WOMENS-HEALTH Messages for December, 2000: Re: ??? about BCP and high blood pressure

Re: ??? about BCP and high blood pressure

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 14 Dec 2000 09:29:34 -0600 (CST)

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In reply to: Tina: "??? about BCP and high blood pressure"

At Wed, 13 Dec 2000, Tina wrote: >
>My ob/gyn is going through the motions with my primary physician's
>medical group to get my hysterectomy approved. He has my medical
>history and knows that I have slightly high blood pressure. At last
>appointment it was 150/90 and I have been on Tenormin for the past year
>for it.

As long as hypertension is controlled, BCP's are safe. Given the 150/90, it would seem that the Tenormin needs to be optimized a little-with or without the BCP's.

And I also have MVP, which probably is the reason for the blood >pressure being elevated.

I very much doubt that your MVP has anything to do with your hypertension. At least I hope not cause then there would be other significant cardiac manifestations.

>
>My question is this, since I do have MVP and elevated blood pressure,
>should my doctor put me on the BCP to try to eleviate the problems? I
>personally don't think that they will work, they didn't work the last
>time.

That's going to have to be a judgement call. If it is a matter of documenting attempts at medical therapy so that surgery can be approved, then you physician simply should state his/her concern regarding the safety of BCP's in light of your hypertension. The reviewer won't know the specifics and will likely approve the surgery. >
>I saw the orthopedic surgeon I was referred to, took in my MRI and X-ray
>films, and he said that the pain in my pelvis, which only shows up
>during my period, has nothing to do with my pelvic bone or my spine or
>hip. He said I should keep seeing my ob/gyn because it could either be
>endometriosis or adenomyosis.

Wow, I am amazed that an orthopedic surgeon even knows these words... 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: Endrometreosis(?) and Epilepsy"
Previous message: Parbo: "Ultrasound Concerns"
In reply to: Tina: "??? about BCP and high blood pressure"

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