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Monophasic vs. Triphasic OCs

From: Chris (anonymous@obgyn.net)
Tue, 6 Nov 2001 18:56:44 -0600 (CST)

Hi-

I have actually responded myself to questions about monophasic vs. triphasic oral contraceptives. I think it has been well established on this board that monophasic pills are preferable to triphasic pills for PCOS patients.

I have gone to a new endocrinoloigst, and she prescribed spironolactone plus Estrostep, a triphasic oc. I hesitated when she gave it to me and asked her if a monophasic wouldn't be more desirable. She told me a triphasic is better. (And gave no explanation.)

My question is, what is the scientific evidence that monophasic pills are more beneficial to PCOSers? As I mentioned, it has been established on the board that monophasics are preferred, but *why*? (I could not find this info in the archives.)

Thanks so much, Chris



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