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Re: BCP and Headaches/Mood SwingsFrom: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)Sat, 29 Jan 2000 19:25:38 -0600 (CST)
At Sat, 29 Jan 2000, C Twisdale RN wrote: > >You state that you have been on many different pills and are having >trouble finding one to "fit". You did not state if you were done having >children, so I am guessing you are planning for more. If you are in a >mutually monogamus relationship how about an IUD? IUD's can be a great >method of birth control for a mutually monogamus couple. I say mutually >monogamus, because with someone that has multiple sexual partners, there >is increased risk of STD/PID. IUD's got had problems in the past, >however, many new kinds have been marketed. Also, perhaps a diaphram or >condoms? So often >many think the pill is the only option for birth control. How about >checking into some other methods? > >At Sat, 29 Jan 2000, Jennifer wrote: >> >>Hi! Great site! Ever since the birth of my son last year, I have been on >>3 different pills and am having trouble finding the "perfect" one. As a >>teenager I took Triphasil 28 but gained a lot of weight. A few years >>later, I used Loestrin 1.5/30 for several years and did pretty well. >>That was before my chidren were born. After taking micronor (when I was >>breastfeeding), I tried Mircette, because I was also having migraines (I >>have a history of them). I still had migraines, so they switched me >>back to Loestrin 1.5/30 and had major mood swings (very irritable and >>not just because I was a tired mom). Then I was switched to Lo-ovral >>(later to say that was bad for the headaches). I was only on it for a >>month and during my period, I had migraines everyday. So, today my dr. >>decided to switch me to Ortho-cyclen. After being on so many pills I'm >>just nervous about trying a new one and anticipating the side affects. I >>know I can't have it all - I want no weight gain and no headaches. I >>noticed ortho-cyclen has more estrogen (what are more estrogen side >>affects vs. progestrin). I think I read progestrin was good for >>headache sufferers. I appreciate your opinion. Claudia has agian hit the nail on the head with respect to birth control options. AS far as the OC you were prescribed, the only way to know it try it. Some women get it all but it is by trial and error. Many never get it all. Although there are charts of stronger/weaker estrogen and stronger/weaker progesterone pills, I have yet to be able to pick one based upn that and get it right for the patient 100% of the time. And BTW, both estrogen and progesterone have been implicated in migraines.
-- Harvey S. Marchbein, M.D. FACOG, FACS Great Neck, New York
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