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Re: [Birth Control] Alternative Birth Control Methods for age 35 and Smoking

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 29 Aug 2001 10:52:57 -0500 (CDT)


At Tue, 28 Aug 2001, Lisa wrote: >
>I have been taking the BCP for the last several years, but my doctor
>says that after I turn 35, I will have to go to another form of
>contraception, because I smoke. For the last couple of years, I have
>been having very painful disabling cramps, passing large clots, and
>irregular periods. He has told me that he thinks I have endometriosis.
>I don't want the side effects of depo shots, and also have heard that
>the IUD can cause cramps and heavy periods, of which I already have.
>Which contraception method could I switch to without having the heavy
>bleeding and more cramps? I have not been back to my doc yet. Thank
>you, Lisa

Why don't you stop smoking, and then you can continue the BCP? You could have a tubal ligation, or your partner could have a vasectomy, and you could even add a endometrial ablation to control the bleeding. In some selected smokers that fully comprehend the risks involved, I have used very low dose pills after the age of 35, but I don't like to do it.

--
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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