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