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Re: Any Problems with Continous OCs? From: Joe Cutchin (forcep@shore.intercom.net) Wed Mar 4 17:27:17 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ldf: "Re: Herpes" Previous message: K. Joy Kemper: "Re: Any Problems with Continous OCs?" Maybe in reply to: Anil Singhal, MD: "Any Problems with Continous OCs?" Next in thread: DoctorJoe: "Re: Any Problems with Continous OCs?" Malcolm:you are correct. When the pill was introduced in trial in a carribean country the lack of menses was found to be not acceptable.Interesting the BCP is still produced in this country with huge tax breaks given to the producers.Enovid 10mgm at first was found to work as an after intercourse pill.Sold on the street as such. I remember laughing at the concept;how little did we know! Joe Malcolm Griffiths wrote: > 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]) -- Joseph H. Cutchin MD FACOG http:www.penobgyn.com 314 West Carroll Street 410 546 3125 Salisbury,MarylAND 21801 Next message: ldf: "Re: Herpes" Previous message: K. Joy Kemper: "Re: Any Problems with Continous OCs?" Maybe in reply to: Anil Singhal, MD: "Any Problems with Continous OCs?" Next in thread: DoctorJoe: "Re: Any Problems with Continous OCs?"

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