Here are some of the most common reasons your doctor may advise against using BC with estrogen:. You currently have breast cancer. There are many types of breast cancer, including those that are estrogen-receptor positive. That means they need estrogen to grow, so taking an estrogen-containing form of birth control could stimulate them, Mary Jane Minkin , M.
Adding too much to your body via birth control could suppress milk supply, Dr. Minkin says, so a doctor will likely steer you in the direction of something like an IUD or the progestin-only minipill. You have a history of blood clots. You have high blood pressure. Combination birth control can boost that risk even more because estrogen can raise blood pressure, Dr.
Minkin says. But they may also advise against estrogen in your birth control altogether. Smoking is obviously incredibly detrimental to your heart health. It creates a host of negative effects, like harming your blood cells, damaging the structure and function of your blood vessels, and making it harder for your heart to function overall, according to the National Heart, Lung, and Blood Institute.
Being a smoker and taking an estrogen-containing birth control method can increase your risk of blood clots, heart attack, and stroke. Minkin notes that a lowered libido is a common complaint—and prefer to go sans hormones in the future. In that case, a copper IUD might be a good choice for you. While there are other hormone-free methods of birth control like condoms and fertility-based awareness methods, your overall options are pretty limited.
Listen, the insertion procedure can hurt. For some people, it will just be mildly uncomfortable, but for others it can hurt a lot. IUDs have been established as safe and effective for most birth control users, but you also need to feel completely comfortable with your birth control method.
Some women whose IUDs have expelled still choose to get another one because of the benefits they offer. IUDs also come with the risk of perforation, which happens when an IUD pushes through your uterus, although this is even less likely than the chance of expulsion. One study published in the journal Conception in found that out of 61, women who had an IUD, only 81 0.
There are even some pills specially designed to lengthen how long you go between periods. If you prefer to work your period around your racing schedule or vacations, the IUD might not be right for you. Streicher says. Closely held private companies meaning they have a limited number of shareholders could decline to cover birth control if they objected for moral or religious reasons.
Around nine in every people who are taking the pill become pregnant, possibly due to incorrect use. It is essential to follow the advice of a doctor when taking the pill. IUDs are highly effective. Those that release progestin or are copper each have a remarkably low failure rate of less than 1 in during use.
Many side effects tend to resolve after the first few months of use. This is especially necessary for people older than 35 years or who smoke. Birth control pills can increase the risk of vascular diseases, such as heart attack and stroke. They can also increase the risk of blood clots, and rarely, liver tumors Smoking or having high blood pressure or diabetes can further increase these risks.
The pill can also cause rare but severe side effects, so it is important for a doctor to regularly check how the body is responding to the medication. In the first few weeks, people using IUDs face a slightly increased risk of pelvic infection, though it is overall quite low.
Attending checkups regularly can help to ensure that a doctor spots signs of infection. IUDs can also slip out of place and be expelled from the uterus. This does not occur often but is more common soon after placement.
Never try to put an IUD back into place. Contact a doctor as soon as possible, and they can correctly reinsert the device. An IUD can also perforate the uterus or cervix, though this is extremely rare.
This can cause pain, but there are often no other symptoms. In rare cases, a doctor must remove the IUD surgically. For most birth control pills to be effective, a person has to take them every day of their or day menstrual cycle. It can be easy to forget to take the pill, and this reduces its effectiveness.
A person usually only needs to attend regular check-ups to ensure that the device has remained functional and in place. For some people with insurance coverage, it is free. Anyone considering an IUD must also factor in the cost of attending regular check-ups to ensure that the placement of the device is correct. Insurance policies will only cover the cost of the pill or an IUDs in some circumstances.
For more information, check policy documentation or speak with a customer services representative. When deciding between the pill or an IUD, consider the following:. The birth control pill is a type of medication that a person regularly takes to prevent pregnancy. Birth control pills use hormones to prevent pregnancy. Hormones are chemical messengers. The body produces some to control its functions, while others are produced synthetically. The two hormones used in birth control pills are estrogen and progestin.
The ovaries produce estrogen, but progestin is a synthetic form of progesterone. Depending on the type of IUD, your uterine lining thins, your cervical mucus thickens, or you stop ovulating.
If you have sex with someone who is infected with a sexually transmitted disease STD , you could get infected, too. Your IUD offers reliable contraception for years at a time. The copper IUD starts working instantly. Hormone-releasing IUDs should be removed and replaced every years, depending on the brand. The copper-wrapped IUD can stay in place and offer continuous protection for up to 12 years.
An IUD may also be the best type of birth control for a teenage girl who is, or may become, sexually active. Also, contact your doctor if you notice other changes, such as chills, heavy bleeding or unusual vaginal discharge.
Some IUDs contain slow-release hormones that prevent ovulation.
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