WOMENS-HEALTH Messages for February, 1998: Re: Diflucan and Birth Control Pills

Re: Diflucan and Birth Control Pills

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 22 Feb 1998 17:47:03 -0600 (CST)

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In reply to: kate: "Diflucan and Birth Control Pills"

At Sun, 22 Feb 1998, kate wrote: >
>Hi there. Thank you Dr. Marchbein for answering my questions about my
>unicornate uterus. I have a couple more questions.

You're welcome. Actually, Dr. Lovely and I emailed each other about unicornuate uteri and studies available.

There are a few studies with very small numbers of patients. Most showed greater problems than I stated with my patients but one study showed people did much better. There was also the question of first trimester losses and Dr. Lovely pointed out a statistic of 40-60 %. My patients did quite a bit better. This whole discussion points out the problems associated with drawing conclusions and giving statistics about conditions not common enough to get statistical certainty in studies, leaving personal experience, good or bad, to lead your treatment methods.

>I started on Ortho-Tricyclen two months ago and developed a yeast
>infection each month after not having one for almost two years. My
>doctor has now switched me to Alesse to see if I will have fewer side
>effects. I will start taking the Alesse pill when my next period
>starts. I took Diflucan for the first time at the end of my cycle (just
>before my period) last month which cleared up my yeast infection. I
>have since stopped taking my second pack of Ortho-Tricyclen pills
>half-way through the pack (I didn't want another yeast infection!).

Oy!

>I
>took the last pill (pill # 12 in the pack) on Tues. Feb.17 and have not
>started my period yet. I was just recently informed that Diflucan can
>interfere with the effectiveness of the pill.

Possible but unlikely.

>I did not know this and I
>had sex four days after my last period.
>Should I do a pregnancy test now or wait another week to see if I get my
>period?

I'd wait and see.

>What are the chances of getting pregnant after taking the
>Diflucan at the end of my last cycle?

Nil, since you had passed the point in time for concern.

>Thank you.
>Kate

--
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: mENORRHAGIA"
Previous message: Diane: "Post Hysterectomy Question :-)"
In reply to: kate: "Diflucan and Birth Control Pills"

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