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Re: [Birth Control] A break from birth control

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 3 Oct 2001 11:32:54 -0500 (CDT)


At Tue, 2 Oct 2001, Debbie wrote: >
>I got Norplant in the summer of 91 and got it removed 5 1/2 years later.
>At that time I started on Depo-Provera. I decided to stop using Depo
>due to the limited long-length research done on it. I should have
>received my last shot in the middle of May. I have just gotten my first
>period in about 10 years (I didn't have a regular cycle on Norplant and
>didn't bleed at all on Depo). I have taken birth-control pills before
>Norplant but vomitted for long hours (over 13 hours straight) with 4
>different strengths and brands. What is the best contraceptive choice
>for me? I am not sure whether to try birth-control pills again or just
>use OTC forms. I don't think my body can handle more hormone
>combinations.

The depo-provera has been around for >20 years in other countries, and is one of the best studied hormonal contraceptives available. You have several choices, and your choice depends largely on personal preference and whether you want it get pregnant at some point, and if so, when. There is an oral progesterone very much like Depo and Norplant, there is a whole new generation of OCPs that are very low dose. OTC methods are very user dependent, and even in the best of hands are weaker than hormonal methods. The IUD is a great choice for non-hormonal, long term, very effective contraception.

--
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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