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...

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?

One Year Anniversary! Woooo!

Well, everyone, as the post indicates; it's my 1 year anniversary for having Implanon! I'm still doing great on it and the spotting never happens anymore! Overall, I'm quite happy!

I will say though, as I have in previous posts, I do suspect my sex drive isn't quite what it used to be before I got Implanon. Of course, there are other factors. I'm stressed out as HELL right now and have been for most of the summer. I'm taking 5 classes this semester, applying to study abroad, applying for Grad school for next fall, and I have 2 part time jobs. I have quite a plate full and I often wonder what the hell I am thinking half the time. Sorry, I know that is off topic, but I gotta vent! Plus, I'd like to think it helps others understand that Implanon isn't always the sole cause for common side effects.

Anyway, good luck to anyone else who wants to try Implanon! I'm so excited this HAS helped others and will continue to do so in the future. I promise to keep blogging as long as there are people visiting!

Day #111

Well, I have not had time to schedule a check up appt. I've been swamped in school paper, finals, presentations and Christmas shopping. I probably will call after the holidays.

Anyway, I'm having, again, super light spotting. Slight cramps too, but only for about 10 seconds, as opposed to 1 or 2 hours as I would normally. I try to think back when I wasn't on bc and the first day of my period would send me on a warpath. You did NOT  want to cross me on that day. Lol.

Secondly, I'm starting to think maybe my sex drive is diminishing.Granted, no boyfriend, no crushes. Nothing. Can I get anyone's opinion on this? When you don't have a crush or a guy in mind, does sex just seem not worth the effort? OR when you ended a long term relationship? Does it mess you up in the that regard? Looking for any kind of advice/reassurance! I'm hoping this slump is circumstantial.

Anyway, my hair still seems fine. I'm finally losing weight, although I pigged out yesterday. I'm afraid to weight myself now!

I think that is all for now. If anyone has some feedback, please post. In need of advice. Bc is not worth compromising my sex drive!