WOMENS-HEALTH Messages for November, 2001: Re: Periods twice a month and prozac

Re: Periods twice a month and prozac

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 28 Nov 2001 10:05:05 -0600 (CST)

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At Tue, 27 Nov 2001, anonymous@obgyn.net wrote: >
>I'm 29 years old and have two periods a month for a year. I was on
>Desogen for 4 years with no problem, then was switching to a generic
>brand and started lightly bleeding between periods at day 11 post-period
>lasting two days. After three months, I went to the doctor and was
>switched to ortho-novum for two months (pap smear was normal and
>pregnancy test negative). For the past four months, I have been on
>ortho-tricyclin - the bleeding has gotten heavier and lasts day 11-14
>post-period and is now accompanied by PMS just before it starts. I have
>not had any pain and my regular periods are normal. Today the doctor
>suggested continuing on ortho-tricyclin for two months (to get it into
>my system) and taking prozac or zoloft to minimize the effects of PMS
>twice a month (I have no symptoms of depression) followed by switching
>to monthly birth control shots if continuing the othro-tri doesn't work.
>The PMS is mild and having seen the side-effects, I declined the prozac.
>I made an appt with a gyn outside of the student health center next
>month.
>My questions - is it better to stop taking the pill or to take it
>continuously to try to sort this out? Will switching birth control meds
>yet again really help?
>
>--
>Thanks, E.A.
>

I would tend to stay away for triphasic type pills in women that have breakthrough bleeding and use a monophasic instead, and I might suggest LoOvral as being a good one for controlling bleeding. If that does not work, you might need a biopsy or hysteroscopy or U/S so see if there is something in or about your uterus that is the problem. 2 months is plenty to get the pill in your system, and 6 is overkill.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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