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Dx Birth Control Treatments: Dx IUD, Dx Oral Contraception, Dx Tubal Ligation, Dx Vasectomy: Read More...


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Concensus The consensus is that the IUD is one of the best and most used contraceptives. Fifty million of the original copper IUDs were used by the WHO internationally. Concerns about the IUD focus on perforation and long term use. The perforation rate is one per two-thousand for repeat users. The rate for the copper IUD is about 1 per thousand while the Mirvena© rate is slightly higher at 2.5 per thousand. The Mirvena© had a 10-fold lower contraception failure rate. IUDs are uniquely suited for postpartum contraception.


Birth Control

The Merck Manual Home Edition states that:
"[Contraception] is almost equally effective for the oral contraceptive, intrauterine device, skin patch, vaginal ring, injection of Depo-Provera®, and implants under the skin.

Medications Used in Treatment:
1. Estrogen/Progestin Combinations: Ortho Tri-Cyclen®, Ortho Cyclen®
2. Estrogen/ Progestin/ Iron Combination: Loestrin FE® 1/20, Loestrin®FE 1.5/30, LO Loestrin®FE
3. Estrogen/ Progestin/Folate Combination: Beyaz®, Safyral®
4. Progestin: Depo-Provera®, Micronor®, Nor-QD®, etc.
5. Intrauterine Device
6. Androgens
7. Male Sterilization: vasectomy
8. Female Sterilization: tubal ligation, Ensure®

Suggested Links
*N.H.S. choices
*Medscape

Contraception in Women with a history of Cancer:
After reviewing the evidence regarding the safety and efficacy of available methods of contraception for women who have been diagnosed with cancer, the Society of Family Planning recommends that women of childbearing age who are being treated for cancer avoid combined hormonal contraceptive methods (containing estrogen and progestin) when possible because they may further increase the risk of venous thromboembolism (VTE) (Level A). The copper T380A intrauterine device, a highly effective, reversible, long-acting, hormone-free method, should be considered the first-line contraceptive option for women with a history of breast cancer (Level A), although for women being treated with tamoxifen, the levonorgestrel-containing intrauterine system (IUS) which decreases endometrial proliferation may be preferable (Level B). Women who develop anemia may benefit from use of a progestin-containing contraceptive (Level A). Women who develop osteopenia or osteoporosis following chemotherapy should avoid the progestin-only contraceptive injection (Level B). More information is needed in many areas. There are insufficient data to evaluate the risk of VTE when progestin-only contraceptives are used by women at high risk of VTE.


NuvaRing and Blood Clots: .F.D.A. says Nuvaring increases risk of blood clots by 56% over older forms of oral contraceptives.
Similarly, combined hormonal contraception raised the risk for venous thromboembolism (VTE) fivefold overall with certain formulations increasing tat risk even further with thrombophilic genotypes raising it further.
Yaz and FDA reviews: The FDA has also been grappling with the onslaught of complaints regarding the drug’s connection to blood clots. In September, the FDA said it “remains concerned” about the drug’s clot risks. Instead of recalling the drug or taking action against the drugmaker, the FDA tossed the decision to one of its advisory committees.

*[Editor]
We have become concerned that the biological derangement caused by oral and injections of contraceptives. Not only do they blunt normal estradiol, substitute chemical estrogens and progestins but also they dramatically raise the Sex Hormone Binding Globulin (SHBG). SHBG regulates how much of all the sex hormones are 'free': normal range of SHBG is 30-40nmol/L; on Oral agents SHBG can exceeds 200nmol/L. This results in low hormone activity, loss of muscle and bone, poor memory and decreased libido (no sex drive). The IUDs offer equal contraception protection without the negativity of hormonal manipulation. Should PMS, heavy menstrual periods or migraine be an issue, read about different proven mixtures (that works well and do not have the oral contraceptive hormonal issues).

*[Editor] It is very important to note that SHBG increases so bio-available testosterone decreases dramatically [libido, healing, muscle tone, mental concentration]. "Given the sharp increase in SHBG during the use of many oral contraceptives, total testosterone may not decrease, whereas its bioavailability, estimated by free testosterone levels, will be diminished." Copyrighted 2014©