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Menopause (Expert Forum)
yasmin to control premenopause symtoms
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School
MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy , hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis , sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.
yasmin to control premenopause symtoms
by kgch, Oct 20, 2006 12:00AM
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
KGCH
Doctor's Answer
by Machelle Seibel, MD, Oct 25, 2006 12:00AM
, Oct 25, 2006 12:00AM
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’s vitamin B levels so also being on a multivitamin is a good idea. There are also even lower combination pills designed specifically for menopause. The dosage is a little low for true contraception, but contraception is not necessary for women in menopause, and the lower dose can be effective for keeping most of the symptoms of menopause in control. If regular exams are done and your fibroids haven’t grown in 6 years on the Birth Control Pill, they are not likely to grow in the years to come.
Machelle M. Seibel, MD
Machelle M. Seibel, MD
Member Comments (2)
by sadsuzie, Jan 06, 2007 12:00AM
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....
