What method of contraception do you recommend? Besides the vaginal ring?

25-year-old woman3 years ago

Since I was 14-15 years old I have been using the birth control pill marvelon. One day, I was advised to take it continuously, which I did for a few months, but I started to have heavy spotting. I switched to yasmin, clyclen and marvelon again, the spotting kept increasing. My gynecologist advised me to use the patch, but it still doesn't work. I have my period 20 days a month. I have been taking it for more than 7 months... I don't have any gynecological problems, except for recurrent vaginal mycosis in the past. I have a very sensitive vaginal flora. I am really tired of this bleeding, it has been going on for more than 2-3 years... Do you have a pill to recommend? The deposit? Can taking a course of birth control pills for a few months to bring my system up to date help? Is it better to stop taking the contraceptive? Can this solve the problem? ** All contraceptives have been tried for about 3-5 months... Thank you!

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Alexandre Chagnon · 3 years ago

Hello Ma'am,

Clearly, pills don't seem to be the answer in your situation.

That leaves the ring (why aren't you interested in it?), the Nexplanon™, and the IUD.

Do you know what these options are?

25-year-old woman · 3 years ago

I am not interested in the ring because I have very sensitive vaginal flora. I get vaginal yeast infections regularly if I use tampons.

I don't know about the Nexplanon though. Can you tell me more about it?

Do you think the IUD is a good idea? Isn't it still the same hormones as the pill?

Why is the provera depot so little used and prescribed?

Thank you!

Alexandre Chagnon · 3 years ago

Depo Provera is not used much because many women complain of weight gain and once you want to stop birth control, it can take several months for your period to return.
The IUD is a very, very good option, both in terms of effectiveness (it's the most effective solution in practice) and in terms of not forgetting it (compared to the pill). The hormones inside are different from the pill; it contains only a progestin;
The Nexplanon™ is new to Canada, but used for a very long time in France. It is a small device that is inserted near the elbow in the arm and diffuses hormones, like the IUD.

25-year-old woman · 3 years ago

Spotting begins again approximately after the 10 th day of resuming the contraceptive. The blood flow can be excessively heavy like a period. Which of the 3 options you offered me do you think would be the most effective?

Alexandre Chagnon · 3 years ago

In my opinion, you are at the least risk of spotting with the Nexplanon™ and the IUD.

Alexandre Chagnon · 3 years ago

The IUD must contain hormones though, like the Mirena™. Copper IUDs will not decrease the amount of bleeding per month.

25-year-old woman · 3 years ago

All right, a big thank you!

Alexandre Chagnon · 3 years ago

It feels good :)

Alexander

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