Talk:Extended cycle combined hormonal contraceptive

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From the article:


 * Apparently this can be done with any modern birth control pill - it's really just a matter of packaging the pills in 3 month lots rather than 3 week lots.

This depends on the pill in question. Some of them contain the same dose of each hormone on each day, and others do not -- as I recall from my physio class, it is only the first-generation pills that were identical every day. They are not sold any more because of problems with breakthrough bleeding. For that matter, it is also not clear that maintaining identical daily hormone levels for three months would be all right, even if it were OK over 28 days.

If anyone knows more about it than that, please add. My knowledge is sufficient to detect and remove error, but not quite adequate to replace it.

Apart from that, if this sort of assertion does end up in the article, we probably ought to flag it with the template that says, "Wikipedia is not authoritative. If you need medical advice, go see a doctor." Anybody know which one that is? I found the actual Medical_disclaimer, but that's a link, not an include. eritain 18:02, 20 September 2005 (UTC)

Rename/topic expansion
I would like to move this article to Extended cycle combined oral contraceptive pill. This name change would allow discussion of similar pills like Seasonique and Anya as well as extended use of active pills with traditionally packaged brands (off-label use). I believe covering these topics in one article will provide better information to readers than breaking it up into small articles like this one is or nonexistent ones like Seasonique (which currently redirects here) or Anya (drug). Lyrl Talk C 20:19, 20 May 2007 (UTC)
 * I agree; I always think Wikipedia should favor a process over a brand name. --mordicai. 14:36, 26 May 2007 (UTC)
 * Comment. The merge tag isn't really the best way to go about this, since the proposed page doesn't exist & the "Discuss" on the template redirects there.  There isn't a "proposed move" tag that I know of, though.  --mordicai. 14:36, 26 May 2007 (UTC)

History section
I've tagged the history section for expansion - it currently only covers the recent approval of COCPs specifically packaged for this use. The history of extended cycle use is much longer than that - an entire book was published on this subject in 1999 (see the "Further reading" section)! The origins of extended cycle COCP use and the controversy surrounding this use deserve more coverage here. Lyrl Talk C 14:09, 17 June 2007 (UTC)

Edits 16-Nov-2007
In the introduction, I:
 * moved the explanation of "menstrual suppression" as a synonym for extended or continuous COCP use to the second sentence.
 * made the discussion of extended or continuous cycles with other hormonal contraceptives its own paragraph
 * deleted the "...avoid having the monthly bleeding..." sentence as redundant with the opening sentence "...reduce or eliminate the withdrawal bleeding..."
 * removed the "skipping your period" statement - in the introduction to an encyclopedia article I believe it's better to stick to medical terminology.
 * deleted the two sentences beginning "Normally, while using traditional birth control..." as redundant with the "Usage" section of this article.
 * deleted the sentence "This practice has been used by women..." as not appropriate for the introduction; reasons for use are discussed in the "Indications" section of the article.

In the "Usage" section, I:
 * deleted the "..instead of taking the placebo week of pills, women will continue to take hormone pills..." sentence as redundant with the sentence that immediately follows it "...the placebo pills may be skipped (going straight to the next pack of active pills)..." This also removed references to the specific brand Seasonale from this section: this article is about all extended and continuous cycle uses, specific brands should only be discussed in the "Brands" and possibly the "History" sections.
 * deleted the sentences starting "However, since these drugs are so new..." as uncited commentary. Wikipedia does not give medical advice, and this includes the advice "discuss your options with your doctor".

In the "Indications" section, I:
 * deleted the sentence "Initially, this drug was only prescribed to women suffering from menstrual complications..." as uncited.
 * also deleted "However, conclusive evidence..." because again, it is uncited.
 * summarized the position of the Society for Menstrual Cycle Research and mentioned them by name instead of "some researchers"
 * deleted the discussion of periods being necessary to flush out toxins - that is a small minority view right now. While it deserves a mention in menstruation, presenting it in this article would give it undue weight.  Also, pregnancy-info.net is not a reliable source.
 * deleted the sentence "There have been no reported side effects..." as uncited.

In the "Side effects" section, I:
 * summarized the discussion of Dr. Rako's personal beliefs concerning extended and continuous COCP regimens in the interests of avoiding undue weight.
 * removed the sentence "There is no available data..." as uncited.
 * removed the discussion of the Society for Menstrual Cycle Research's opposition to promotional material for extended and continuous use of COCPs. This discussion was both a duplicate of the discussion in the "Indications" section, and is off-topic for the "Side effects" section.

In the "History" section, I removed the discussion of Dr. Rako and Dr. Miller because it doesn't explain the history of these methods. For the same reason, I removed the discussion of the survey.

I also replaced the link to Dr. Miller's site in the "External Links" section, I'm not sure why it was removed. I removed the ARHP link because it doesn't seem to meet the WP:EL criteria of offering information that cannot be integrated into the Wikipedia article.

LyrlTalk C 00:49, 17 November 2007 (UTC)

Move to Extended cycle combined hormonal contraceptive
Since there are now non-oral combined hormonal contraceptives that may be used for extended use, it seems reasonable to move this page from Extended cycle combined oral contraceptive pill to something more general. I suggest Extended cycle combined hormonal contraceptive. Thoughts? Thanks. Zodon (talk) 04:25, 28 January 2009 (UTC)


 * No response in couple of weeks, so went ahead and did it. Zodon (talk) 09:08, 12 February 2009 (UTC)

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