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Re: MENORRHAGIA: Confused about Aygestin
From: Andi (anonymous@obgyn.net)
Tue, 25 Mar 2008 19:43:14 -0500 (CDT)
Thank you for your response. I'm not quite ready to give up on child
bearing so don't want to go the ablation route. I guess I will wait and
see what happens.
At Tue, 25 Mar 2008, William F. von Almen, II, MD, FACOG wrote:
>
>Andi
>
>Aygestin is progesterone and will antagonize the excess estrogen. I
>usually give it every month, not just one, but he may just want to see
>if it works, then gets bad again. It can also be used to start a period
>as well.
>
>You may want to consider a longer term therapy, such as the mirena iud
>which is progesterone containing or an endometrial ablation. Talk to
>your doc when you go back in about these options...Dr. von Almen
>
>At Tue, 25 Mar 2008, Andi wrote:
>>
>>I am 34 and overweight, I have had non stop bleeding for months. I have
>>had ultrasounds (no polyps or fibroids), pap smear (normal), endo biopsy
>>(negative), glucose test (normal, no PCOS). I guess the bleeding is due
>>to me being overweight and having unopposed estrogen. My dr prescribed
>>aygestin for 2 times a day for 1 week. After 3 days my bleeding
>>stopped. I am having some side effects including cramping but nothing
>>too bad. I'm confused as to how aygestin works and what to expect. I've
>>read that many people take aygestin to bring on a period. Am I to
>>expect a period after I'm done with the pills? I'm worried I am going to
>>start bleeding and not stop again. The dr said just take it for a week
>>and to come back in 3 months. Isn't this a medication that I need to
>>take monthly? I have had blood clots in the past so cannot take birth
>>control pills. I am currently taking coumadin along with the aygestin.
>>Losing weight is going to take time so how can I regulate my cycle? I
>>have called the dr to ask these questions but I always get a nurse
>>calling back and she doesn't know, she just said to watch it for the
>>next 3 months. Any advice?
>
>--
> 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 emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>
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