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Birth Control Options | Ask the Expert
If your major goal, in addition to reliable contraception, is to reduce the menstrual flow and frequency of periods , then a Mirena <a href="https://www.mylifestages.org/medicallibrary/MedLibrary.page?medlib=1&section=healthinfo&page=article&sgml_id=tw9516">IUD</a>, which secretes progesterone-like hormone locally in the uterine cavity with relatively little systemic effect may be your best choice. With Mirena many women have no periods at all and it is effective in reducing heavy menses as long as there is no anatomic abnormality, such as a polyp or fibroid. Dislocation of an IUD is a rare event. Depo Provera also eliminates periods in most users but some women experience spotting and it is a systemic medication which may have some of the same side effects you have with the pill. <strong>Read more:</strong> <a href="https://www.mylifestages.org/medicallibrary/MedLibrary.page?medlib=1&section=healthinfo&page=article&sgml_id=tw9416">Effectiveness Rate of Birth Control Methods</a> <a href="https://www.mylifestages.org/medicallibrary/MedLibrary.page?medlib=1&section=healthinfo&page=article&sgml_id=tw9513">Birth Control: Pros and Cons of Hormonal Methods</a> <a href="https://www.mylifestages.org/medicallibrary/MedLibrary.page?medlib=1&section=healthinfo&page=article&sgml_id=tb1025">How Birth Control Methods Prevent Pregnancy</a>
Women's Health,Pregnancy,

Question:

I’m 38 and have been in a relationship for 3 years. I’ve been on the pill for 20 years and don’t want more kids. But I don’t like melasma side effect. I’ve considered an IUD but know someone whose device migrated resulting in a hysterectomy. Options?

Answer:

Ryszard Chetkowski, M.D.Ryszard Chetkowski, M.D.OB/GYN, REIAlta Bates Summit Medical Center
Expert
Ryszard Chetkowski, M.D.OB/GYN, REIAlta Bates Summit Medical Center

Dr. Ryzard Chetkowski is Board Certified in Obstetrics / Gynecology and Reproductive Endocrinology. His professional interests include infertility, fertility preservation, gestational surrogacy, donor eggs and donor embryos.

If your major goal, in addition to reliable contraception, is to reduce the menstrual flow and frequency of periods , then a Mirena IUD, which secretes progesterone-like hormone locally in the uterine cavity with relatively little systemic effect may be your best choice.

With Mirena many women have no periods at all and it is effective in reducing heavy menses as long as there is no anatomic abnormality, such as a polyp or fibroid. Dislocation of an IUD is a rare event.

Depo Provera also eliminates periods in most users but some women experience spotting and it is a systemic medication which may have some of the same side effects you have with the pill.

Read more:
Effectiveness Rate of Birth Control Methods
Birth Control: Pros and Cons of Hormonal Methods
How Birth Control Methods Prevent Pregnancy

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