WOMENS-HEALTH Messages for January, 1998: Re: depression and estrogen/ progesterone ortho tricyclin birth control pills

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Re: depression and estrogen/ progesterone ortho tricyclin birth control pills
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 8 Jan 1998 19:45:33 -0600 (CST)

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In reply to: e: "depression and estrogen/ progesterone ortho tricyclin birth control pills"
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At Thu, 8 Jan 1998, e wrote: >
>I have recently started treatment for depression that became much more
>serious one month after i began taking birth control pills in january of
>last year.

So, depression existed but was exacerbated by birth control pills by your history.
>depression is a listed side effect; i am wondering if anyone
>can tell me more about the relation between progesterone, estrogen, and
>depression- specifically, chemically, what is the relation between the
>two?

This has not been delineated yet.
>also, are there other alternatives to treating my depression other
>than going on anti-depressants; for example; should i try taking other
>types of pills with different ratio of estrogen and progesterone, or use
>another type of contraceptive altogether.

That may or may not work. there is no such thing as a depression birth control pill. Individual reactions vary. And, as you mentioned, you're treating a depression that was there before the pill but got worse.
>Also, given that this onset
>of depression may have been caused by birth control pills, are there
>specific antidepressants that will be more effective than others?

Also, very individual. A psychiatrist would be the appropriate one to discuss this with.
>And,
>does this side effect, like others, go away with time?

Although I don't recall seeingit in the literature, my personal feeling is I doubt it.

-- Harvey S. Marchbein, M.D. FACOG OBGYN.net U.S. Representative, New York Great Neck, New York http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/advisors/harveym.htm
**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 no private emails will receive a response.
**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Almost 7 weeks pregnant, no constipation and no frequent urination"
Previous message: Barbara: "Re: Unexplained Chronic Vaginal Pain from John Robertson, MD. Canada"
In reply to: e: "depression and estrogen/ progesterone ortho tricyclin birth control pills"
Next in thread: Kelly: "Re: depression and estrogen/ progesterone ortho tricyclin birth control pills"

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