WOMENS-HEALTH Messages for February, 2009: Re: MENORRHAGIA: Messed up periods and BCP

Re: MENORRHAGIA: Messed up periods and BCP

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Wed, 18 Feb 2009 15:06:55 -0600 (CST)

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In reply to: Worried and Confused: "MENORRHAGIA: Messed up periods and BCP"

Worried

It is the same pill, hormone wise, but the loestrin 24 contains 3 additional pills, more on that later. The generic may have less additives or different ones that may make it work differently, so I would go back to the loestrin 24 and see if bleeding clears up.

Now, if you take a 21 day pack, you start on sunday, so your period will come during the week. On a 24 day pill, start on thursday, so your period will come during the week, not the weekend, so start the loestrin 24 on the thursday of your bleed week...Dr. von Almen

At Tue, 17 Feb 2009, Worried and Confused wrote: >
>I started taking Loestrin 24 FE and for two months was doing fine. Then
>for some reason they refilled me with generic Loestrin 1/20. I started
>the pack and started spotting 10 days into the pack (on Feb 7). Today
>is Feb 17 and I am still bleeding. It's enough that I have to wear a
>tampon all the time. I have only a couple pills left in my pack before
>the 7 day brown pills start. In the meantime I have gotten a
>prescription for the 24 FE again since I didn't have this problem before
>taking the 1/20.
>
>I know breakthrough bleeding is possible but this seems ridiculous. I
>have tried to get a hold of a nurse at my OBGYN office for weeks but I
>can't connect with anyone. At what point do I consider the possibility
>that something else is wrong? Also, do I have to take all 7 of the brown
>pills in this pack before starting the next pack of 24 FE?

-- 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.

Next message: William F. von Almen, II, MD, FACOG: "Re: GYNECOLOGIC: VERY CONCERNED--UTI gone wrong; bump & sensitivity :( help"
Previous message: William F. von Almen, II, MD, FACOG: "Re: PREGNANCY: 17 weeks pregnant with chronic bleeding/spotting"
In reply to: Worried and Confused: "MENORRHAGIA: Messed up periods and BCP"

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