PCOS-MEDICATION Messages for April, 2002: Re: Birth control pills

Re: Birth control pills

From: Victoria (anonymous@obgyn.net)
Thu, 4 Apr 2002 8:09:46 -0500

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If you talk to an ob/gyn or reproductive endocrinologist, Dr. Leon Speroff is someone they will follow and his textbook is being used as a reference.

I can see that endocrinologists will use something different, as it is a different field of expertise than ob/gyn. Most cardiologists wouldn't use an ob/gyn book either. That said, please clarify with specifics what journals/books the endocrinologists are using to justify no use of BCP in diabetics. I haven't seen it on any websites. I'd also be willing to put this on the women's health forum here, as I'm sure it would have been something ob/gyn's and RE's would know, as they have diabetic patients. So would regular FP/NP/DO/Internists, because they all have diabetic patients. So what specific evidence has this been accepted on?

Also, it has been proven that the lower dose pills don't have the effect the higher dose pills had on levels, and I've provided Dr. Speroff's evidence on that.

Btw, my package insert on my desogen said nothing of what you said. Can you please point out where this is located.

Like I said, I realize there are people on the net who are very anti pill.

-- Victoria

> From: anonymous@medispecialty.com (anonymous)

> Victoria, > > Best regards to your research capabilities, but Dr. Speroff's 6th > edition of that book was published June 15, 1999. Medical books are not > something to take as definitive. Each is updated as research and trials > are completed. Since 1999, many endocrinologists and diabetes > specialists are throwing out bcps for use by diabetics. All bcp package > inserts must (by FDA law) include a warning not to use them if the > patient has diabetes mellitis. It makes no sense to give it to anyone > with insulin problems, since it is proven to aggravate ir. After all, > some medical texts promoted blood letting into the 19th century. And we > know today, that is ridiculous. JAMA, NEJM and Clinical Endocrinology > all have more current articles online which outline specifically why > bcps are contraindicated. > > sincerely, anne

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