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Yeah, the study design doesn't actually directly prove that "IUD directly causes lower rates of cervical cancer". What this study does show is that women who got cervical cancer were less likely to have received an IUD in the past. That means that this beneficial effect could be due to the IUD, or it could be due to factors that affect women receiving (or not receiving) an IUD. This beneficial association also disappears in women who have HPV, which is found in the majority of cases of cervical cancer. In order to prove that IUDs reduce the risk of cervical cancer, we would need a study done prospectively (rather than looking at health record data or through surveys as was done in this study) and women would need to be randomized to either receive an IUD or no IUD in order to ensure that both groups of women are similar before getting treatment.  Edit: It's also worth noting that none of the studies included in this article were conducted in North America or Europe. DRP Solved! fucked around with this message at 22:26 on Sep 13, 2011 |
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Sep 13, 2011 22:23
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Good points. I just thought it was an interesting correlation. I saw the headline and thought of you all~
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Sep 13, 2011 23:19
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My Friend just started NuvaRing and it's making it smell. Is it something that will go away (i.e. ecosystem adjusting) or is it a cause for concern and she should take it out. Please help.
you rock fucked around with this message at 23:52 on Sep 13, 2011 |
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Sep 13, 2011 23:49
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you rock posted:My Friend just started NuvaRing and it's making it smell. Is it something that will go away (i.e. ecosystem adjusting) or is it a cause for concern and she should take it out. Please help.
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Sep 14, 2011 00:12
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Kerfuffle posted:That might be a sign of a yeast infection, but it depends on the kind of smell really. Like if it's just a different than usual smell VS gross and unpleasant. If it is a yeast infection Nuvaring probably isn't a good choice for her. It's like the regular smell but a lot stronger/apparent- maybe a slight odor change but nothing SiCk NaStY. There are none of the other symptoms typical of a yeast infection (no itching, for example). It began the day of being put in (been ~5 now; not getting worse but not getting better). Maybe it needs to be stuck higher up there to give ~air flow~?
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Sep 14, 2011 00:39
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Oh then that's pretty normal, 5 days is just longer than I'd expect for that to stick around. I guess give it a week and if it improves at all. Is this her first time using hormonal birth control? It might take a bit for her body to adjust.
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Sep 14, 2011 01:10
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A question to those using the pill: I've just started Microgynon 30 ED. I was on it from ages 16 to 21, and then had a gap where I only used condoms, and now I finally have a stable partner again, and I've decided to go back on the pill. I'm just starting my second month. Questions: I don't remember any problems when I was a teenager, but I'm now slightly worried that it's dulling my sex drive. Or maybe we're not doing enough foreplay. I don't know. Has anyone has particular sex drive weirdness on Microgynon? Secondly - if I am dealing with a few side effects (was a bit loopy the first week of taking, I know that much) do they start to even out after one, two, three months? Has anyone noticed that their body resets 'around' the pill so to speak? I did try reading the thread/OP, but also thought asking wouldn't hurt.
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Sep 14, 2011 12:51
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AngelusNixon posted:A question to those using the pill: I've just started Microgynon 30 ED. I was on it from ages 16 to 21, and then had a gap where I only used condoms, and now I finally have a stable partner again, and I've decided to go back on the pill. I'm just starting my second month. I can't really answer the Microgynon/libido question for sure as I don't have any experience with that specific pill. Low libido is a fairly common side-effect so it's always possible. 3 months seems to be the usual waiting period to see if side-effects will go away with a new pill. I'm not sure what you mean by "reset" exactly?
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Sep 14, 2011 13:15
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Unfortunately, taking the same pill twice but with a break in between means you can't expect your body to react the same while on it the second time around. But by the time three months is up, your body will have done most of the adjusting it needs to in order to get used to the pill. There's no set time that your body begins to deal with the side effects, it is a slow process. I also don't know what you mean by "resetting around the pill."
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Sep 14, 2011 17:43
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Also not being sure what you mean about resetting... But Microgynon did lower my sex drive, however that was a good thing because mine is stupidly high anyway. You can deal with it (do more to get you in the mood, like texts during the day or something?) or try a different contraceptive I guess.
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Sep 14, 2011 21:33
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Yeah, if the Microgynon lowers libido too much other pills are always an option. There are tons of formulations out there with different hormone levels/types and that can make a big difference. I had to switch pills at least once before I found one that didn't have an effect on my sex drive. If Microgynon doesn't work it doesn't mean you're doomed to have the same problems with other pills. And of course there are always other contraceptive types and options if you don't have any luck there. 
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Sep 15, 2011 01:36
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Is anybody else losing hair after getting a Mirena placed? I checked the patient literature and it looks like it's a pretty rare side-effect. I've had the IUD for three months now, and the hair loss isn't slowing down. I can live with it if there's any hope it'll slow down or taper off, because otherwise the Mirena's really helped with the near-constant endometriosis pain I was/am battling. I've already seen my GP and had a blood panel done to make sure I wasn't say, missing anything in my diet, too. I can see my scalp through my hair, man! Not cool.
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Sep 15, 2011 07:45
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 I think another poster here came here with your exact problem, but I can't recall if they were using Mirena as well. There's no telling if the hairloss will let up unfortunately.  I really hope it lets up on its own, that's terrible to have an otherwise perfect solution to your endo.
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Sep 15, 2011 07:48
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Kerfuffle posted:
I had a feeling there was no concrete answer on if the hair loss will slow down. I see my specialist again in November, so if my hair doesn't stop jumping ship by then, I'll ask her and see if she has any suggestions. Thanks for the reply!
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Sep 15, 2011 08:00
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Completely different BC, but when I started the pill way back when I had some pretty severe hair loos for about 6 months. It got super thin. It eventually stopped and a lot of it came back, but I will have to say my hair has never been as thick as it was before BC. But, as long as I have no bald spots, I'm cool.
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Sep 15, 2011 15:09
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Geolicious posted:Completely different BC, but when I started the pill way back when I had some pretty severe hair loos for about 6 months. It got super thin. It eventually stopped and a lot of it came back, but I will have to say my hair has never been as thick as it was before BC. But, as long as I have no bald spots, I'm cool. I'm happy to hear it's at least stopped and started regrowing! This gives me some hope. Thanks! I've been counteracting the hair loss by styling to hide my sparse spots, but at least shaved heads are in vogue if things don't improve soon...
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Sep 15, 2011 19:26
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Geolicious posted:Completely different BC, but when I started the pill way back when I had some pretty severe hair loos for about 6 months. It got super thin. It eventually stopped and a lot of it came back, but I will have to say my hair has never been as thick as it was before BC. But, as long as I have no bald spots, I'm cool. This happened to me when I started the pill too. It did eventually stop (sorry I can't really remember how long it took) but even now if my pill schedule gets really off track and then I start again, my hair will fall out like crazy again for a few weeks. I've always had unmanagebly thick hair, so really the thinning has just brought it closer to what's probably normal to most people. Never had any bald spots - that would be a dealbreaker for me personally but then I don't have the endometriosis to consider.
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Sep 15, 2011 22:50
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Is it within the realm of possibility for the Nuvaring to cause severe and horrendous acne? I am having a terrible breakout for the second time, I thought before that it was an allergy to penicillin (good to know i'm not allergic) and the only thing different is that I went off the shot and on to the Nuvaring. I was on the ring a few years ago and I didn't have anything like this. I'm going to the dr tomorrow but I'm curious if this could be caused by my ring or something else.
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Sep 15, 2011 22:58
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So I was wondering what options are available for my wife and I regarding birth control... We're married and monogamous and have been together for years now, so we're not really worried about most diseases. The thing we're trying to avoid is the worst, most life-destroying disease of all: babies. At the moment we're using condoms and I've never had any problems or scares with them, but I don't really like how they make spontaneous sex very difficult and we wanted to look into other options. Plus I'd love to try condom-less sex for once. She's been on the pill before (amusingly, before we started having actual intercourse) and it sucked. It was like she was permanently in a pre-period state: acne, weight gain, sore breasts, the works. Plus her libido dropped to almost zero and she had little natural lubrication, which basically made the whole thing an exercise in futility. She changed to a different pill later and got the same result (maybe marginally better, but not much). Overall she really hated it, and I did too. This has made us both very skeptical about using hormonal birth control. Some other factors to consider: she has a history of fairly irregular periods (recently she's had very few - I suspect stress might be to blame), tends to get heavy ones when she does get them, and has quite sensitive skin. We don't have any children, but don't want to rule out the possibility of having them in the future. One option I can see is a copper IUD since it's non-hormonal, long lasting, effective and reversible. On the other hand, I've heard that the copper IUD can cause increased bleeding and worse cramps, and is only recommended for women who have already had children(?). What I'm after is some perspective on how good an option the copper IUD is, other people's experiences with it, as well as if anyone can suggest any other options that might be good for our situation. Or if we should just resign ourselves to the fact that the only time we'll ever have condom-less sex is when we finally go mad and start trying for a baby.
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Sep 15, 2011 23:28
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Soul Reaver posted:
Copper IUD is awesome. Yes, it hurts like hell to put it in. Yes, my periods are longer, crampier, and heavier than ever before. But it's so worth it to not have to remember to take a pill, to not gain crazy amounts of weight, to be spontaneous, to not go from hormonal crying mess to hormonal angry psycho chick. Totally worth it.
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Sep 15, 2011 23:46
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JustinMorgan posted:Copper IUD is awesome. Yes, it hurts like hell to put it in. Yes, my periods are longer, crampier, and heavier than ever before. But it's so worth it to not have to remember to take a pill, to not gain crazy amounts of weight, to be spontaneous, to not go from hormonal crying mess to hormonal angry psycho chick. Totally worth it. This. I tended to have very irregular, fairly light periods before unless I was on the pill. They're more regular and heavier now, but it's worth it to me. And in theory if I were getting any, the spontaneity & lack of need for condoms would be great. Also, that bit about how they're only for women who have had kids isn't really true, but they were only approved for those women for a while and a lot of doctors won't insert them into nulliparous women. A lot of doctors will, though.
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Sep 16, 2011 00:06
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Soul Reaver posted:So I was wondering what options are available for my wife and I regarding birth control... Could she possibly consider the Mirena IUD (the non-copper one)? It's not hormone free, but it only contains a low dose of progestin - no estrogen. I went from a two-hormone pill to the Mirena a while ago, and I love it! It took about 13 months, but I've been completely period free for some months now. I've been much happier and have lost the crazy mood swings and reduced libido caused by the pill. Being on BC with estrogen also pumped up my blood pressure (unfortunately, high BP runs in the women of my family, even though I'm healthy and normal weight, ect). No estrogen means my BP is well within normal ranges again. Plus, if the slightest potential of wanting kids exists in your future, the Mirena is removable at any time and doesn't inhibit fertility. I do know that other people have had negative side effects, so take my positive results with a grain of salt.
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Sep 16, 2011 01:19
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JustinMorgan posted:Copper IUD is awesome. Yes, it hurts like hell to put it in. Yes, my periods are longer, crampier, and heavier than ever before. But it's so worth it to not have to remember to take a pill, to not gain crazy amounts of weight, to be spontaneous, to not go from hormonal crying mess to hormonal angry psycho chick. Totally worth it. How much worse is the cramping? Are we talking going from painful to debilitating here? meiram posted:Also, that bit about how they're only for women who have had kids isn't really true, but they were only approved for those women for a while and a lot of doctors won't insert them into nulliparous women. A lot of doctors will, though. Why exactly were they only approved for women without kids? Is there a (real) risk of being rendered infertile? Or does using it once permanently reduce fertility? Aceofblue posted:Could she possibly consider the Mirena IUD (the non-copper one)? It's not hormone free, but it only contains a low dose of progestin - no estrogen. I went from a two-hormone pill to the Mirena a while ago, and I love it! It took about 13 months, but I've been completely period free for some months now. I've been much happier and have lost the crazy mood swings and reduced libido caused by the pill. Being on BC with estrogen also pumped up my blood pressure (unfortunately, high BP runs in the women of my family, even though I'm healthy and normal weight, ect). No estrogen means my BP is well within normal ranges again. Plus, if the slightest potential of wanting kids exists in your future, the Mirena is removable at any time and doesn't inhibit fertility. What is the advantage of the Mirena over a copper IUD though? Seeing as how crappily she reacted to hormone-related stuff in the past, I'm a bit reluctant to try something that isn't as easy to stop as it is to stop taking a pill.
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Sep 16, 2011 01:26
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Soul Reaver posted:
They are approved for any woman it's just that a lot of doctors are old fashioned and won't give them to women without children. So basically you just need a doctor that isn't an old fogey as well as having some experience in inserting them.
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Sep 16, 2011 01:44
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Soul Reaver posted:How much worse is the cramping? Are we talking going from painful to debilitating here? This is hard to say, as it depends so much on personal pain tolerance. For me, I'd say the most painful period cramps just became more common rather than the cramps at any point got more painful. Soul Reaver posted:Why exactly were they only approved for women without kids? Is there a (real) risk of being rendered infertile? Or does using it once permanently reduce fertility? Having given birth at least once makes the insertion easier, and there is a lower risk of expulsion in women who have given birth. There is no increased risk of infertility. quote:What is the advantage of the Mirena over a copper IUD though? Seeing as how crappily she reacted to hormone-related stuff in the past, I'm a bit reluctant to try something that isn't as easy to stop as it is to stop taking a pill. Shorter, lighter periods on the hormonal IUD versus longer, heavier, crampier ones on the copper. The hormonal IUD is very slightly more effective against pregnancy. The copper IUD is approved for several more years than the hormonal IUD. Possible chance of hormonal side effects - both good and bad - with the hormonal IUD; no extra side effects with the copper IUD other than cramping/bleeding. I think that's about it?
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Sep 16, 2011 01:46
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Soul Reaver posted:How much worse is the cramping? Are we talking going from painful to debilitating here? Partly bullshit misogynist traditionalist reasons, partly it hurts more (not a real issue), partly higher risk of expulsion, and the risk of infertility has to do with STD stuff. Mirena is a super low hormone does and can stop periods completely, which is pretty cool. Also, don't judge all hormonal birth control from her one experience with one pill. There are a ton of different types out there for that exact reason. If one doesn't work, you can try another one. One pill might be the BEST THING EVER for one person and the worst thing ever for another. e: aw mostly beaten you guys are quick~
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Sep 16, 2011 01:51
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Soul Reaver posted:How much worse is the cramping? Are we talking going from painful to debilitating here? The cramping has never been debilitating. A few motrin and I'm usually fine. I was on various bc pills for 7 years before I got my IUD and the change from "hardly any period" to "OMG THERES BLOOD EVERYWHERE" was a bit of a shock. Like someone else said, it's easier to insert if you've had children. I guess your uterus and cervix are all stretched out. But it's still possible if you haven't. IUDs can, but normally dont leave to fertility problems in the future. Mirena has lower levels of hormones so there should be less of a reaction than what you would have on a pill. Of course to have an IUD removed is one quick doctor appointment, but you could be out a few hundred dollars if you choose to get it removed early.
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Sep 16, 2011 02:26
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With all this IUD chat, I might as well ask. Has anyone else had, well, a horrible experience having it put in? I was supposed to be sporting some fancy copper uterus-jewelry as of today, but it went horribly wrong. About 3 weeks ago my period was late. I took a pregnancy test, and although I had been using the NuvaRing, it was positive. So I took myself down to the local women's clinic and made an appointment, as I did not want to continue the pregnancy. Long story short, the doctor was fabulous, I wound up miscarrying anyways, and we scheduled today to put in a copper IUD. That's where things went wrong. I came in today and the staff had me written down for a follow-up exam, not an IUD insertion. The awesome doctor was not there, instead it was a nurse practitioner? I think? She seemed confused because she doesn't usually insert IUDs in women who haven't had children. She told me she prefers to have the doctor there in those cases, in case she can't get it in, but she asked me if I wanted to try anyway, and I said yes. The pain was so horrible, I don't want to sound over-dramatic but it was awful. The not-doctor woman did say things like "now a pinch", "you'll feel a cramp", but she didn't explain what was happening, what instruments she was using, she didn't even show me the IUD before-hand. After about 10 minutes of trying, I couldn't take it anymore and had to ask her to stop. When she withdrew the instruments I bled like a stuck pig, and still am (about 4 hours later). She told me I should re-schedule with the doctor. To be fair, she did apologize, and she asked me several times throughout the procedure if the pain was too much before I finally tapped out. I was a little taken aback when she said she wouldn't charge me for this IUD - like she was doing me a favour? I threw up on my way out of the office - I've never thrown up from pain before. Anyway, I'm shaken by this experience. As in, I actually feel kind of violated. Kind of having a breakdown about this. If anyone has any thoughts on my experience, I'd like to hear them. Whether I'm over-reacting or yeah, that was messed up.
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Sep 16, 2011 02:59
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Ugh, it sounds like she was using you as a guinea pig and was extremely unexperienced with the procedure. The pain is definitely notable, but it really doesn't sound like she knew wtf she was doing. If I recall, the procedure was only a few minutes for most people? Not TEN MINUTES trying to cram it in.
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Sep 16, 2011 03:04
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Since we're talking about IUDs, I just had an IUD consult today and the doctor heavily encouraged me to go with Mirena over the copper IUD. I told her I've been on several pills and experienced the same side effects (no libido, super bitch) with each one, even super low dose pills. I was almost in tears as I told her how horrible this has been on my relationship. She assured me that I would not have hormonal side effects with the Mirena and that she has never had anyone report low libido on the Mirena. She basically told me that she guarantees I'll have no side effects. I am wondering how she is so confident in this when the brochure she gave me said that decreased libido was reported in about 5-10% of users. What do you guys think about this?
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Sep 16, 2011 03:04
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She absolutely cannot guarantee that and the experience with her other patients has nothing to do with you. Get what you feel is best. I'm seriously curious to why she was pushing Mirena so hard. Do doctors get some kind of commission for certain birth control?
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Sep 16, 2011 03:23
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lunarian posted:Since we're talking about IUDs, I just had an IUD consult today and the doctor heavily encouraged me to go with Mirena over the copper IUD. I told her I've been on several pills and experienced the same side effects (no libido, super bitch) with each one, even super low dose pills. I was almost in tears as I told her how horrible this has been on my relationship. She assured me that I would not have hormonal side effects with the Mirena and that she has never had anyone report low libido on the Mirena. She basically told me that she guarantees I'll have no side effects. I am wondering how she is so confident in this when the brochure she gave me said that decreased libido was reported in about 5-10% of users. What do you guys think about this? As probably came across in my post above, I'm suspicious of hormonal contraceptive measures because they seems to have such staggeringly different effects on different people. Some people they don't do much, some it helps, and some it seems to be hell. Looking online, I've come across numerous stories of women using the Mirena IUD and having symptoms very similar to what my wife ended up getting when she was on the pill. For an amusingly over-dramatic example see http://www.lifetimemoms.com/family-parenting-tips/blog/mirena-iud-side-effects-or-am-i-crazy Your doctor assuring you that there are no hormonal side effects from a device that constantly releases hormones into the body seems questionable. If you want to avoid hormonal side effects, use a non-hormonal device. EDIT: Here's another rant about side effects: http://www.steadyhealth.com/Mirena_IUD_Side_Effects_t133005.html Soul Reaver fucked around with this message at 03:52 on Sep 16, 2011 |
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Sep 16, 2011 03:39
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Soul Reaver posted:How much worse is the cramping? Are we talking going from painful to debilitating here? I've only had one post-Paragard (copper) period but it was fine. When I was on hormonal birth control, I pretty much did not get cramps. It's hard for me to remember, but my cramping seemed to go back to what it was like pre-birth control, which was totally manageable for me. I believe I took one dose of painkillers on one day during the whole thing.
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Sep 16, 2011 03:47
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Rockets posted:With all this IUD chat, I might as well ask. That sounds terrible and I'm sorry you experienced this. You should be using pads right now (instead of tampons) and watch the bleeding. If you're bleeding through a pad within an hour it's time to go to ER.
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Sep 16, 2011 03:56
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Soul Reaver posted:As probably came across in my post above, I'm suspicious of hormonal contraceptive measures because they seems to have such staggeringly different effects on different people. Some people they don't do much, some it helps, and some it seems to be hell.
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Sep 16, 2011 04:05
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Kerfuffle posted:This is not anymore "suspicious" than any other form of medicine. You cannot predict something as individual as side effects from hormones. You will find a huge inverse of the worst of the worst horror stories of birth control online because well, who is going to complain when nothing is going wrong? Other people's individual stories on hormonal birth control don't really help anything. While this is entirely true, it's also true that if you go for hormonal contraception but don't want negative hormonal side effects you're rolling dice as to whether you'll get them or not. If you go for non-hormonal contraception on the other hand, negative hormonal side effects simply will not happen. But then again, besides hormonal side effects there are other things to worry about too (like Rockets' horror story). I guess you have to make your own risk assessment based on your own individual experiences. In my case, my wife tried two different hormonal pills and both had the worst possible side effects, and I'm glad she's off them, so I'm going to assume that those sort of contraceptive measures change both her physiology and psychology for the worse. As such, I'd be reluctant to try them without a very strong indicator that those sort of side effects are limited to the oral pill only, and that there are no better alternatives. Soul Reaver fucked around with this message at 04:22 on Sep 16, 2011 |
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Sep 16, 2011 04:19
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Trying only two types of birth control isn't indicative of her having those problems with all of them, though. I tried two things - Nuvaring and Loestrin 24 - before the pill I'm on now, and both of them made me more bloated, gave me more acne, sudden anxiety, and eventually made me feel suicidal before I even made it through one month. I have never had any of those problems on my current pill. Obviously if she doesn't think it's worth it then she doesn't have to continue trying hormonal birth control and that's fine! But only trying two when there are tons of different formulations out there doesn't say much about whether or not she has a bad reaction to hormonal contraceptive in general - it may have just been those specific pills. Speaking of weird issues with birth control, has anyone had an increase in cramping/bleeding on the pill? All I've ever heard is that it reduces those problems, which is one of the reasons I went on birth control in the first place. I made it past the 3 month mark with LoSeasonique and have had absolutely no issues with it up until I started my scheduled period. Normally I have horrific cramps/bleeding but if I take enough ibuprofen I can get them down to a manageable level, and other than some residual nausea I'm fine the next day. Now not only do I continue to have the horrific cramps and bleeding (it's actually worse than usual, which I didn't think was possible), but for the past few days I've been on my period I've been having stabbing/shooting pains all over my lower abdomen and lady parts. Sometimes it's constant, often it's when I get up or sit down or do something that requires the muscles in there to move. I'm going to call my doctor tomorrow and ask her opinion - I know it takes awhile for the body to adjust, but I really wasn't expecting that, of all things, to be a problem. Other than that it's been great, since I no longer have any other PMS-related issues (acne, bloating, depression, digestive issues, none of which were mild) and I feel like a normal human being again. If the next period I have on this is still lovely, I'll probably use it to skip my periods unless my doctor gives me a reason to do otherwise.
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Sep 16, 2011 04:47
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Thanks guys, I have calmed down a bit, and the bleeding has slowed as well. My next appointment is for October 11th, with the good doctor, and I'm going to have to do a lot of considering before then. The thought of anyone going near my bits at all is making me cringe right now. I really want the IUD. But getting it in! And then... it will have to come out some day. gently caress. I've been taking BC in one form or another for almost 10 years, and then in the last 8 months things have just been haywire. Dammit, body. Work like a teenager again.
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Sep 16, 2011 05:08
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Rockets posted:Thanks guys, I have calmed down a bit, and the bleeding has slowed as well. My next appointment is for October 11th, with the good doctor, and I'm going to have to do a lot of considering before then. The thought of anyone going near my bits at all is making me cringe right now. Please please tell good doctor about your experience because gently caress. Good luck with everything and keep us posted, we care.
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Sep 16, 2011 06:02
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Soul Reaver posted:As probably came across in my post above, I'm suspicious of hormonal contraceptive measures because they seems to have such staggeringly different effects on different people. Some people they don't do much, some it helps, and some it seems to be hell. Thank you for posting those links. I've been reading through them and I just do not think I am willing to even take the chance with hormones again. I had a copper IUD last year for a few months and felt like a completely different person (in a good way). The only side effect I had really was some weird discharge that I hear is pretty normal and tends to go away after awhile. Periods were a little heavy at first, but nothing horrible. The IUD + menstrual cup combo is the best way to go in my opinion. Best of luck to your wife!
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Sep 16, 2011 06:48
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