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which pill?From: Robert J. Woolley (wooll005@tc.umn.edu)Wed Mar 31 22:04:11 1999
I have a 22-year-old woman who developed a deep venous thrombosis with pulmonary embolism about 2 months after she first started taking oral contraceptives a couple of years ago. Her then-physician thought it was a result of having used a 50-microgram-estrogen pill, since she had had breakthrough bleeding with 35 mcgs. So he put her back on OCs, this time just the 35 mcg, and she just put up with the breakthrough bleeding. About a year later, she developed another DVT, though without PE. She just finished her 6 months of warfarin. Now she wants to go on OCs again. Doesn't want progestin-only pills because of the likely irregular bleeding. So I'm going to use just a 20-mcg pill. The question is this: since there are now more than just LoEstrin available, would any of the 20-mcg pills be preferable to the others for this woman? (She has not quite quit smoking, but is down to about 5 cigarettes per day.) ---------------------------------------------------------------------------
--------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota
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