WOMENS-HEALTH Messages for June, 2000: Re: OTC BCP's?

Re: OTC BCP's?

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 30 Jun 2000 15:12:34 -0500 (CDT)

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At Fri, 30 Jun 2000, AMD wrote: >
>Maybe they can be "sorta" OTC. They are behind the pharmacy counter and
>you need a photo id. If you're < 15 or > 35, you need a prescription.
>
>Of course, how many women would NEVER go for a pap/pelvic if they didn't
>want BCP's??

Lots and lots

On the other hand, how often does the pelvic or pap give >reason to not prescribe BCP's?

it is not uncommon ot find that a woman is pregnant, or has very high blood pressuer, both conditions which would preclude use of hte pill. Also, a pap, pelvic and breast exam can identify STDs, abnormal cells which if untreated could lead ot cervical cancer, breast cancer, ovarian cancer, benign but potentailly troublesome fibroid, not to mention all hte other medical conditions I diagnose like hypertension, diabetes, thyroid disease,high cholesterol -- just because I make you come in for a pap once a year if you want your OCPs or hormones

Or can most of the potential problems be >assessed on history and a less invasive exam?

Not cervical cancer or precancerous changes

Is there a legitimate >medical reason to require a pelvic/breast/pap to prescribe birth control
>pills?

yup -- see above >

--
M. Kelly Shanahan, MD, FACOG
S. LAke Tahoe, CA

This post is for educational purposes only and does not construe a doctor-patient relationship. It does not take the place of a consultation with your own doctor.

***private e-mails will NOT be answered -- or even read. Please do NOT send a private e-mail as it interferes with the very limited time I have with my own family!!***

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