Question of the Month

Q:  I am 22, and have been on Ortho Tricyclin for about 6 years. I suffer from alopecia, and believe that my pill helps keep it somewhat at bay. What is your opinion of the new pill, Seasonale, that cuts the number of periods to just four times a year? Do you think this pill would be helpful with my alopecia?

A: I agree that the pill may help control alopecia though by itself it may not be adequate treatment.

The progesterone-like hormone in Seasonale(r), levonorgestrel, has some testosterone-like activity so may not be a good choice for women with androgenic alopecia. However it is possible to use other OCs, including OrthoCyclen(r) which is almost the same as OrthoTriCyclen(r), in such a way as to have periods 4 times a year rather than every 4 weeks. You can discuss how to do this with your gyn or other physician. It is very important that the schedule be set up correctly so that it is still effective for contraception.

Hope this is helpful.

Geoffrey Redmond, MD

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