WOMENS-HEALTH Messages for August, 2000: Re: depo provera for period problems and lupus antiphospholipid antibody

Re: depo provera for period problems and lupus antiphospholipid antibody

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 30 Aug 2000 22:48:03 -0500 (CDT)

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In reply to: debbie: "depo provera for period problems and lupus antiphospholipid antibody"
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Reply: debbie: "Re: depo provera for period problems and lupus antiphospholipid antibody"

At Wed, 30 Aug 2000, debbie wrote: >
>hope the subject line takes all that info!
>anyway i have lupus, i have always had severe menses, clotting CRAMPS
>super overnight maxi plus a tampon during the day etc.there is also a
>slight chance that i may have systemic scleroderma as i have symptoms of
>the localized form... anyway my gyno. reccomends that i take this drug
>depo provera via injection every 3 months to relieve my nasty menses,
>and i can say at the very least i am aprehensive, i have the
>anticardiolipin antibody, so i cant take the regular estrogen bc
>pills.... first thing i read about this drug, dont take in such cases.
>the anti card. antibody hasnt given me any complications that i know of
>yet
>i am also on prednisone 10 mg per day and cyclosporine 4 mg per kilo
>(250 mg per day). i have enough problems with the drugs i am on now, i
>dont think a permanant 3 month hormone is such a hot idea
>my questions are
>
>1) should i insist that they go further investigating this (ie
>endometriosis possibility) or do i accept lupus as a cause for this
>(ultrasound was normal)
>
>2) am i overreacting about the risk of this drug, should i just ask my
>rheumatologist for celebrex instead.
>
>thanks! sorry its long!
>
>debie

Debie, I would consider going on a baby aspirin per day (81mg) as a prophylactic modality for the antiphospholipid antibody, then using regular birth control pills. You have to balance the birth control options to the risks of pregnancy. In your case, pregnancy is a far greater risk than using the birth control pills. Second, the depo is notorius for causing irregular bleeding, just what you want to avoid or alleviate... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: Post Tubal Ligation Syndrome"
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In reply to: debbie: "depo provera for period problems and lupus antiphospholipid antibody"
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