Hey, I enjoyed reading your posts on contraception and I agree with your views, it's so important to talk about. But I also wanted to add my view: I have heavy periods and went through the whole process trying to fix it, seeing different doctors etc. As a sex-averse ace woman though, I get so anxious about it all. It must be different for you. But I don't ever want something like a hormonal implant inserted in my body and I wish there was another solution. Since I don't want contraception, /1
/2 there is no solution for me - I was sent away, since I didnât want to take the pill, and I didnât feel taken seriously because I donât have to worry about getting pregnant and I donât plan to have biological children. Iâm glad contraception works for others and helps with symptoms, but I hope you know that for some of us, that route doesnât work. Not to intrude on your discussions though, I know itâs still really important for most people.
Hey, thank you so much for your message. I donât think youâre intruding on the discussion at all; Iâd always be happy to have comments like yours on my posts because I think your experiences contribute something absolutely necessary to the discussion of contraception in general, and Iâm really glad you took the time to write. Youâre rightâ itâs important to discuss that current contraceptive methods donât always work for everyone. Sometimes people really, really donât get on with hormonal contraception; in a small proportion of people the mental health side effects can be severe. Others might not get on with the way in which different contraceptives are administered. Most people would find at least a few of the options unacceptable or really inconvenient. Some people donât like inserting things âdown belowâ. Some just hate taking tablets. Some donât like the idea of implants or injections. What I like about the thread was that people are sharing their experiences; what works for them, what doesnât and why. Because weâre all pretty different in what can work for us, which is why I really believe about open discussion so everyone has the best chance of finding the right thing. Unfortunately, though there are a reasonable number of options, sometimes none of them are quite right for someone, and I hope we can keep bringing out different options so that more people can benefit.Â
The medical establishment can still be weird about sex. People usually assume patients are heterosexual and sexually active. Iâm quite OK being open about these things now, but when I was younger, I was much more anxious and shy about this kind of thing, so going through things with clincial staff didnât always come easily. Itâs something Iâm much more confident about now that Iâm a doctor because I know that clinicians usually donât care or judge about our intimate details. I was also a âlate bloomerâ in terms of pursuing intimate relationships, for reasons I wonât discuss here. I fielded a lot of questions from docs and nurses who were well meaning but just couldnât seem to understand that not every young woman is, or has been, sexually active. It was pretty frustrating at times; young people are self-conscious enough as it is without being made to feel abnormal about something that is normal for them. I can understand why the conversations would be particularly frought for you, particularly if your aversion is strong. Iâm sorry for the way your clinicians have treated you; should still be taking your symptoms seriously regardless of whether or not you are sexually active, because these medications arenât just for preventing pregnancy, and we use them really frequently to improve peopleâs quality of lives or deal with issues with their reproductive system. I recognise that youâve probably gone through a shedload of options with clinicians of varying levels of helpfulness, and you know far better than I do what your local options are, and whether you need to pay for/can afford them. I really wish I had something to offer; just in case your clinicians have missed something or dismissed something out of hand for you.. So, just in case your clinicians have left out options, Iâd like to mention things that you havenât mentioned that you ruled out, but I will completely understand if they arenât for you at all. I just want to mention them in case they are new to you. But if you donât want to read further, or you know it all, itâs OK. I can see why youâre in a difficult situation, because your symptoms would require hormonal treatment, so things like diaphragms, sponges, spermicide, condoms etc (and less reliable things like cycle planning and withdrawal, which people rely on for contraception when hormonal methods arenât an option, wonât work for your symptoms, so the options are more limited. In the UK, we have weekly contraceptive patches; I donât know if thatâs something thatâs been available or offered to you where you live? We also have things like the monthly vaginal ring; itâs a bit like inserting a menstrual cup or tampon; you do it yourself, which might be less creepy than intrauterine devices that others insert. Thereâs also the monthly injection; would that be more acceptable than the implant? Some people who donât like the idea of the implant prefer injections. Itâs OK if thatâs also weird for you though; lots of people donât like injections. In the thread, we already discussed that the hormonal coil can be great for heavy periods, but it involves a small piece of plastic being inserted into the uterus through the vagina, which would make some people uncomfortable; you havenât mentioned whether that would squick you out, but a lot of people donât like intimate examinations, so itâd be perfectly OK if this wasnât an option for you. Some of my medblr friends have commented that itâs possible to have the hormonal IUD inserted whilst youâve been put to sleep for a procedure; if that would be something you might consider because some people are fine with squicky things if they arenât awake. Lots arenât though, so itâs OK if thatâs still no good for you. The last method to consider would unfortunately be the most drastic; Iâve known women who opt for a hysterectomy to control their heavy periods. Usually, they will have been investigated for the causes (for example, fibroids or endometriosis etc) before they get to this option, and it can be difficult to get clinicians to agree to carry out major lifechanging surgery like this if you are young or have no children. Itâs by no means an easy option, but I mention it because it is right for some people.