yasmin to control premenopause symtoms

[kgch]

I'm 51 years young, and for the last 6 years have been on Yasmin to control very heavy bleeding, severe headaches and cramping, and hot flashes.  Recently, the yasmin has started to not work efficiently, whereby I now have breakthrough bleeding, and very heavy periods with lots of clotting.  Went to a GYN, and I'm due to have blood tests to determine hormonal levels, etc.  My question is the following:  The GYN told me that it wasn't safe to be on the birthcontrol pill for any woman over 40.  Now, I'm active, I run, I'm not overweight, no breast cancer in our family, etc. At the time of prescription (6 years ago) my then GYN said that it was a safe method to approach the problems.  I also have quite a few fibroids (small).  Anyways, what is your opinion?
KGCH

[sadsuzie]

Hello... I am new here.  I am 41 and have been on bioidentical hormones for about 3 years. I am to a point, just learned of fibroid on back of uterus, positive for HPV, and my entire world is falling apart.  I am having such a hard time and on an emotional rollercoaster and my husband is threatening to leave me because he can't understand where I am and I am really trying... my doc has suggested that I get off of bioidentical and try yasmin... I am so afraid to do anything, with the bio's I have been chasing that for some time now, changing doses,etc on a weekly basis, now the smallest dose causes me to retain fluid, and just be miserable.  I have not been on any birthcontrol since I was 22.... suggestions please....

[Machelle Seibel, MD]

A. For a nonsmoker in good health, the risk of the birthcontrol pill over age 40 is low.  Blood clots are among the biggest risk and most of those occur in the first few years of treatment, so you are past that.  The pill can lower a woman