The Mini Pill

I gotta say, I am enjoying the mini pill so far. I wasn't happy to see that I have a full blown period today, but if I consider when the start of my last normal period and not the fact that I bled for 10 days after that, this is actually right on time.

I did have some pretty extreme moods swings last week. It was rough! Feeling more even keeled now but I have some fierce cramps :/ Oy, one day it will get better...

More Mixed Info and Indescsion and Starting the Mini Pill

My birth control saga is still an ongoing battle...

When Skyla expelled, I had the plan to get one again. After all, this one didn't expell because of my uterus, it expelled due to the menstrual cup (uncomfirmed, but that is my theory and it has been come what confirmed by one OBGYN). So, I made another appointment to get another IUD. However, I was dreading the pain. A lot.

As I was sitting in the waiting room, hoping that 4 Motrin would do the trick for the pain this time, I started to second guess another IUD. As I sat there, I debated my other alternative .... The arm implant! I tried really hard to remember all my issues with it and really tried to remember if it lowered my sex drive or was it my circumstances? Was I just not being diligent enough about losing weight when I had it? As I recall, I got it removed because I couldn't lose weight. But what if I tried harder this time around?

I told the nurse that I wanted to talk with the doctor before doing the IUD, because I couldn't really say for certain that this was what I wanted anymore. Since the office was a bit behind, I saw an attending doctor, who was really awesome.

Here is a fun list of things we discussed:

1. Another IUD probably wasn't the way to go
2. The menstrual cup probably didn't cause the expulsion
3. With careful monitoring, I could do a regular pill form of birth control
4. The arm implant is a good choice for me
5. They will do another IUD, but they don't recommend it because each insertion carries more and more risks
6. I should think about which option I wanted and come back in a month do discuss it again
7. For now, she recommended the mini pill

She was one of the nicest doctors I'd ever talked to who really listened what I had to say and how I felt emotionally about my experiences. I was about to commit to the implant, but she said I should wait before I make a decision.

She suggested I at least see the doctor I had an appointment with, if nothing else just to be introduced. So I waited a bit more and then heard some discussion about Lamictal just outside the door.

The doctor and the attending came in, fulling admitting they were arguing over my case.

Here is another fun list of what this doctor told me:

1. She HAS seen cases where menstrual cups pull out IUDs!!!!
2. She said that after 2 expulsions, normally they don't recommend IUDs anymore (and she was shocked i wanted another one)
3. The best options for me, in terms of effectivness are: IUD, Depo, Implant, Mini Pill. Obviously, the IUD was off the table, but she said the Depo shot was my next best option, however since I am sensitive about weight gain, then I probably wouldn't want to do that.
4. Progestrone only birth control lowers the brains threshold to tell when you are full, so many women over eat which causes weight gain. If you are aware of that, you can modify your diet to accommodate for the change.
5. My seizure meds causes any form of bc to be metabolized faster than normal, which is a problem for something like the mini pill because it has to be taken at the same time everyday even for normal people. Making the mini pill a bit of a risky form for me to take.

I can't really say they pushed one form over the other (unlike everyone pushing Mirena over Skyla to the point of worry), but they did emphasize that I think about all my options.

Later, I stewed over the info about Lamictal metabolizing BC faster than normal and I came to an interesting thought.

For those who have read through my posts, you know that my first time with Skyla was fine until about 10 months in, and then I started getting periods every 2 weeks. And when I got it checked out, they said my IUD was in place and that the strings were on the short side. Then, after another round of heavy bleeding, I got a second opinion and an ultra sound, only to find out the IUD had become slight dislodged. It was about 3 weeks between the two appointments, and I was bleeding both times. It's also known that explusion rates are higher when you are on your period, heavy bleeding can dislodge the IUD. When I got my ultra sound, it showed that just one edge was slightly out of place. Otherwise, it was normal. So that really wouldn't explain why I was bleeding so much and so often. But I do know that the heavy bleeding happens when the hormones leave your body and you get an imbalance. It happened to an extreme after I got Skyla removed and Mirena. Those hormones leaving my body causes crazy heavy bleeding. So, my thought was that Lamictal metabolized the Skyla hormones so fast that it lowered the hormones to the point to cause that kind of heavy bleeding. It would also explain why I still had periods on Mirena, when most women don't get periods after 6 months of having it in!

This is just a thought, of course. Can't really confirm that but maybe I will bring it up at my next appointment.

Gotta say, I am leaning towards the implant this time. Or, possibly, if I really wanted it and I could get prescription pain meds for the procedure, I would do Paraguard. But I really don't know.... Right now, I'm starting the mini pill...

Well.... Fuck

So, I am on my 7th day of bleeding. Which is fine because I expect it and it's light.

This is, until it isn't :/ I had a tampon in, and while out and about, I noticed I was bleeding a bit heavier than I would expect at this point in my cycle. So, when I got home, I changed my tampon and there it was, my IUD sitting on top of the tampon.

It didn't hurt whenever it pushed out, maybe felt a few minor cramps but otherwise, it was nothing.

And now I am annoyed, defeated, hopeless and bleeding... 

What next?

One week update

A few minor updates:

On Sunday, I had horrible cramps for about an hour to an 1 1/2. Awful, had to stop what I was doing and live with the pain type cramps. Then, while wearing some white shorts, I got my period a few hours later! Luckily I was at home, so it was an easy clean up.

I also had unprotected sex that morning with no pain! Another win!

Today was interesting though. I had asked my doctor about using a menstrual cup with an IUD and she said it should be fine; I just had to watch the strings when I took it out. Well, today I learned that her advice was well founded. As I took out my menstrual cup, I had some of the worst pain I've felt since I expelled Mirena. Needless to say, I panicked thinking that I pulled the IUD down. The pain didn't go away for a while either, it was debilitating for a time. I called my doctor and got in later in the day. They did an ultra sound and luckily, my IUD was still perfectly placed. Phew!

Haven't had any pain since! It actually feels totally normal down there, like I don't even have an IUD! Maybe a weird tug is all it needed to be placed right. Who the hell knows.

Anyway, other than that, everything is going swimmingly!

Skyla Round 2, IUD #3

As of today, I have a brand spanking new Skyla resting in my picky uterus.

The pain of insertion wasnt't fun, but it was SO MUCH LESS PAINFUL than Mirena. Makes me think I'll never get the copper one! Yikes.

Anyway, I breathed through the pain and didn't let out a yelp, so I feel that is a win in and of itself!

The post-insertion cramps are super manageable too. They are just really mild period cramps not even worth taking pain killers. Maybe each IUD gets easier :D

My gyno told me I have to check my strings more often, and come into the office for a check up every three months. And I am totally keeping up on that this time, because before, I was really bad about that. Also about checking my strings.

One thing I totally forgot to ask about was how soon I could have unprotected sex. I was on my period when I got the first one in (and I like, wasn't having sex with anyone). When I got the second one, I was taking the pill 4 times a day to stop the bleeding right up until that thing was inserted. Well, I wasn't on my period (but I KNOW I am pretty damn close. If not from the handy app I use to track them but also because my body likes to let me know). I'm thinking I'll either wait 7 days or for my period to come.

It's rather sad but my boyfriend and I haven't had sex since our last discussion :/ I just felt so unsexy for different reasons and I figured we could just wait until I got the IUD.... so..... yeah.

Thinking of the next IUD

After almost 3 months of being off of hormones, I gotta say I feel great. My periods last 3 days, my cramps are minimal, and my cycle is regulating! I'm slowing shedding the weight, although I could have been better about working out and eating right. Still, progress is being made.

Now for the downside...

My boyfriend has been having a hard time finishing using condoms. This is getting frustrating to say the least. For the past 3 months, it has happened off and on, but he always attributed to one thing or another. Being to full, being a bit tired, etc. Back when I pushed out my IUD, he was so supportive of me going BC free, assuring me that he wanted whatever made me happy. And while I suspected he was a bit disappointed, he assured me condoms were 100% cool.

Well, after numerous occasions of him not being able to finish, I finally asked him if it was because of the condoms, and he admitted he had been struggling with it. He didn't want to say anything because I was so content without BC, but I think he is having a harder time than he thought.

I know what he means, I hate condoms too. I dry out faster, and I always have a smell after we are done. We go through lube a lot too. And while I always thought that men having problems with condoms was their own damn fault, I can't really say that for my boyfriend. We are 30 years old now, he has gone his entire sexually active life wearing condoms - as have I -  and this is the first time we've ever gone without one to finish. He isn't comfortable with starting without a condom and finishing with one, so that option is off the table.

So, now I am re-reading my posts, trying to remember the best of the bad bunch. The copper IUD kinda scares me, but is also tempting. Then I think of Skyla and how I didn't have a loss of sex drive nor did it effect the intensity of orgasms. It might have hindered by ability to lose weight but I also remember when I started to work out more, I was losing weight. It just took a bit more effort.

I do know that I will never do Mirena again.

All I do know is that this is a struggle and a decision I need to make soon. Updates to come....

All Clear!

The bleeding has STOPPED!!! I'm so excited for that to be over.

I don't think I am over the Mirena Crash 100%, this weekend I was moody and emotional. I warned my boyfriend, but I still felt bad for the way I acted.

Also, I lost 2 pounds even though I made bad food choices all weekend!! For the past month, I have been running and doing light weight lifting 4 to 5 days a week, and then eating healthy, with lots of veggies and protein. NOTHING. Not one pound was shed, I think I even gained 2 pounds. There is the argument that I was gaining muscle, but I was not weight lifting enough to warrant that kind of result. It's these kind of changes that make me never want to take birth control again. Feeling more awake at work, seeing the results of my hard work with diet and exercise, and not having the random shooting pains. I also noticed it was worse whenever I did kegel exercises, which is weird, but I stopped doing them because of that.

I have decided (for now) to reach my ideal weight and then pick a birth control option. Might be Skyla again since I didn't experience a loss of sex drive or really gain any weight. But I might also try Paragard, at the risk of heavier, crampier periods. Who knows though, I change my mind constantly.

Well, readers, This will probably be my last update for a good long while. I hope this information finds you and it helps you make a more informed birth control decision.

Last Update For Awhile

Today, I actually feel like the bleeding is letting up! And I am still in love with my menstrual cup and mad I hadn't bought one YEARS ago. I still had to get up at 3 am and change it out, but that was after almost 4 hours! Plus, it was really more because of the clots than actual blood.

I also felt more awake today and actually slept pretty well last night. I'm thinking the Mirena Crash has worn off now. My sex drive is in full gear, so I'm pretty happy about that (just wish I wasn't still bleeding :/). I've even noticed I'm not gaining weight after one cheat day too! It's so frustrating that feeling normal means not having the safety of birth control....

Anyway, this will be my last post for awhile. I've been updating a lot with out any major updates, so I promise to only do another post when there is actual news.

Menstrual Cup Heaven!

The bleeding is still going strong. The Soft Cups just don't work when you get heavy clots, I've decided, otherwise I think they'd work pretty well. BUT, the menstrual cup IS A GOD SEND!!!

With the Soft Cup, it lasted about 2 hours, about the same as a tampon. Then I would get up and a gush of blood would come out and let's just say that I am thankful I have been wearing nothing but black pants. Somehow they spill out and it isn't pretty. Perhaps its user error, I'd need a free weekend to really troubleshoot. I just resorted back to tampons because I couldn't fuss with the Soft Cups while at work.

When I got home, my Eva Cup was waiting for me (finally!!). I immediately washed it and tried it out. It took some wiggling and squatting to get it up there, and then it didn't open. So I stood up, fussed with it some more, then squatted down again and it felt like it had opened. If it hadn't, I had a pad on anyway, so I wasn't too worried. Anyway, I clearly did it right because its been 3 hours and no leakage!!! HUZZAHHH!

I've read a lot about how there is a learning curve and most people need time to figure it out. I guess since I tried Soft Cups and kinda got the hang of those, the cup isn't as difficult for me? Not totally sure, and for all I know its beginners luck. Either way, I've almost forgotten I've been bleeding for almost two weeks straight.

Anyway, that's all for now.

Mirena Crash?

Not sure if my body isn't keeping up with the blood loss or if I am experiencing the dreaded Mirena Crash, but either way; I am very, very tired. Like falling asleep and not remembering I even closed my eyes tired. Which is making me a tad delirious, woozy, and spacey. I just feel like my entire system is out of balance, almost like PMS but with less control.

I read this blog,  Empowered Sustainability, and I won't say I agree with everything she says about tampons and PMS, it did give me good advice on how to get my hormones back in balance.

The bleeding isn't getting better. I wanted to wait to take the mini pill until the bleeding stopped, but it appears that might not be an option. I'm really not sure how long I should wait for the bleeding to stop either. And then that gets me to thinking about how much birth control has fucked my system up...... Do I really want to go on birth control again to stop these symptoms that might be part of a larger problem?

There is a huge hormonal birth control push back and while I do not believe half of what is posted, it still gives me pause.

I hate to say it, but when it comes down to the bottomline, the fear of pregnancy is always going to win. And statistics don't pull in favor of Natural Family Planning.

If the bleeding doesn't stop by Friday, I'll start on the mini pill. Until then, I need all the sleep!

More of the bad

My current stash that is quickly depleting 

Today and yesterday wasn't a good day, period wise.

On Monday, all seemed to be clearing up well. The bleeding was tapering off and I thought it would all clear up by the end of this week. God, was I wrong.

At 3 am Tuesday morning, I awoke to that horrifying feeling of a dam about to break. I could also feel clots, big ones. To make matters worse, I strained the lower left side of my back pretty bad, so I could barely get out of bed fast enough or bend down to get the towels I would clearly need.

The few short steps to the bathroom made it clear that my best option would be to clean up in the shower. I took off my clothes and it was horrific! I had at least 4 huge clots spilling out and my pajama shorts were drenched. 

I took a shower, cleaned up and painfully prepared for a repeat occurrence during the night; and I'm glad I prepared because it happened again!

Since this has happened before with getting Skyla removed, I didn't freak out too much but was quite annoyed between the whole mess and my back. I waited to go into work, to make sure this wasn't going to happen all day. Luckily, it didn't although I am still bleeding and I did just pass one pretty big clot.

However, I had a repeat occurrence last night, although I handled it much better and it wasn't as bad. 

One problem is that I don't know how to manage this amount of blood loss. It leaks everywhere, tampons are almost useless, and towels don't go well with my skinny jeans. Last night, I tried  Soft Cups, which are basically disposable menstrual cups and can be worn for 12 hours (at least that's what they say).I think I didn't insert it right, but I get better at it everytime I try. Here is hoping that tonight I finally have it down. I also ordered a reusable menstrual cup but it won't be here until Thursday. Until then, I'm hoping these Soft Cups help, at least for overnight accidents.

Oy, this has been a tough week and it doesn't appear to be getting any better.

Going forward

Just got back from talking about my options at the GYNO and its slim pickins'.

In my last post, I said I wanted to try Nuva Ring, which turns out to not be an option because of the estrogen in it. The synthetic form of estrogen is super potent and its basically what conflicts with most seizure meds, specifically in my case Lamtical.

The GYNO had this handy chart, published by the CDC (click on the picture for the full article link)

What does all that mean? Here is a breakdown. Anything with a "3" is bad, and anything with a "1" is safe.
COC/P/R= Combined Oral Contraceptives/Patch/Ring (BAD!)
POP = Progestrin Only Pill (mini pill) (GOOD!)
DMPA = Depo (GOOD!)
Implants = Implanon/Nexaon (GOOD!)
LNG= Hormonal IUDs (GOOD!)
Cu IUD -Copper IUD (GOOD!)

It basically outlines the high risk BC options, which is any combined (progestrin and estrogen) contraceptive, even Nuva Ring and the Patch.

What I can take is still the same:

Depo:
           NOT HAPPENING

Implanon (Now Nexaplon)
           NOPE

Mini Pill: This is the option I chose for now.
           This one only has progestrin but it is taken orally. The CDC says it is safe to take wiith                        Lamictal but it may lower the effectiveness of my BC. So there is a risk of pregnancy, but they             really don't know how much it can lower the effectiveness. Which is why....

IUDs
           Even though I have expelled two IUDs, I can still get them if I want and almost every site I go to is recommending them for people in my situation. My GYNO said that one of her other patients keeps expelling them and then getting a new one. Longest she has had one is 3 years, the rest are 6 months to a year. The pain out weighs the alternative, my GYNO said.

In the last post, I talked about how I really don't want another IUD, but looking at my other options, its the most effective of them all. Yes, they are painful, yes I hate the hormones, yes I have had all the horrible side effects.... But I'm sitting here thinking like an optimist "Maybe next time will be different."

In all honesty, I will probably get another IUD, possibly the copper one. I'm just going to wait awhile so my body doesn't have to get anything invasive for now.

At this point, I feel defeated. Maybe I should just stick to condoms.... I'm not totally sure :/

Life without Mirena - Day 4

Well, I got my ultra sound results back and all is normal. I guess I just have powerful uterine muscles (doctor said that, not me!). There really is no explanation for why my body expelled it, I'm just the one in 100.

When I read more stuff about mirena on some blogs, some women said that you can expell it without even noticing/feeling it. I say that is a flat out LIE. YES YOU CAN FEEL IT! It's like intense cramps that don't go away for several minutes!

Okay, now that I have said that, on to the after effects...

I have been bleeding like crazy again, No where near what happened when I expelled Skyla, but enough that it is annoying. I keep having leaks even with super plus tampons in! The clots are manageable, but they are frequent and larger than normal. Again, not golfball size like before! I am purchasing a menstrual cup now that I don't have an IUD, hoping that it will help with the leaks and crappy tampons. Can't seem to find any that can do the job! As a temporary solution, I cut up an old towel to wear around the house with some over sized men's pajama pants. It sounds gross and unattracitve, but I seriously don't know what to do anymore. I'm also quite moody, but I am aware of it and let people know that it might slip out. Other than that, I actually feel FANSTATIC! 

Another thing that happened was that I had unprotected sex with my boyfriend on Wednesday night (and it was soooo worth it, despite the following information), and Mirena came out Thursday morning. According to other articles, pregnancy can happen the moment an IUD becomes dislodged, and who knows how long mine wasn't placed right before I birthed it out. I called my doctor and they said I should take Plan-B, just in case. Even though it was highly unlikely that I would get pregnant given I was on my period already. They actually prescribed me Ella, which is the NEW emergency contraceptive on the market that offers a wider window (5 days), less side effects, and its more effective. But, no pharmacy I could get to in time carried it yet, being so new and all. So, I also had to take Plan-B. Another cherry on top of my weird and complicated situation.

Now, on to my next array of BC options. I still don't want the Depo shot. I don't want the chemicals in my body for 3 months, and I don't want all the side effects since I seem to get all of them. My last options are:

 -The Patch
             Haven't heard good things about the patch and some people mention complications with Lamictal and the patch

-Nuva Ring
            Back when I got Implanon, I said I didn't want the ring because I lived at my Dad's house and didn't want to have a fresh vagina ring hangout in the fridge. Now that I live with another girl roommate, it isn't such a big deal. I also read some things about women having interactions with the ring and their seizure medications. But I've also read a lot of success stories too. My gyno(s) and pharmacists have told me there is no interaction because its the same hormones as Implanon and Mirena. The mixed info is confusing and scary, but until that male birth control is FINALLY released in the US, I need to make some decisions.

- Condoms
          Condoms are fine and all, and if it really is too risky to take any BC, I will resort to the good ole fashion condom route. I really want BC for its numerous other benefits like clear skin and regular periods. Granted, I do experience a lowered sex drive with BC and I just don't orgasm the same. I'm honestly torn on this but...

I am going to talk to my doctor about Nuva Ring as an option tomorrow. My friend who has a high sex drive said she liked the ring the best. It didn't lower her sex drive and never had any problems with it.

I will update accordingly. Isn't it interesting how this started out as an Implanon blog but now I've trying every unique birth control option?

The End

Well readers, today my Uterus pushed out Mirena :/

Last night, I had sex and everything was totally fine and normal. Then, when I woke up, I noticed my period was getting heavy which is unusual after being on it for 5 days already. As I got ready for the day, I noticed I was having increasungly bad cramps. I thought it was strange and planned to call my doctor when I got to work.

On the bus to work, they got worse. But they also came and went, so I really wasn't sure how alarmed I should be. As I walked to work, I noticed I needed to walk slower and I was winded faster (I have to walk up a steep hill). When I got to work, I called my a nurse right away, telling her my issues. She got me in that day and I initially decided to try to work a few hours before going.

That did not happen. Within an hour, I was having intense, not-going-away-even-with-pain-killers-type-cramps. I went into the bathroom and doubled over in pain, punching the stalls and deep down knowing that I was probably pushing it out. I left work and asked to get in the doctor ASAP.

On the bus to the office, the cramps got better and I figured maybe the pain killers finally kicked in. The doctor asked me a few questions before taking a look. I told her everything was normal until today. When she looked at my strings, she thought she saw the tip of plastic but wasn't sure until she did a manual exam. Sure enough, it was practically already out. As I mentioned in a previous post with Skyla, getting it taken out is painful! Anything passing through your cervix is painful, even blood clots. So, when she pulled it out, I was shocked when I didn't feel a thing. My body had done it already.

I also had to get an ultra sound to see if there is an observable reason why I push out IUDs. Could be that I have a funny shaped uterus, could be a fibroid, or I might just have strong uterine muscles. I get the results back tomorrow.

Now, I feel amazing! So relieved and free! No more pain, no more random cramps, no more shooting pain (especially in my ass... not sure if that is normal)! No more extreme drowsiness the week before my period either! No more reduced sex drive! I also noticed that with Mirena, my orgasms just weren't the same. Not as intense and I didn't get as into sex as I used to. Now I get to have better orgasms too!!

Not looking forward to the acne but meh.

From here, I don't know if I have any other bc options. I'm going to discuss it with my gyno on Monday but I'm prepared to hear that it's only Depo-Prevera. Either way, this weekend is going to be lovely and hormone freeeeeeeeeee.

From Skyla to Mirena and Everything Inbetween

Hey Readers!

Sorry I've been IMA. But, as the nurse who gave me an HIV test at Planned Parenthood told me "No news is good news." Well, there was no news for my HIV test but there is news with my IUD, Skyla.

I got Skyla inserted way back in October. Everything was fine after the first 3 months. Sure, I had bad cramps and sometimes shooting pains a week before my period, but it was all managable. Plus, the cramps were getting better, my periods were light (albeit 9 days long).

Then came mid-July. I had a normal period, and the day after it was done, I had sex for the first time with it in. That night, I had horrible cramps after. Then there was something weird going on with my vagina (a weird, not normal smell). Then, two weeks later, I got ANOTHER period and this one was like Niagra Falls. Never had that heavy of a period since I had Skyla put in (hell, haven't had one that heavy since I was 15).But it stopped after 8 days and I figured I'd see how the next one would go.

20 days later, I got another period but this one was more typical. Light, lasted for 8 days. Everything seemed fine. But the not-normal-smell thing wasn't totally resolved. So, I went to Planned Parenthood to get things checked out and told them about the period problems I've been having. I'll break down what they told me in a handy list:

1. I had cervicitis
           -Cervicitis is caused by STIs, latex allergies, spermicide allergies, or puting stuff up your                      vagina like cervical caps, or like sponges or whatever.
           -I am STI free, so it is probably from a latex or spermicide allergy. Which, totally makes sense               to me because all this started after I had sex WITH a condom (and all subsequent sex with a                 condom).  And I have a lot of skin allergies.
           -They prescribed me a one dose antibiotic and it all cleared up!

2. My IUD strings were kinda on the short side, but everything still looked good.
         
Well, my next period came and it was another Niagra Falls situation! I even attempted period sex with this new guy I am seeing and that had a horrifying outcome. Luckily, the guy I am seeing is awesome and understanding, but there was more blood and clotting than I had ever seen my body produce.

I was a bit suspicious at this point of what was going on, so I emailed the doctor who put in the IUD and asked about a second opinion. She said what was happening was not normal and that I should come in. The reoccurring bleeding and the excessive clots were cause for concern. Long story short, I had to come in earlier than the original appointment I had made because of the heavy bleeding.

They checked everything out, did an ultra-sound to see the IUD and it turned out that it was a bit dislodged and my uterus was starting to push it out (expelling). Heavy bleeding can dislodge the IUD and that is probably what happened because this doctor told me that my strings were long! So, she decided to take it out and in a week, I could come back and get a new one.

Getting it taken out HURTS! But, you'll live. But it hurts. She also said it was on its way out looking at how long the strings were (remember, at Planned Parenthood, they said mine were kinda short, so it changed in the two weeks of bleeding).

An hour or so after that, the bleeding got worse, I started soaking tampons and pads every 2 hours and the CLOTS WERE INSANE! One of them was a foot long! So, after talking with a consulting nurse, I went to the ER. I got in pretty quickly, but the doctor said it was no cause for concern. He said that it was a slow bleed and basically, didn't know why it was happening. They took like 5 things of blood (just what I needed, more blood loss after heavy bleeding for 9 days straight). Ultimately, they said there was no cause for concern. They said to come back if it didn't stop but otherwise, I should follow up with my GP.

The next day, the wonderful consulting nurse called me to check up on me after seeing that I called the other consulting nurse and that I had been to the ER. I told her the bleeding hadn't let up, so she said to come in.

More long story short, my blood count is fine but my heart was feeling the blood loss. They gave me

Nortrel
         - a pill birth control pill that I had to take 4 times a day to stop the bleeding!!
Nausea medication.
           - Taking 4 pills a day causes nausea (makes sense) so these would counteract the nausea that Nortrel would cause. And boy does it cause nausea!!!! I was supposed to take one every 8 hours, but I had to take one every 3 to 4 hours to survive.

The bleeding let up a bit after just one pill and the clots weren't as horrifying, but there was still bleeding and clots.

NOW,,,,

I just came back from the hopefully final doctor visit! She told me that some women just don't respond well to IUDs, and brought up that I didn't bleed with the arm implant, so maybe I should go back to that. I told her I'd rather not since I had weight gain and paltry sex drive. She understood. She then said Mirena is for heavy bleeding, so that would be the best option for me.

I asked her repeatedly if that was going to be a good option, if it was the best option, and if it had the best likihood of stopping the hormone imbalance that was clearing happening. She said yes and was pretty confident about Mirena being the best option.

So, the nurse prepped everything and I got Mirena in a few mintues later. For whatever reason, this insertion hurt WAY MORE! I let out a yelp (two actually), one for when she put the measuring device in and another when the IUD was put in. I jumped alittle too. But, I was also exhausted and not feeling very mentally prepped for that kind of pain so I'd like to think I was just at a bad pain threshold point.

Anyway, I'm not looking forward to the insuing cramps to come later tonight or this week, but if it stops all the god damn bleeding, then I do not give two fucks.

Basic summary:

1. My IUD got dislodged but did not puncture my uterus

2. The bleeding was from a hormonal imbalance, and the heavy bleeding probably caused the displacement.

3. The birth control pills helped correct the imbalance and stop the bleeding. If you read my blog, you know that I can't take the pill because it interferes with my seizure medication. However, I was closely watched while taking it and it's only for a short period ( 3 days).

4. I now have Mirena and I am hopeful that it won't cause problems.



Alright, sorry for the long post. Updates to come.

Period Shenanigans

Well, so far, I have enjoyed not being on birth control.

However, my period is being weird, and irregular, and more annoying than usual.

I download a period tracking app on my iPad as soon as I got Implanon removed. I figured having some idea of what my body is up to is a good idea since I am not longer controlling it with hormones or what have you. It has helped a lot, and it is how I realized just how weird my period is being.

As you might have read, I got my period like 5 days after getting the rod removed. It lasted for 5 days, then it was done. Yay.

The next one took 45 days to come along again, and it was one of the most heavy periods I have ever had - for like 2 days. Then it went away totally for a day, then it came back for another day, then it was done.

Wtf . . .

I had my last period the first week of March and it ended after 5 days, and as of yesterday, I have another one! That is a 23 day cycle. I went from a 45 day, to a 23 day! Annoying, right?

I tried looking up if other women have talked about irregular periods after having Implanon removed, but they are all about pregnancy . . . ew. So, I guess I'm just going to hope its normal and my body sorts it all out. Before all this Implanon business, I had a 30 to 33 day cycle, which I would love to go back to at any time. But for now, I'm dealing with my out of whack hormones . . . grrrrrrrr

Also, I have not made any plans to get an IUD yet.

Update: Month # 11

Ok, I haven't updated in awhile. Sorry! But it's a good thing because there is nothing to update about! Good news, yet it makes for boring blog time.

So, everything is going great! The spotting almost never happens now and I don't appear to be getting anymore PMS flares, as far as I can tell. I have gained some weight, but that is just me not eating and exercising like I should :(. Also, I've heard so much advice about hair loss and how we go through cycles of increased hair loss and then a more normal amount, which seems to have happened. 

Overall, I'm very pleased with my decision. I still constantly thumb over the implant, it's an unconscious habit now. It is nice to not have to think about taking birth control, yet having that constant security of being responsible about birth control!

The Implanon experience - Day 1

Alright! This is my blog about my experience with the birth control Implanon (Now called Nexaplon). If you don't know or aren't familiar with Implanon/Nexaplon, it is a small, thin, match stick like piece of plastic that is inserted into you arm. It can stay in your arm for 3 years and it is progestrin only.

To give you a brief amount of background, I am creating this blog because there was so much mixed information out there about this form of birth control. When I researched it, I found tons of negative reviews and very few good ones. I was scared and I didn't really didn't want to even try it.

However, Implanon quickly became my only choice for a variety of reasons.

First, I take a seizure medication (anti-seizure perhaps?) called Lamictal, which can lower the effectiveness of birth control AND birth control, in a pill form with estrogen, can lower my medication levels. I didn't know this and I have had a seizure from the lowered medication levels! This was upsetting for one because none of my doctors told me this and because I had to stop taking a birth control pill I hadn't been having any problems with.

This incident happened in October of 2009 and for months I researched all my options. My safest options were the following:
- Ortho Evra (the patch -- see below)

- Nuvaring ( I later found out that this is false. The ring and the patch have both progestrin and        estrogen, and no matter how it is introduced into the body, estrogen or any form of it goes through the liver. Progestrin does not, which is why it is safe to take with most seizure medications)

- Depo shot

- Implanon

I ruled out the patch because of the estrogen based hormone.

I wanted an IUD but I've had an abnormal pap, so that is no longer an option. ( And no, I do not have childern, but my OBGYN said she would do an IUD because of my situation. **Update: My how medicine has changed! Now my GYNO pushes an IUD on me like no other!).

I have heard numerous horror stories about the Depo shot and even though my OBGYN told me that I have probably only heard the negative and that most women respond very well to the shot, I still did not like the idea that it would stay in my system for 3 months!

Nuvaring was a close second, however I still live at home and Nuvaring has to be placed in the fridge on your off week because the hormones are released at body tempuature. Needless to say, I did not want to have my bc next to dinner leftovers and my Dad doesn't want to see that either.

So, I decided on Implanon, despite all the negative reviews I read, it quickly became my last option if I wanted birth control at all.

All I could hope for is that I would be one of the women who didn't post anything because it did not give me side effects or at least the worst ones. The side effects that have been posted and the doctor told me about are:
 - Non-stop bleeding for months
 - Spotting sporadically for months
 - Acne
 - Weight gain
 - Loss of sex drive
...much of what you hear of most bc but the non-stop bleeding and crazy spotting was the biggest thing I read about.

The next issue I ran into was finding a place that had anyone who was trained on how to insert Implanon. My OBGYN did not do the training, but she gave me a list of places that she thought might. Of the 10 names she gave me, only one place had two ladies who had the training. I'm not from a huge city but it's not small either, however Implanon is so new and not that well known, there isn't much of a demand.

Despite my struggle, I finally made an appoint for a consultation. There, I asked about the non-stop bleeding which she said was being reported as a problem recently but only one girl asked to get it taken out because of that problem.Not the feedback I was looking for but it still gave me enough hope. I also asked if the procedure was painful and she told me that it was no worse than getting blood taken. I was also told that they only considered taking it out after 6 months because it can take that long to your body to get used to it.

A month later, I had my appointment. On that day, I had to take a pregnancy test, which I was not worried about because I have not been sexually active for a year. Next, I was taken to a small room, almost exactly like a dentist set up, complete with the long chair. The nurse told me to lay down and the doctor would be in shortly. My wait wasn't too long, and I asked the doctor the same questions (this was a different doctor from the one I originally talked to). She said that only one girl wanted the implant taken out because of the non-stop bleeding and about 90% of women who have it do not have dramatic side effects and most of the side effects went away after 6 months. This gave me some hope!

Then, it was game time! My arm was placed in a semi awkward position because it is inserted in the underside of your non-dominate arm. In any event, the area was cleaned well and prepped for the local numbing shot. She told me it would sting and I was thinking "Ok, it going to sting but then it will be just like getting my blood taken".

WRONG!!

This shot not only HURT but it also STUNG very, very badly and it seemed to go on forever! I think it was put in three different places, so each time there was a renewed sting. Yet, the shot numbed the area and I could only feel displaced pressure. The doctor proceeded to show me the plastic, match stick length insert and the instrument that would be shoving it in my skin, which was not huge but big enough to be glad I was numbed.

The insertion part I could not feel, but judging from the wiggling, pressure and force that she applied, I knew that a discomforting amount of force was being put into this procedure. This part went fast, though and before I knew it, she was done.

Next, the area was cleaned again. A small round bandage covered the insert spot, then gauze and that tan binding stuff which I do not know the name of but is used for things like ankle sprains was wrapped around my arm. I was told to keep the binding on for 24 hours and if any soreness or bruising occurred, I could take Ibuprofen and ice the area.

In all the reviews I read, only some talked about bruising or soreness but not enough to keep me alarmed. Most seemed to have no problem with the area.

I however was not one of those people. The underside of my arm hurt quite a bit and it was very sore and tender. I didn't unwrap the binding until later that night to look at the area. It was not pretty. The round bandage was not big enough for the amount of bleeding I had, the area was red and two long, red marks traced over the implant. I was afraid to touch it because my entire arm ached. I iced it right away, which really helped and by the next day, it didn't hurt as much. But it still hurt enough to notice.


As I write this blog, I am on day 2 of having Implanon. So far, nothing! No side effects! Granted, it's day two. I was supposed to get my period on the 20th but I was really stressed out from school and my two jobs and stress ALWAYS messes up my period. So, no period to speak of to this day.

 Here is a picture of my arm today, day 2 of having the insert:

It doesn't look too good, I know! And it is still tender, but before this scares you, understand that I have VERY sensitive skin. I can't use many over the counter make-up, face lotions, face washes, detergents because I will break out in one form or another. Plus, the underside of your arm is very sensitive, so also keep that in mind. You can see the two red marks that run perpendicular to the insert too that I was talking about. The bruising is pretty recent and the pic doesn't give you ALL the green that is surrounding the red marks.

Overall, even with the painful procedure, the scary reviews and the bruising, I do not regret getting it. Of course, time will tell if the side effects change my mind. I wanted to write this blog to let other women know a personal, updated experience and even women who also take Lamtical and are confused about which bc option is best.

 I will get my blood taken to check my medication levels too and make sure that Implanon isn't lowering the levels, which I will also blog about.

 I hope that someone out there stumbles upon this blog and I hope it helps!