During Pregnancy And Breastfeeding
Mirena is a pregnancy category X drug. This means that you should not use it during pregnancy. If you have Mirena and think youve become pregnant, call your doctor right away.
Using Mirena during pregnancy can cause an ectopic pregnancy. This is when the pregnancy occurs outside of the uterus, typically in a fallopian tube. Symptoms of an ectopic pregnancy can include unusual vaginal bleeding or pain in your abdomen. Ectopic pregnancy is a medical emergency that typically requires surgery.
In most cases, you can use Mirena while breastfeeding if its been more than six weeks since you had your baby. Do not use Mirena before that time. There is a small chance that Mirena could reduce the amount of milk your body makes. If you notice any changes in your milk production while you use Mirena, call your doctor.
How Do These Meds Mess With Birth Control
For the science geeks among us, heres how this works: its all about metabolism, the process by which our bodies use and clear medicines. Just like with food, the body has an intricate and multi-step process for breaking down medicines, using them, and then clearing them from the body.
One of the key players for medicines is an enzyme called the P450 system. The P450 system helps process both of the hormones in the pill, the patch, and the ringestrogen and progestin. Some medicines speed up or slow down this enzyme system. If the system is revved up, it will go to work breaking down and removing the hormones faster than normal, resulting in lower levels of the hormones to get the job done. It can result in such low levels of hormone that the pill, patch, or ring dont work.
The Role Of Melatonin During Pregnancy
Naturally occurring melatonin appears to play a role in pregnancy, although more research is needed to fully understand how the hormone operates in this context. A pregnant womans melatonin can cross the placenta and bind to receptors in a fetus, suggesting melatonin levels impact an unborn baby. Additional melatonin may also be produced locally within the placenta. Melatonin levels in a placenta are highest during the first trimester. A pregnant womans melatonin levels increase after 24 weeks of pregnancy and again at 32 weeks.
Research suggests a womans melatonin levels may influence her ability to become and stay pregnant. One study found that night shift workers with disrupted melatonin levels are more likely to experience infertility and miscarriages. Melatonin promotes fertility by improving ovarian function and ovulation. Additionally, melatonin helps an embryo implant itself in the uterus and begin to grow.
Since melatonin levels tend to decrease with age, lower melatonin levels could be part of the reason older women are less fertile. Some researchers suggest that melatonin supplementation could help older women become pregnant.
Melatonin likely helps entrain a circadian rhythm in a fetus, which could potentially impact the babys sleeping patterns after birth. Melatonin may also affect neurological development in a fetus, reducing the likelihood of problems such as brain lesions.
How Dietary Supplements Effect Birth Control Efficacy
Its not a discussion often had or even pondered, but perhaps its one that needs to be. Did you know that there are dietary supplements that can actually interfere with the effectiveness of birth control? We think its certainly an issue most women should be aware of.;Made available in this link is a list of the best and safest diet plans made with wholesome ingredients.
Dr. Josh Umbehr, MD, a practicing physician in Wichita, Kansas, says that what can cause the interference is if the supplement and the birth control pill are both being metabolized by the liver, because it increases the livers ability to break down estrogen, thus decreasing estrogen levels, and thus having the risk for decreased effectiveness. And because this theory goes both ways, some birth controls may interfere with the effectiveness of dietary supplements as well.
According to Dr. Umbehr, one example of a dietary supplement that may interefere with birth controls efficacy is Forskolin, because it increases the activation of liver enzymes, putting it in the category of posing a risk for decreased effectiveness.;For a comprehensive list of the safest;diet plans, click the link here.
Fish oil Dr. Braverman reports that this might pose a moderate interaction, as there is some evidence that contraceptive drugs might interfere with the triglyceride lowering effects of fish oils. Some of these drugs include ethinyl estradiol and levonorgestrel , ethinyl estradiol and norethindrone , and others.
Asking Your Doctor About Melatonin And Sleep During Pregnancy
Talking to your doctor before taking melatonin or any supplement during pregnancy is of utmost importance. Your doctor will help ensure you arent exposing yourself to anything that could potentially harm you or your unborn baby. Additionally, your doctor can consider your health history and other medications and supplements to account for all potential problems and interactions.
If youre curious about melatonin and sleep troubles during pregnancy, consider asking your doctor these questions:
Hiv Medications Or Antiretrovirals
These medications are used to prevent the HIV virus from multiplying and keep it under control.
Antiretrovirals that interact with birth control: There is a risk of interaction with all ARVs.
Antiretrovirals that dont interact with birth control: The good news is that there are some safe contraception-ARV combinations. Your doctor can make recommendations on a case-by-case basis.
Safest contraception options: In most cases, the birth control shot , hormonal IUD , and copper IUD are all safe to use on HIV treatment. Non-hormonal methods are another safe alternative.
How Do I Prepare For Nexplanon Insertion
You may be asked to take a pregnancy test before the procedure to make sure you are not pregnant. Your provider will clean your arm with antiseptic solution and then inject some numbing medicine. He or she will then use an applicator to insert the Nexplanon under your skin on the inside of your upper arm.
Understand How Your Contraceptive Works
Excessive vomiting and/or;diarrhea;can also lower the effectiveness of the pill. If you are experiencing these symptoms, contact your healthcare provider for advice about additional methods of birth control. If you have any;questions about birth control methods;or potential interactions with other medications, talk to your healthcare provider. You will lower your;chances of birth control failure;if you have a proper and thorough understanding of how to use your contraceptive.;
Are There Any Other Precautions Or Warnings For This Medication
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Blood clots: This medication may increase the chance of blood clot formation, causing reduction of blood flow to organs or the extremities. If you have a history of clotting you may be at increased risk of experiencing blood-clot-related problems such as heart attack, stroke, or clots in the deep veins of your leg. Discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
If you experience symptoms such as sharp pain and swelling in the leg, difficulty breathing, chest pain, blurred vision or difficulty speaking, contact your doctor immediately.
Blood pressure: You should not take this medication if you have high blood pressure that is not controlled by medication. If you have high blood pressure, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Regular check-ups: You should have a yearly physical examination and follow-up visit with your doctor.
How Is The Implanon Used
Implanon is inserted through a needle into the skin of your upper arm, just inside and above the elbow. After the implant is inserted, your arm will be covered with 2 bandages. Remove the top bandage after 24 hours, but leave the smaller bandage on for 3 to 5 days. Keep the area clean and dry.
The timing of when you will receive the Implanon implant depends on whether you were using birth control before, and what type it was.
You should be able to feel the implant under your skin. Tell your doctor if you cannot feel the implant at any time while it is in place.
Implanon can remain in place for up to 3 years. If the implant is placed correctly, you will not need to use back-up birth control. Follow your doctor’s instructions.
You may have irregular and unpredictable periods while using the Implanon implant. Tell your doctor if your periods are very heavy or long-lasting, or if you miss a period .
If you need surgery or medical tests or if you will be on bed rest, you may need to have your Implanon implant removed for a short time. Any doctor or surgeon who treats you should know that you have an Implanon implant.
Have regular physical exams and mammograms, and self-examine your breasts for lumps on a monthly basis while using Implanon.
Antibiotics And Birth Control
Antibiotics are used to treat infections caused by bacteria, such as urinary tract infections, sepsis, and some forms of strep throat, sinus infection, and pneumonia. Only a few antibiotics have been shown to interfere with birth control.
Antibiotics that interact with birth control: Antibiotics used to treat tuberculosis and rifabutin ).
Antibiotics that dont interact with birth control: All other antibiotics! No other antibiotics have been proven to affect hormonal birth control methods. This includes commonly prescribed antibiotics like amoxicillin and doxycycline.
Safest contraception options: In most cases, the birth control shot , hormonal implant , hormonal IUD , and copper IUD are all safe to use with antibiotics for TB. Non-hormonal methods are another safe alternative.
Good to know: Some anti-fungals , miconazole) were thought to cause birth control failure, but that is no longer the case.
Higher Body Weight Or Bmi
A high body weight can affect your metabolism, causing you to absorb drugs faster than intended. Since your body metabolizes the drug so fast, theres not enough in your bloodstream to render the drug effective. If you have a body mass index over 27, the pill, patch, or Nexplanon may not your best birth control options. Talk to your doctor to figure out the best contraception for you. ;
When Should I Have The Nexplanon Inserted
It is usual to have an Nexplanon inserted within the first 5 days of your period. This means you will be immediately protected from pregnancy. If it is not possible to do this, your doctor or nurse will discuss other options with you. If you have it inserted after the first 5 days of a period you will not be protected from pregnancy for 7 days after the insertion.
The Birth Control Implant That Ruined My Life
Everyone is looking for a quick birth control fix. Im too irresponsible to take the pill I skip days at a time, then take three at once to catch up. Can you feel my mood swings from your screen? Naturally, I ask my gynecologist for other options.
She presents many solutions, but all seem like more effort than the pill, or risk nasty side effects. Then, she tells me about the Nexplanon etonogestrel birth control implant. According to the doctor, irregular bleeding and possible weight gain were the only common side effects. This tiny, toothpick-sized rod is placed under the skin on the inside of the arm. The procedure is simple: your arm is numbed, a microscopic incision is made and the bar slides in.
I drag my sorority housemother along to hold my hand during the procedure sometime in May. We are in and out of Watkins in a matter of 30 minutes. I admit it was dramatic of me to call it a surgery. It’s pain free, and I walk away with three years of protection from unwanted pregnancy.
Summer comes and I stop getting a period as my body adjusts to the new birth control. Its just in time for swimsuit season. This thing seems too good to be true.
What’s going on? What am I freaking out about? Why I am so out of control?
I try to hide that Im falling apart. I dont want anyone to know. I avoid my friends and dodge my parents phone calls. Im not sleeping, and it only makes matters worse.
Its the biggest relief of my life.
Is It Safe To Take Melatonin Supplements While Pregnant
Currently, there isnt enough research to confirm that taking melatonin supplements while pregnant is safe. Experts dont recommend melatonin for insomnia, the sleep issue most commonly faced by pregnant women. Rather, melatonin has been found to usefully treat jet lag, delayed sleep-wake phase disorder, some sleep disorders in children, and anxiety before and after surgery.
In certain instances, however, healthcare professionals may recommend melatonin to pregnant women or women trying to become pregnant. For example, some professionals recommend melatonin supplements for older women trying to become pregnant and for pregnant women with preeclampsia. Studies suggest melatonin might also be useful for women with endometriosis.
In pregnant women without a documented health issue known to be associated with low melatonin levels, supplementation might not be a good idea. Melatonin levels naturally rise throughout pregnancy. One potential risk of supplementing with melatonin during this time could be too much melatonin in the body.
Researchers havent conducted much research on the safety of melatonin supplements in healthy pregnant women. In an animal study of pregnant rats, melatonin supplementation negatively impacted litter size, as well as the growth and mortality rates of the pups. However, we dont know if these results can be generalized to humans.
How Does Hormonal Contraception Prevent Pregnancy
Pregnancy occurs when an egg is fertilized by sperm. The fertilized egg attaches to the lining of the uterus, where it grows and develops into a fetus.
Hormones control the release of the egg and prepare the body to support the growth of a fetus.
Hormonal contraception helps prevent pregnancy by doing one or more of the following:
- Preventing ovulation
- Thickening the cervical mucus, which makes it difficult for the sperm to enter the uterus
- Thinning the lining of the uterus, in case a person does ovulate , making it difficult for an egg to attach
Birth Control And Melatonin: Can You Combine Them
You should not combine melatonin and birth control without medical advice from a doctor. Some melatonin supplements are not as potent, and may not cause the side effects that may be associated with the stronger ones when combined with birth control.
We are not medical professionals, and we highly recommend that you see someone that is before you pursue this idea further.
From our perspective, we believe combing melatonin and birth control would be a bad idea for the potential side effects you may get from having too much melatonin in your body.
Drugs That Can Interact With Mirena
Mirena can interact with certain drugs. An interaction can cause one or both medications to work less well. In some cases, it could cause dangerous effects. Be sure to tell your doctor if you take any drugs that could interact with Mirena, such as:
- blood thinners such as warfarin
- barbiturates such as phenobarbital and pentobarbital
- steroids such as prednisone, prednisolone, and methylprednisolone
- antiseizure drugs such as carbamazepine, oxcarbazepine, topiramate, and phenytoin
- certain HIV medications such as ritonavir, atazanavir, and efavirenz
Before Taking This Medicine
Using a Nexplanon implant can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight. Your risk of stroke or blood clot is highest during your first year of using this medicine.
Smoking can greatly increase your risk of blood clots, stroke, or heart attack. Your risk increases the older you are and the more you smoke.
Do not use if you are pregnant. If you become pregnant, the Nexplanon implant should be removed if you plan to continue the pregnancy.
You may need to have a negative pregnancy test before receiving the implant.
You should not use hormonal birth control if you have:
a history of heart attack, stroke, or blood clot;
a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina;
unusual vaginal bleeding that has not been checked by a doctor; or
liver disease or liver cancer.
To make sure Nexplanon is safe for you, tell your doctor if you have ever had:
an allergy to numbing medicines.
Nexplanon may not be as effective in women who are overweight.
The Nexplanon implant should not be used in girls younger than 18 years old.
Etonogestrel can pass into breast milk, but effects on the nursing baby are not known. Tell your doctor if you are breast-feeding.
How Can I Make Sure I Dont Get Pregnant If Im Taking Medications Which Affect My Hormonal Contraception
Talk to your health care provider about your options. You may need to use a barrier method as well as your hormonal contraception. These include:
- Cervical caps
These methods are not affected by medications. Condoms are the only contraceptive method that protects you against sexually transmitted infections .
Some anti-seizure medications and other drugs, such as isotretinoin for acne, significantly increase the risk of birth defects. It is important to use effective contraception to prevent pregnancy and to plan any pregnancy carefully with your health care providers advice if you use these medications.
Speak to your health care provider about how long you should use a barrier method, even after you stop taking a medication that affects your hormonal contraception.