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Re: Digest Number 2273

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Hey, gang!! I wrote in requesting info about birth control the other day but

got no answers....I'm sure that everyone thought that someone else would

answer but no one did!! If someone could shed some light on whether or not I

need to stop taking the pills before surgery, I would really appreciate it.

Thanks!!!

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> Hey, gang!! I wrote in requesting info about birth control the

other day but

> got no answers....I'm sure that everyone thought that someone else

would

> answer but no one did!! If someone could shed some light on

whether

or not I

> need to stop taking the pills before surgery, I would really

appreciate it.

> Thanks!!!

>

>

Hi ,

Dr. R. recommends barrier methods or combinations for the first two

years. Especially while you are really losing. I guess our hormone

levels fluctuate so much with the weight loss that the pill or the

provera shot can't be counted on to be effective enough. It is

really

important that any pregnancies after surgery are very planned. Hope

that helps. Its been a big chage for us.

Laurie

9/20/00

319/287/150

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Warning to women using Oral Contraceptives (Birth Control Pills):

More than 80 million women worldwide take " the pill " to prevent pregnancy.

Typical failure rates among pill users are as high as 12% to 20% in some

surveys. Other factors have been shown to increase the risk of pill failure:

smoking, diarrhea and/or vomiting drug interactions, systemic illness,

psychological stress, menstrual disturbances.

CONCLUSION: BC Pills may not be an effective method after the Mini-Gastric

Bypass until those factors have resolved. An unplanned pregnancy can be one

of life's most difficult experiences. Thoughts and feelings are often

confusing. It can be hard to know what to do.

Here is an article that does the best in explaining the known risks of BCP

failure in patients after Mini-Gastric Bypass:

What they found causes BC Pill failure: Smoking (Some of us) Diarrhea and/or

vomiting (46%) (Yep!) Drug interactions (33%) (Yep!) Systemic illness (Yep!)

Severe psychological stress (Yep!) Menstrual disturbances (Yep!)

So CONCLUSION: BC Pills may not be an effective method of Birth Control

after the operation until those factors have resolved.

N Z Med J 1989 Nov 8;102(879):575-7

Pregnancies in reliable pill takers.

Sparrow MJ Parkview Clinic, Wellington Hospital.

This study is an extension of a previous study on oral contraceptive pill

method failure in reliable pill takers. It documents 137 cases which

presented during the 3 year period from December 1985 to December 1988. The

most important new finding is that smoking is a significant risk factor in

failure on the combined pill (67% were smokers, n = 118), but not on the

progestagen-only pill, although the numbers in the latter group were small

(n = 19). Diarrhea and/or vomiting (46%) and drug interactions (33%) are

confirmed as important predisposing factors. Systemic illness and/or severe

psychological stress may also affect pill utilization and such factors were

found in 47%. Menstrual disturbances were found in 32% of women on the

combined pill and 68% of these were smokers. Multiple factors were present

in most cases (79%). Repeat failures occurred in 25%

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

Durham, N.C. 27704

Telephone #:

Fax #:

Email: DrR@...

************************************************

Please Visit our Web site: http://clos.net

************************************************

Please join the

Mini-Gastric Bypass Community at

http://www.egroups.com/group/MiniGastricBypass

Get the

Mini-Gastric Bypass

Patient Education Manual

( http://www.clos.net/get_patient_manual.htm )

Re: Digest Number 2273

> Hey, gang!! I wrote in requesting info about birth control the other day

but

> got no answers....I'm sure that everyone thought that someone else would

> answer but no one did!! If someone could shed some light on whether or

not I

> need to stop taking the pills before surgery, I would really appreciate

it.

> Thanks!!!

>

>

>

>

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,

I don't think you need to stop the pill before surgery but he will

recommend that you stop it after surgery due to possible nausea. I

am on them not for birth control but for hormone replacement. Am

going to play it by ear I think for a month and then talk with my

GYN - am not interested in being nauseous all the time. If you are

on them for birth control you need to seek another method and Depo is

apparently not an answer because of nausea.

on

MGB 10/04/00

Preop 275

10/10/00 269

> Hey, gang!! I wrote in requesting info about birth control the

other day but

> got no answers....I'm sure that everyone thought that someone else

would

> answer but no one did!! If someone could shed some light on

whether or not I

> need to stop taking the pills before surgery, I would really

appreciate it.

> Thanks!!!

>

>

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