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To eb (Yasmin)

posted by Holly, 27.12.2007, 11:19

Hi Peridot,
I'm not sure why your derm would bother testing you on day 3 if you are currently on the pill. I know there are testing 'ranges' for pill users and one may be able to extrapolate something from them, but I doubt it. The reason being is quite simply because the ovaries are shut down and have no FSH/LH stimulation to produce ovulation. The 'bleeding' one sees when on the inactive placebo pills is just withdrawal bleeding - meaning you just took away the active hormones to elicit bleeding. It means nothing.

As far as going off the pill, I personally believe you would need to be off for about 3 cycles to truly see what the ovaries are producing. It sometimes takes awhile for them to get back up and running - think of a car that's been parked in the garage for years and years!

Of course, the problem with going off the pill is the dread shed - which will most likely occur because of the drop in synthetic hormone your body has been relying on for many years. When I went off the pill last year, I thought I had skated through without the dread shed, but it hit me with a vengeance at 3.5 months and continued for 4 months.

EB is exactly right. The problem with testing serum levels of hormone is that they do not tell the story of what is going on locally at the tissue level. The main function of hormones is to stimulate cellular function within the tissues of organs, skin and muscles. Blood tests are of limited use, but can be helpful if one has abnormal results.


» Yes, eb, I'd written this msg. before you & I talked and I've learned a lot
» from you since!
»
» Frustrated b/c the timing worked out such that the 3rd day of my cycle was
» this week, while I've been out of town. So now I'm going to have to wait
» ANOTHER month before getting my hormones retested.
»
» BUT--so if you were me would you go OFF the pill for a full monthly cycle?
» Normally I'd be starting the next pack on Sat. but now I'm wondering if I
» should. Would that be enough time to TRULY see what my levels are (though
» the gyno, and you too really, have suggested that the tests I've already
» had done, which all come out normal, are probably pretty close to
» accurate, pill or no pill)? Or do you have to be off longer than 1 cycle?
» Or should I just stick w/ the "stay on the pill but get tested the 3rd day
» of your cycle" plan?
»
» Aargh. Every day my conviction that the thing to do will be shave it all
» off grows stronger. (I've been saying this for months now, I know, but it
» will take a few more to work up the nerve I'm sure!)


Holly is located in [NA] and he is available to meet: NO

 

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