YOUNG-WOMEN Messages for August, 2002: Re: Could I be pregnant?

Re: Could I be pregnant?

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 27 Aug 2002 11:15:33 -0500 (CDT)

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At Tue, 27 Aug 2002, Melanie wrote: >
>Hi- I am 20 years old and on birth control pills (I have been on them a
>little more than 2 and a half months). I was on antibiotics
>(Amoxicilin) for ten days starting July 31 (did not know about the bc
>interaction). I was also taking a barbituate with asprin and caffein
>and I just read that barbituates can interfere with it too. I got my
>scheduled period on August 5 (the start of my placebo pills). Since
>that means that most of the time I was on the antibiotcs I was on the
>placebo pills does that mean that the antibiotics weren't a problem
>then? The only backup was our usual withdrawal. I'm not supose to get
>my next period until next Monday, but starting Friday (the 23) my
>breasts have been sore- not really the nipple though- under it and the
>sides. Also I got really bad gas on Thursday (the 22) - worse than ever
>and really bloated. I have had bad headaches for a while (but I
>attribute that to sinuses and the fact that I have nose surgery for a
>deviated septum July 9th), but I also have had some nausea in the
>afternoons lately, and dizzy and lightheadedness. I know all my
>symptoms could be attributed to other things- but the breast tenderness
>is too early for pms and I never get that anyway. Should I test? I'd
>have to wait a few more days though since my period isn't do for a
>while... or should I just wait for it to come? Thanks,

There is little reason to test, but if it would ease your anxiety, it may be helpful. The interaction between OCPs and Amoxicillin is minimal, and assuming proper usage of both, is very, very, very unlikely to result in pregnancy. The barbituates MIGHT interact, but you would have to be taking a lot of them. When you add this to the fact that you have actually had a period at the appropriate time, and after the medication use, there is virtually NO chance you could be pregnant from that cycle. I would wait for you next period.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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