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Re: adjustment to alesse/infections from partner? (Dr. Wang?)

From: j wang, M.D. (anonymous@obgyn.net)
Mon, 30 Oct 2000 18:45:29 -0600 (CST)


Sorry, I thought I combined the two answers:

At Mon, 30 Oct 2000, Emme wrote: >
>these questions were in an earlier post today, but when dr. wang kindly
>answered my questions, I think he only addressed the question in my
>second post. Could someone answer these for me? Thanks!
>
>My period started overnight between Friday and Saturday, and I took the
>first pill of Allesse yesterday am. I was on
>Triphasil late Feb-early Sept. and then took two months off of bcps due
>to side effects. **Could you remind me of what to expect when first
>starting the pill? Headaches? nausea?

Depends, if you didn't have a aproblem on triphasil, it's not likely to be a problem now.

I don't remember my starting >Triphasil as being particularly awful, so hopefully Allesse (as a low,
>low dose) will be virtually painless. Is there any reason why people
>would have reactions to this pill, that they wouldn't have to a higher
>dose (35mcg) pill?

It is a lower dose of estrogen, theoretically, should have less side effects from estrogen.

>
>Also, how long should it take your body to get adjusted? 1 week? 3
>months?

Usually within 4 months the pill is showing how well it works.

And how long does it take the Pill to enter into your system >when you take it everyday (ie. would you feel the effects more in the
>am or the evening if you took it early in the morning?)

Whithin hours. But thiming varies depending on the individual. >
>Secondly, my flow was very heavy Saturday and half of yesterday (which
>is normal) but today seems to be very sparse. Is this because I started
>taking the pills? (I am unsure of how the mechanisms work). Probably not - too soon for the effect.

>
>i had an unanswered question from a post last week:
>if I get bacterial infections from my partner (group b, gardnerella) is
>it present on his penis all of the time, or only in his ejaculate? (we
>use condoms so i wonder if he even needs to have a culture done or
>something...treatment of the partner does not seem to be the usual
>course of action according to some of the drs on this site.) i don't
>know if the infections are the result of bacterial overgrowth that
>occurs when i take antibiotics, or if they are coming from him.

> Group B and Gardneralla are not generally considered infections transmitted through sex. Group B shouldn't be treated unless it's UTI or during pregnancy.

>Thanks so much again!

--
James 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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