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Re: stats questions (for Dr. Wang or anyone else)- attn JWang
From: Emme (anonymous@obgyn.net)
Wed, 13 Sep 2000 20:33:00 -0500 (CDT)
Thanks for the stats! What do the other 28% of women do? I feel very
nervous being off the pill...especially if it was the problem and I will
have to use a combination of barrier methods until AFTER I am done
having children. At 23 and unmarried, I am too young for sterilization
but don't want to get pregnant before marriage!
For women who can't take the pill, what are some of the lesser known
reasons for their intolerance of it (other than those listed on the
pill's warnings: blood-clotting, heavy smoking, liver/gallbladder
disease or certain kinds of cancer, diabetes, history of heart attacks
etc.) I don't fit under those categories, but I have definitely been
miserable the last few months and all dr. tests (blood, urinalyses,
cultures) show that everything is fine.
Thanks, so much Dr. Wang!
At Wed, 13 Sep 2000, jwang,MD wrote:
>
>Right now it's estimated that of all women, about 27% use the pill, 25%
>rely on tubal ligation, and about 20% use some form of barrier method.
>
>The pill works by giving the body more or less constant levels of
>hormones. Not any more than teh body would produce on its own. the
>continous levels, though inhibit the stimulation of the ovaries, so
>there is no trigger for them to ovulate.
>There is no set response women have from estrogen or progesterone. One
>of the reasons why there are so many pills on the market is that people
>respond so differently.
>
>make sure you let your doc know what is going on and how you are
>feeling.
>
> Tue, 12 Sep 2000, Emme wrote:
>>
>>Had a couple of quick questions I was hoping someone could answer.
>>
>>1) Out of curiosity, does anyone know the break-down of birth control
>>usage in the US? (ie. what percentage use the pill, what percentage use
>>barrier methods, what percentage use depo...etc.)?
>>
>>2) Does the pill inhibit ovulation by giving a woman's body MORE
>>hormones that it is used to? Is that why some women can't deal with it?
>>I was on a triphasic pill and was wondering how the varying levels of
>>hormones affected my system. Also, how have progestin and estrogen
>>(each separately) been shown to affect women? Could my body have not
>>dealt well because of an excess of one of these hormones? I found out
>>that I have a history of depression on my dad's side of the family and
>>have been very depressed and fatigued while on the pill...in addition to
>>having chronic headaches and stomach pains, and UTI symptoms every month
>>(months 3-7 that I was on it). On Dr. Wang's advice I have gone off
>>the pill to see if things get any better. I couldn't take the pain
>>anymore.
>>
>>I was wondering if I should consider trying a different pill in the
>>future, or if I should just use other methods of bc. Women with
>>problems similar to those I have reported haven't seemed to be able to
>>find a pill with tolerably low side effects :(
>
>--
>J Wang, M.D
>Assitant Clinical Prof.
>Tufts University School of Medicine
>
>>**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.>
>
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