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
