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Debbi Carter asked: The birth control revolution started in the 60′s, and has been slowly progressing to offer women more and more choices when they are not ready to get pregnant. But what happens when you decide that you are ready? If you chose to use Depo-Provera as your birth control method, could it still be keeping you from conceiving several months after your last shot?
Depo was hailed by many women as a true break-through in birth control. You only had to think about it four times a year, and it is nearly impossible to take it wrong. Unfortunately, what many women found out after the fact is that it can take several months to a couple of years for her fertility to return, even after just a single dose of Depo.
So what can you do if you used Depo, but want to get pregnant now? A few things will help, and the first thing you should do is schedule a preconception appointment with your OB/GYN so you can have your annual done and discuss whether you should try OPKs, charting, a fertility monitor, or a combination of those to help track your fertile times.
Other basic things that you can and should do include managing your weight, eating a well balanced diet, getting a moderate amount of exercise, avoid or greatly limit alcohol intake, make sure you are taking a good multi-vitamin/mineral, stop smoking if you smoke, reduce caffeine consumption, and generally get yourself as healthy as possible.
Currently there is nothing available that will reverse the effects of the Depo shot, so women just have to wait for it to get out of their system. One sign that it has left or is leaving your system and your fertility is returning is regular cycles that are between 24 and 36 days in length. A return of PMS symptoms that you experienced prior to starting Depo can also show you that your hormones are regulating themselves and that your fertility is returning.
If your cycles have not regulated themselves 12 months or longer since your last Depo shot, I would recommend talking to your OB/GYN about the use of clomid to help your body with ovulation. Taking clomid at the beginning of your cycle encourages your body to produce the hormones needed to develop and mature an ovum for release. Let your doctor know that you have not seen a return of normal cycles, that you have been trying to get pregnant, and that you did use Depo. Clomid should be used at the lowest possible dose for the first two cycles, with the dose increasing each following cycle. Follow up testing must be performed to confirm that the clomid is or is not working at it’s current dose. Using clomid, providing there are no other underlying health issues, should result in pregnancy.
It is possible to conceive after using Depo, but it may take longer and cost a lot more than most couples would expect. Don’t lose hope, and do enlist the help of support groups, your partner and most of all your doctor.
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Mike Selvon asked: Side effects of medication are an accepted fact of life these days, and this is true for birth control pills as well. These pills contain hormones that are entering the body and inducing alterations, so naturally, as the body adjusts to this influx, it may feel odd in some ways. Some of them disappear, in fact, as this adjustment is made, while others might simply have to be lived with if they are mild enough. But certainly, with all kinds of birth control, these side effects need to be monitored.
Not every birth control pill is the same. The most common kind contains a combination of estrogen and progestin, but some contain progestin alone. In the combination pill, the estrogen prevents ovulation, and the progestin alters the mucus at the cervix, to make it harder for the sperm to get near an egg. Some of the possible negative reactions of the pill include nausea, headaches, mood changes, breast tenderness, or even acne and weight gain. The more drastic potential side effects are things like strokes, heart attacks or blood clots, yet are very rare.
Progestin-only birth control pills have fewer negative reactions than combination pills, but also have a slightly higher failure rate. And the ninety-day cycle produced by Seasonale pills sometimes adds breakthrough bleeding to the usual side effects. Another type of pill used to prevent pregnancy, called the “morning after pill” because it has to be used within seventy-two hours of unprotected sex, comes either as a combination or progestin-only pill. Its side effects are therefore similar, and could be worse because of the higher dosages involved. But since only a couple of doses are taken, most of those worries can be dismissed.
Additionally, some negative reactions of taking birth control pills seem to happen, for some women, when they go off the pill. The Kinsey Institute discovered in a 2002 study that certain women’s sexual health and their general moods were adversely affected after they went off the pill, as their sexual drive seemed to be reduced. You need to be informed about all of these side effects before going on the pill, so you can make an informed choice about whether you want to choose this birth control method.
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