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Re: Skipping placebo's while taking COC'sFrom: Myer S. Bornstein, MD, CPE, FACOG (mborn@massmed.org)Tue Oct 19 05:41:50 1999
At Mon, 18 Oct 1999, Linda C. Andrist wrote: > >I am trying to find a reference for the relatively new practice of >having patients skip their placebo pill while on COC's. I wonder if >this started bc of the popularity of continuous HRT and no periods. Does >anyone know of any documentation (evidence) of the "safety" of this and >how long patients could do it? Theoretically it sounds safe. Continuous BCPs have been used since the 70's, for treatment of endometriosis, prior to many of the options we have today. Speroff refers to an article in Fertility & Sterility: Kistner, RW, "Management of endometriosis in the infertile patient," Fertil Steril 26:1151, 1975. Using continuous BCPs to manage a patient's cycles around weddings and other conveniences/inconveniences has been a common practice since I began my residency in 1975.
-- Ronald E. Ainsworth, MD, FACOG
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