YOUNG-WOMEN Messages for September, 2002: Re: birth control and side effects

Re: birth control and side effects

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 25 Sep 2002 08:25:15 -0500 (CDT)

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In reply to: PJ: "birth control and side effects"

At Tue, 24 Sep 2002, PJ wrote: >
>About 7 years ago I tried to go back on the pill at age 33. I kept it
>up for 3 months but I was so sick to my stomach it felt like I was
>pregnant with nausea. It was the lowest dose available so I stopped
>taking it. Tomorrow I go in for a D & C after being diagnosed with a
>blighted ovum today.....I don't wan't to go through this again and I
>need birth control to prevent this. Any advice on a pill that won't
>make me ill or other simple options for prevention? I'll be 40 in 2
>months....I don't smoke, not overweight, in good health overall.
>
>--
>PJ
>

You could try the patch or the new ring, both of which bypass the GI tract and would be expected to cause less GI side effects. You could get an IUD. You or your partner could have permanent sterilization. The "lowest dose" pill is not necessarily the correct answer for all pill side effects, as changes in the progesterone component are responsible for most changes in side effects, so it may well be that there is a pill that you can use, or you could consider the progesterone only pill (mini-pill).

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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