|
Re: advice needed on ortho-tricyclen/bcp's
From: gracie (anonymous@obgyn.net)
Sat, 17 Aug 2002 12:34:30 -0500 (CDT)
Thank you Sonnet & Valerie.
At Fri, 16 Aug 2002, Sonnet wrote:
>
>"The use of a "triphasic" combined oral contraceptive should be avoided
>as the early cycle ethinyloestradiol dose is often too low to inhibit
>dominant follicle selection and hence follicular development,39
>theoretically having the potential to increase, rather than reduce, the
>number of ovarian cysts."
>
>from the more recent Kidson article in MJA:
>http://www.mja.com.au/public/issues/nov16/kidson/kidson.html
>
>(the footnote citation is "39:Fauser BCJM, Van Heusden AM. Manipulation
>of human ovarian function: physiological concepts and clinical
>consequences. Endocrine Rev 1997; 18: 71-106.")
>
>I have heard of other issues related to triphasic pills, such as having
>more breakthrough bleeding, not enough androgen "stopping power," and a
>variation in hormone levels that further aggravates the messy cycles we
>already have.
>
>That being said I want to point out that I think monophasic bcp's can be
>very useful in treating the outward problems of PCOS and make it a much
>more manageable disease for a lot of women. You don't have to stay away
>from all birth control, but there are so many options and formulations
>out there - find the one that works best for your needs and your body.
>
>At Thu, 15 Aug 2002, gracie wrote:
>>
>>I have seen many posts on this board that say that tri-phasic pills are
>>bad for PCOS, but the literature that I have seen and drs. that I've
>>asked about this don't think that there is any significant difference.
>>Specifically, could you direct me to the research that you are referring
>>to?
>>
>>At Thu, 15 Aug 2002, Valerie wrote:
>>>
>>>TRI-anything is bad for anyone with PCOS... please do your research-
>>>PCOSers are only supposed to use monophasic pills.
>>>
>--
>email always welcome: sonnet_fitz@hotmail.com
>
|
|
![[ PCOS Discussion Forums ]](../../images/pcos_at_obgyn.gif)