Re: CONTRACEPTION: Switching from BCPs to Copper IUD
From: grateful mom (anonymous@obgyn.net)
Sat, 30 Jun 2007 22:49:07 -0500 (CDT)
Thanks for the information Pat. The switch to a monophasic pill sounds
reasonable. Obviously the risk factors for women over 35 who smoke or
are at risk for blood clots are huge as well as women with a hx of high
blood pressure.
Again thanks for the information.
At Sat, 30 Jun 2007, Pat Sonnenstuhl wrote:
>
>1. Generally, the triphasics at least aren't recommended over the age
>of 35.
>A los dose monophasic might be appropriate, depending upon the health
>history.Though the risks are rare, they are still there. With other
>good methods of birth control such as the IUD, I think this is a fairly
>common recommendation. I know the pill is used for perimenopause cycle
>irregularity, so in a woman who doesn't smoke, and is low risk, perhaps
>a chance to a lower dose monophasic could be considered.
>
>http://www.plannedparenthood.org/birth-control-pregnancy/birth-control/the-pill.htm
><<Possible Complications Serious problems do not occur very often. In
>general, using the pill is much safer than pregnancy and childbirth.
>Combination pill users have a slightly greater chance of certain major
>disorders than nonusers. The risk is increased by being age 35 or
>older, smoking, and by having conditions associated with heart attack,
>such as diabetes, high blood pressure, or high cholesterol, and certain
>inherited conditions that increase the risk of blood clotting.
>
>The most serious complication of combination pill use is having a blood
>clot in the legs, lungs, heart, or brain. Women on the combination pill
>who have major surgery or who have a leg immobilized — because they are
>confined to bed or have a cast — seem to have a greater chance of having
>blood clots. It is important to tell your surgeon that you are using
>the combination pill when planning a major operation. Follow your
>clinician's advice about when you can take the pill again.
>
>Rarely, women who take the combination pill develop high blood pressure.
>Very rarely, they develop liver tumors, gallstones, or jaundice
>(yellowing of the skin or eyes). >>
>
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