Gynecology Book

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Seasonal Oral Contraceptive Cycle

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  1. See Also
    1. Oral Contraceptive
  2. Indications
    1. Menstrual Migraine
    2. Heavy Menstrual Bleeding
    3. Woman wanting to reduce Menses to 4 times per year
  3. Techique: Seasonal, 84 day regimen
    1. Continue active pills (no Placebo pills) until:
      1. Breakthrough bleeding or
      2. 84 days pass
    2. When active phase completed
      1. Hormone free: 5-7 days
  4. Preparations
    1. Any monophasic Oral Contraceptive may be used
      1. Simply do not take Placebo pills
    2. Preparations marketed for seasonal regimen
      1. Seasonale (same components as Levlen and Nordette)
        1. Levonorgestrel 0.15
        2. Ethinyl Estradiol 30

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