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Re: Triphasic versus Monophasic Birth Control PillsFrom: Thomas (anonymous@obgyn.net)Fri, 31 Jul 1998 03:09:51 -0500 (CDT)
Ortho-Cylen is not a pill we get here in Australia so it is difficult for me to comment not knowing what is in it. However, I have strong views on this issue and thought you would like to hear them. Triphasic pills were initially introduced to mimic the hormone changes in the cycle more and therefore cause less side effects. In reality, because of this, they may potentiate the unwanted effects of a mentrual cycle such as PMT, breast tendernes or ovarian cysts which the pill normally protects against. Furthermore, more modern monophasic pills have a lower dose of estrogen in them and are theoretically safer. Many triphasic pills still have days with tablets of higher dose estrogens. Finally, one benefit of monophasic pills is that you can omit the 7 day break and therefore have no period at important times such as holidays. Furthermore, it can be used in such a way to treat conditions such as period pains, heavy bleeding and endometriosis. (Don't go using your pills in such a way without speaking to your doctor first). I think that triphasic pills were the technology of the 1980s and that most women do much better on the low dose monophasic pills. Ofcourse, different things work best for different individuals.
-- Dr Thomas Ind MB BS MD MRCOG St George Hospital Kogarah Sydney NSW 2217 AUSTRALIA
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