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Contraception Question.....Please Help!!

MaxBiceps

New member
Hi. My girlfriend was taking birth control pills, and went from 140lbs to 180lbs.
It wasn't all the birth control's fault, cause she was very inactive and ate everything.
Now she goes to the gym with me to lose weight/fat/inches whatever.

Anyway, my question is she recently went on the depo shot. Will this make it
harder for her to lose weight? i know one of the side effects of birth control
is weight gain. is it dramatic?

Please be supportive. i will be showing her this thread after i get some replys.

Thanks Ladies!!:)
 
Every one is different - some girls find it really really hard to loose weight after having the shot no matter what they eat or how they train, where as others have no side effects.

My doctor is rather anty the depo because once you have it - you just have to put up with the side effects until it is out of your system, unlike the pill which you can stop taking at any time.

Two of my friends have had the depo - one had no side effects at all the other blew up and both are active gymmies.

Hopefully your girlfriend won't have any side effects but you will probably just have to wait and see....
 
Thanks blondey, but my girlfriend blew up from the pill, and
I wonder if being on depo is gonna make it just as hard for her
to lose weight.:confused:
 
I'd say that there is a 99% chance she will blow up and yes she will find it harder to loose weight- condoms may be your only hope! But if she has already had the shot - you will both just have to be patient until it is out of her system.

If it's any consolation, I just spoke to my friend who blew up on the Depo - she said that it took her about a month from when it left her system for her to see the weight drop off and then it was pretty rapid (mind you her diet has always been clean)
 
My experience with the shot was that it FUCKED up my body for over a year afterwards. You may not get your period while on it but if you are like me....I bled for almost a year straight when I stopped it. God, it was hell. I had a bunch of other sides too....like decreased sex drive, bitchiness, and I think I packed on a few pounds too (can't remember)...IT"S EVIL!

Star

There are store bought spermicides that can be used alone and cause no sides. Can get a bit expensive if you have an active sex life but it's an option.
 
Yeah, my girl has been spotting for about a month (as long as she's been on depo).

Condoms are definitely an option for me, but beleive it or not SHE'S against them. She doesn't like the feeling.
BTW what's an IUD? is that the implant?

Bump for more info/personal experience.
 
An IUD is an Internal Uterine Device and can only be used if she has already had a child. It is a little implant placed in the cervix. I also had one of those and had to have it removed. You have to sign a waver to get one...In other words not safe.

Star
 
DEPO SUCKS!!!!!!! i had the exact same shit happen to me as it did to Star...
hey star... what are you my long lost sister or what??? same build, similar attitude, now this shit lol
 
well from experiences ive heard from my friends, depo is the worst of the worst. she will gain weight, and because it is injected, its harder to stop it compared to a pill. im right now having a battle with bc. i take ortho tri cyclen, seems to be the best for sides, and weight gain for me anyway. is she interested in taking anything to help her overcome this? cause clen is doing wonders for me, and my estrogen :)

jessyca =P~
 
Star, I've never read that the IUD was unsafe or had to be used only after a woman has had a child. I know that there can be perforation of the uterus or perhaps displacement. Infection? I'm not sure about the statistics on that though. I'm just curious as to why this might not be a good option.
 
Jessyca143 said:
well from experiences ive heard from my friends, depo is the worst of the worst. she will gain weight, and because it is injected, its harder to stop it compared to a pill. im right now having a battle with bc. i take ortho tri cyclen, seems to be the best for sides, and weight gain for me anyway. is she interested in taking anything to help her overcome this? cause clen is doing wonders for me, and my estrogen :)

jessyca =P~

She's about to go on some clen and she's got some phentermine too. Not taking it yet, though. She wanted to go on depo cause you only need one shot once every three months or so, but I guess the sides are the worst of all the options, huh?
 
You can only have an IUD after you have given birth. The cervix has to be wide enough and that does not occur unless you have had children. There is not only the risks of what you have mentioned but also the extreme danger that a woman is put in if she does in fact become pregnant while using an IUD. There's also something else about the copper wire. (can't remember though). I would say the odds are 8 out of 10 women have them removed after insertion because of complications.......Cramping......bleeding.....yada yada yada

Star
 
Okay. Interesting. I was assuming that the cervix would be dilated when inserting it. I'm surprised then that there are so many complications. Thanks.
 
a little knowledge...

Ok folks, here it is- (and I AM an Ob/Gyn)

Contraception 101 :fro:

A. Depo-provera - ("depo") = Medroxyprogesterone acetate, 150mg.
(Progesterone only).
How given: 1 shot every 12 weeks.
Failure rate: 2/1000
Benefits: Extremely effective, requires minimal patient effort other than showing up every 12 weeks, MAY decrease ovarian, uterine cancer risk.
Side effects (roughly in order of frequency):

1. Menstrual Irregularity.
Irregular (LIGHT) spotting for 1st 3-6 months is the norm. Can be every day, once weekly, or monthly. (Note: Women who continue to have monthly menses have a SLIGHTLY increased failure rate, although still about 5x better than the pill). Approximately 75% of women will experience amenorrhea (no periods- a norm for weightlifters anyway) after 2-3 injections. This is NOT DANGEROUS and because the failure rate is so low (2/1000 or .2%), pregnancy testing is unneccessary. The progesterone actually protects against cancer of the uterus.

2. Weight gain (~5%).
YES, 5% of patients. You only hear about the horror stories, it's called SAMPLING ERROR. In other words, who's gonna go around telling you "I'm on Depo and I love it!!!"? Most (>95%) of patients do very well and do not gain significant amount of weight (<5lbs). Patients with history of eating disorders, excess weight are definitely at greater risk of large weight gains (10, 20, even 30+ lbs) over time. This weight gain is reasonably reversible once shots have run out.

3. Depression, mood changes.
Generally tends to occur with patients with prior history of depression or the like. I am very cautious about prescribing depo to women with a history of antidepressant use. Often improves rapidly with a short course of Prozac, Zoloft, or any of a dozen SSRI's (new antidepressants) with few, if any side effects.

4. Hair loss.
Unusual, but tends to spontaneously resolve within 6 months and rarely significant (i.e. no bald spots, etc…)

B. IUD = IntraUterine Device.
Application: In office, less than 5 minutes
Failure rate: from 1/100 – 1/200
Benefits: Effective long term, no systemic hormones, minimal patient effort/compliance needed.
Mechanism of action: Sterile, localized inflammatory reaction. NOT an abortifacient!!! (i.e. it does NOT work by causing the abortion of a fertilized egg at any stage; it prevents fertilization by destroying egg and/or sperm)
THE IUD IS THE MOST WIDELY USED METHOD OF REVERSIBLE CONTRACEPTION IN THE ENTIRE WORLD AND HAS EXISTED FOR THOUSANDS OF YEARS!!

3 types:
1. Copper- Paragard T380 (10 years)
2. Progestasert (1 year, progesterone-containing)
3. 5 year progesterone-containing

Side effects:

1. Copper- Heavier menses (more cramping, clots), usually resolve within 3 months. Occurs in approximately 10% of women.
2. Progesterone containing- Occasional spotting, irregular bleeding, or missed menses; periods may be stronger (cramping).

Risks:
1. PID (Pelvic Inflammatory Disease).
This is more likely with multiple sexual partners or in the presence of STD’s (especially chlamydia and gonorrhea). Localized (vaginal, cervical) STD infection can more easily spread to uterus, tubes, ovaries, and pelvis. If not promptly treated this can in turn lead to internal scarring of reproductive organs and subsequent infertility. This was one of the reasons for previous recommendations that nulliparous women (without children) should not be offered IUD’s. The major culprit for PID resulting from an IUD was an IUD called the Dalkon Shield, which has been off the market and the company bankrupt for 20+ years. This was due to a design flaw in the string used on that particular IUD.
In general, the incidence of PID can be reduced by proper patient selection and education. A rare form of PID caused by an unusual organism called Actinomyces israeli occurs mostly in older women and only with copper-containing IUD’s. This bacteria can be detected on Pap smears.

2. Perforation/migration.
Incidence of 1 in 1,500. Usually occurs at time of insertion. Definitely operator- dependent, but can also occur with time left in place (VERY rare). Can require surgery to remove. Also can lead to internal scarring and infertility if perforation is not detected and the offending IUD removed.

3. Expulsion (IUD falls out).
Not always detectible by patient. This leads to unintended pregnancy. Tends to occur most often in the first several months of use as the uterus contracts and cramps and the IUD is more properly positioned within the uterus.

4. Pregnancy.
0.5-1 in 100 women will become pregnant. Upon missing a period, pregnancy test must be done immediately and the IUD removed ASAP. 50% of the time, the pregnancy will not be normal and will spontaneously abort after IUD removal. There is a higher complication rate in patients with IUD’s either removed or in place during a pregnancy.

C. Birth control pills, Oral Contraceptive Pills (OCP’s)
Use: Must be taken every day at roughly the same time (usually bedtime).
Failure rate: about 1/100, higher with non-compliance.
Benefits: Regular, lighter, less painful menstrual cycles, ability to control/ skip periods, PROVEN reduction in lifetime risk of ovarian cancer, improvement in skin (acne reduction). Can be taken non-stop until menopause (providing no risk factors).
Mechanism of action: prevents ovulation by fooling the brain into thinking that a pregnancy exists.

Side effects: (most can be improved by switching brands)

1. Weight gain.
Usually not significant, averaging 2-3 lbs in the first year. Depends on the patient and often described more as a feeling of bloating or water retention.

2. Mood swings, change in sex drive. (Remember I said that it fools the brain
into thinking the woman’s pregnant?)

Risks:
1. Blood Clots/ Strokes: With smokers, especially after age 35 as well as patients
with family or personal history of clotting problems.

2. Hypertension (Blood pressure elevation).

THIS LIST IS NOT MEANT TO BE ALL-ENCOMPASSING OR COMPLETE IN ANY WAY. HOPE IT HELPS BUT, MORE IMPORTANTLY, ASK YOUR DOCTOR, NOT YOUR POTENTIALLY UNINFORMED FRIENDS.

 
got a question for the babydoc.....

I've been on Triphasal for like 15 years - always regular as clockwork. But went off in Feb of this year to see if I could lean out more. I did a light cycle of winny a month later. Had a normal period for 2 months.... now has dwindled down to nothing. I feel the bloat for a day or two, w/ my usual 1 day mood swing, then nothing. I wasn't aware of any such result from AS and I'm not on any contraceptive now. Actually my periods before starting Triphasal were about 7 days long and crampy. Now nothing.... Any ideas?? Or just stress or what?
 
my first time on Depo I had no side effects not even weight gain. Got off. Got back on, then I got all the sides, especially cystic acne along my jaw line. Got off and got on the pill for 6 months. Weight gain, hello, just got off in May to clear out my system, have not lost the weight nor have I gotten my period yet.

I would recommend condoms.
 
I was just laughing to myself - NOWHERE on any of these threads has anyone mentioned abstinance as an option....
 
Sassy:

It is probably a bad thing for me to be giving any kind of specific medical advice as that might constitute establishment of a physician-patient relationship. But for the sake of example...

It is not unusual for patients on OCP's to miss cycles even while on them. Sometimes women will miss periods after discontinuing them- "post-pill amenorrhea".

By decreasing BF%, the amount of fatty esters available to produce sex steroids (i.e. Estrogen and Progesterone) is also decreased, resulting in a hypoestrogenic state (low estrogen). Without estrogen, the lining of the uterus does not grow and amenorrhea (no periods) ensues. A big problem is the use of steroids, which I TRULY abhor from a medical perspective. This contributes to another, more complex, problem which is caused by many factors, including the use of AS, as well as low BF%, and excessive exercise called hypogonadotrophic amenorrhea, which simply means that it's coming from the brain and not the ovaries.

Just remember... have you ever noticed that the first 4 letters of Amenorrhea are "AMEN"?

The only significant danger from hypoestrogenic amenorrhea is the risk of osteoparosis which is essentially negated by the excessive weight-bearing exercises performed by BB's and Powerlifters.

-thebabydoc :fro:
 
thx baby doc - I expected to see differences (e.g. no period) when I stopped taking OCP, not 4-5 months later. I'm not anywhere near too low bf% right now - basically I had very few results from the one cycle I did and very low dosage. So was confused. The only time I've ever missed periods was back when I first moved away to college - due to major stress. Otherwise regular as clockwork.
 
i am so afraid to try birth control again... i tried depo and then i tried the pill and both experiences were bad. Now with being on gear, i don't know if i should try to start birth control again... plus i don't want my body thinking it is pregnant and start adding fat on my body!!! Guess i will stick to condoms.
 
When I did winny I lost my period for two years.....my BF% was not too low either. I just started getting normal again and that was with the help of the pill. Ya'll are scaring me with these weight gain stories though. My question would be.......What are the chances of pregnancy if you are not getting your period? Hmmmmmm

Star xoxoxoxo
 
Star - why would you lose your period for 2 years after a winny cycle? I'm confused now. Most of what I've read about AS & female reproductive issues is more surrounding the use of novaldex to avoid estrogen-related fat gain. But that actually makes you more "fertile" and negates any birth control pills. I've also read that women on AS shouldn't consider getting or trying to get pregnant while the stuff is still in the system. If lower than "normal" body fat is not the culprit, what is??
 
As the doc said

"A big problem is the use of steroids, which I TRULY abhor from a medical perspective. This contributes to another, more complex, problem which is caused by many factors, including the use of AS, as well as low BF%, and excessive exercise called hypogonadotrophic amenorrhea, which simply means that it's coming from the brain and not the ovaries"

I am not a real expert but I bet it has a lot to do with the aromatizing effects of winny and it fuckin with your hormones. Takes a long time to get it back to normal. Definately NOT anything I would EVER touch again.

Star
 
I would like to get back to the IUD issue.

I used to have many patients who were dancers (strippers) and were extremely uptight about even a couple of pounds. After trying OCP's and depo (gotta at least give them a try first) we went with the IUD. The vast majority were ecstatic and could put up with the extra cramping for 2 or 3 days a month. If you haven't had kids, then the uterus tends to not have "stretched out" (for want of a better explanation) and often this results in stronger cramping during the menstrual cycle. Getting it through the cervix is never a problem.

For BB's, who are even more concerned with the effects of estrogen (and progesterone) on body fat and weight, the copper IUD is far and away the best option provided informed consent is obtained. Doctors provide and get informed consents to CYA (Cover Your Ass). As with any procedure, patients MUST be informed of ALL the risks, no matter how remote, and this discussion of the risks often uneccessarily scares patients such as Star. As a result, they tend to scare off other patients..."I would say the odds are 8 out of 10 women have them removed after insertion because of complications.......Cramping......bleeding.....yada yada yada" (Thank you, Star...(Remember what I said earlier about SAMPLING ERROR?) Don't get me wrong, this is as much Stars doctor's fault as it is hers. I place approximately 100 IUD's yearly and I have removed perhaps 6 of them.

The IUD can be a bit pricey though, as the Paragard T380 costs me $297.50 wholesale. Plus you gotta pay the doc to put it in, average total- around $450-$500. Most insurances do cover it though. If you don't like it, you can have it taken it out. Only 10% of women experience significant side effects and of those 10%, 90% experience resolution of these symptoms within the first three months. Failure rates are typically less than 1%.

As for the hormonal methods, you have to give them a try to find out how they will affect you. After all, you spend YEARS building, shaping, and defining your bodies, what's a few extra months to find an effective contraceptive?
And yes, as a few have noted, when you're not having your periods, it is harder to get pregnant. Anovulation (not ovulating) is usually the cause, whether it be central (hypogonadotrophic- from the brain) or ovarian (ovaries not working). If you're not ovulating, it's pretty tough to get pregnant. The problem is that there are 12 months a year for a "breakthrough" ovulation to occur, and because ovulation preceeds menstruation, you only know about it once it's too late...

babydoc
:fro:
 
so with all this said babydoc... is there a way, with the use of gear and lower bodyfat, to trick your body into not ovulating or inhibit the chance of pregnancy? Can you get pregnant while on gear? Is there a pill that won't put on weight?

thanks for all your help and info.. it is great for all the women here!!!
 
Supergirl:

Sorry, I'm not familiar with the term "gear". Does that mean supplemental drugs?

The only thing that I can think of that would work to stop ovulation (with a minimal failure risk) would be Lupron.
This is an injectable medication which temporarily induces a menopause-like state identical to hypogonadotrophic amenorrhea. Unlike exercise, stress, and lowering BF%, there is no breakthrough ovulation...e.g. it does not fail. one shot is only good for 6 months, results in an initial surge of estrogen (for about 2 weeks), and
it is EXTREMELY EXPENSIVE. Typically you would need to add back estrogen (in low doses) to ameliorate the symptoms of menopause. This is a bit extreme, but I guess so is using AS.

As for getting pregnant... That is primarily what the female of most species is designed for, it's tough to fool mother nature, you know. What I mean is that you could get pregnant on pretty much anything. Even women who have had their tubes "tied" can get pregnant (the failure rate is from 3-30 per 1000 depending on the procedure and the surgeon).

As for the pill question, that is what I alluded to earlier...Different women react differently to different progesterones and estrogens and it is difficult to predict who will be affected and how. That is why you sometimes have to experiment until you find the one that works best.

I almost forgot!!!!
There is a pill called micronor (minipill) which contains progesterone only. Some female BB's used this in excess quantities as a legal steroid (I'm just gonna assume many/most of you have a basic knowledge of steroid synthesis in the body). Basically, the idea is that the excess progesterone "backs up" the steroid synthesis pathway and is diverted towards the synthesis of other "better", er...more desireable steroids. The bleeding effects are similar to depo and the minipill must be taken at the same time each day or the failure rate is high, but weight gain generally is not a major issue because of the low doses and the progesterone used. Also is rapidly reversible (just stop taking the pills!)

Definitely something worth trying (for contraception)!


:fro:
 
Sorry Doc but my Physician did not scare me. The things I spoke of I experienced. I also have NEVER heard of a reputable doctor that would insert an IUD into a woman who has not given birth. I have always been told it is NOT an option. The IUD was hellacious. I had constant cramping, spotting..etc. and I did keep it in past the usual 3 month adjustment period. I guess I live in a weird place cause I also have not met but one woman that has had no problems with their IUD. Maybe it's all the hay in the air. :D

Star
 
I have the copper Paraguard IUD and love it. Doctor was wary about giving it to me because I'd never had kids. Had to convince him I was not going to change my mind and want them later. Insertion was painful; they had to stop halfway and go hunt down some pediatric-sized cervical instruments. (I had no idea there were nerves in the cervix!) Cramped and bled pretty bad for a few days and my periods were crampy at first, but fine now. I've had it about 4 years. For me, it's been WELL WORTH getting off hormonal BC.
 
Simple really, Get your nuts cut or her tubes tied. See now wasn't that easy? There are too many people on the planet, forget about having kids, adopt them if you really want them.
 
Thank you FitFossil for attempting to correct our sampling error here. As for your pain, I'm sorry to hear that; it could have been avoided with a simple paracervical block and some motrin 20 minutes before insertion.

As for Star, I'm sorry that you do not have access to any "reputable" doctors in Texas. Frankly, I'm not sure whether or not to be insulted by your implication.

It sounds like your gynecological experiences have been less than satisfying and I'm sorry that you have had a hard time finding the right doctors/treatments. It sucks, and as your comments show, it's tough for a layperson to know who is "reputable" and who is not. That's one of the reasons that I was posting to this board; I'd like women to have current and accurate data to use and pass on to their friends. If you want to e-mail me your location I can see if I'm familiar with someone in your area.

As for me (For a little background): I trained in NYC (as well as West Texas), presently practice in a large metropolitan center (Phoenix), am published on several occasions, and have been accredited within the past 3 years. I perform some 300 deliveries per year. I am totally pro-choice and my patients ALWAYS come before my personal beliefs. The problem with most of today's doctors is that many were trained 15, even 20 years ago. With the medicolegal environment as it is, they are afraid to use and trust logic and challenge old "wisdom". The IUD is only one example of this. There is no logical basis or medical evidence which supports that women without children cannot use an IUD, they merely need to be well-selected. "The proof is in the pudding" as they say. I have placed many such IUD's and the only major complaint (a woman who happens to be a friend of mine) is some low back pain and cramping which she says she is happy to exchange for the freedom from the other hormonal methods she has previously tried. If she wants, I'll remove it at any time (she's had it for 18 months now).

Laserdude: very responsible, mature outlook. However, some people would like to pass on their perfect genetic structure to the next generation of BB's.


:fro:
 
Question for thebabydoc

About a year after I got the IUD, I thought about getting my tubes tied. I was talking to my husband about it, and he said he'd just get a vasectomy "since it's easier and safer" (Thoughtful guy :) ) He got it 3 years ago and later had a lab test that said it was successful.

Anyway, I've kept the IUD. One reason is I wanted to be sure his operation worked. Another is I'm worried the removal will hurt.

Do you see any problem in leaving it until the 10 years are up? (That's 3 more years, and I'll be 40 then.)

Should my husband get another sperm test? Is there ANY possibility of things growing back after a few years?

Thanks!
 
FitFossil, take the IUD out. I just removed one today (she wanted a child). Took 6 seconds. It shouldn't be painful; take 800mg motrin 1/2 an hour before, just in case.

The failure rate of the IUD is 1/100 per year, the failure rate of your husband's vas is 1.5/1000 per LIFETIME. The math speaks for itself. As I previously noted, there still exists the risk of PID from Actinomycosis and no matter how small the risk is, it's a terrible thing to have...I had to hospitalize a 39 year-old woman for 5 days on IV antibiotics before doing her hysterectomy earlier this year because of PID from her IUD which had been in for 6 years. She also needs antibiotics for the next 3 months.

-thebabydoc :fro:
 
Thought I'd bump this, since there have been a few pill questions lately.

Very good info from TheBabyDoc.
 
Did anyone ever start using Centchroman? There was a lot of talk about this earlier this year, and I was wondering how it was working for those of you who tried it. The website www.metabs.com is no longer working, so I don't know where it can be purchased.
 
I'm the only woman I know that ever lost weight on depo.

On the other hand, I had no sex drive either. I was beginning to believe that was it's mechanism.

I did, however, gain about 30 pounds in 6 weeks on BC pills.

I think it might be a good idea to look at an IUD - I've heard they are easier to install for women who have had children, but not impossible for those who haven't.

Fawn
 
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