WOMENS-HEALTH Messages for March, 2001: Re: Student Question: Soy allergies and oral contraception

Re: Student Question: Soy allergies and oral contraception

From: D. Ashley Hill, MD (anonymous@obgyn.net)
Fri, 30 Mar 2001 22:07:19 -0600 (CST)

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In reply to: anonymous@obgyn.net: "Student Question: Soy allergies and oral contraception"

At Fri, 30 Mar 2001, anonymous@obgyn.net wrote: >
>My name is Renee Powell and I am an ubdergraduate nursing student at the
>University at Buffalo. This semester was my first clinical rotation at an
>outpatient family planning clinic. This is my first true exposure to
>Women's Health and the issues that arise in this area of healthcare. My
>question is in regards to a patient that came in that had a perplexing
>situation. She was a young woman who was interested in beginning oral
>contraception. The only problem was that she was allergic to soy.

I have never heard of a soy allergy, but I suppose it's possible. However, it's not possible to be allergic to estrogen, since the body normally makes estrogen. It's possible to have an adverse *reaction* to estrogen, but that's not the same thing as an allergy. (As a specific example, many of my patients report an "allergy" to codeine. When you ask what the reaction was, they state that it gave them an upset stomach. That's not an allergy; that's a bad reaction). I doubt that I would withhold oral contraceptives from someone who had a "soy allergy" but I would have to take a history and do an exam before making that decision. I'll bet you $10 that she can take oral contraceptives. Best wishes,

DAH

-- David Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, Florida

The above is general medical information, and should not be construed as specific treatment advice. Due to time constraints, I am unable to answer individual emails. Thank you.

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