Re: which pill?

From: Gerald P. Rodriguez (geraldpr@roadrunner.com)
Wed Mar 31 22:27:06 1999


You are on thin ice with any of the estrogen/progestin pills. Mircette (?spelling) would be my choice, if I were to go this route, but I would sure like for her to take an aspirin or two per day--I might sleep a little better if she did.

--
Gerald P. Rodriguez, M.D., FACOG

+++++++++++++++++++++++++++++++++++++++++++++++ "In politics, nothing is contemptible."--Benjamin Disraeli +++++++++++++++++++++++++++++++++++++++++++++++

-----Original Message----- From: Robert J. Woolley <wooll005@tc.umn.edu> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net> Date: Wednesday, March 31, 1999 10:07 PM Subject: which pill?

>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 > >"Life is made up of sobs, sniffles, and smiles, >with sniffles predominating." > > -- O. Henry >





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