, >"Contraception: Science and Practice." (Butterworths, 1989) > My understanding (and I'm looking for support from those fifty-plus members of the list) is that the only reason we have a 21/28 regime for OCP is that 1950's women wouldn't accept amenorrhoea as proof of non- pregnancy, but rather they demanded regular 'menses' for reassurance, hence withdrawal bleed every month. This enforced bleed has been largely responsible for the failures of OCP over the years. Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])
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