Re: which pill?
From: charlie chambers (cchamber@mnic.net)
Wed Mar 31 22:38:14 1999
Paul,
I think any estrogen containing pill would not be worth the risk. Also, has
she be screened for any thrombosis disorders, i.e. Leiden mutation, protein
C, S, etc?
--
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Charlie Chambers, MD "No matter where you go...
Owatonna Clinic-Mayo Health Systems there you are."
cchamber@mnic.net
chambers.charles@mayo.edu Dr. Buckaroo Banzai
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>From: "Robert J. Woolley" <wooll005@tc.umn.edu>
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net>
>Subject: which pill?
>Date: Wed, Mar 31, 1999, 11:06 PM
>
> 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
>
