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birth control after gastric bypass!!!!!

on 9/20/08 11:08 am - Roper, NC
I found out yesterday that I will never take a bc pill again in my lifetime after surgery. UGH!!! What have the rest of you come up with as a solution to bc pills? I have an appointment later this month with my gynogologist to decide what my options are but was wondering what everyone else has done about this? Thoughts, comments are greatly appreciated.

(Rae Rae)
on 9/20/08 11:55 am
Rachel, are you told you can't take them anymore?  I had my surgery almost 9 months ago and I continue to take my bc pill.  So far I have not had any problems, maybe its my age.. I'm 47 .. I know others use additional forms of bc along with the pill.  just wondering. 
on 7/18/10 10:17 pm - Sacramento, CA
 i know this is an old post, but i'm researching bc pill for post GB birth control options, i'm 40 and would love to know what works for you if you wouldn't mind letting me know:)

Thank you!
Amanda B.
on 9/20/08 12:15 pm - Phenix City, AL
Did they tell you why you can't take them anymore? I'm not an expert or anything, but I've never heard of that before. I had surgery 3 months ago and started them up again about 3 weeks after surgery when my surgeon okayed me to start swallowing pills again. I've never heard of them being less effective after surgery or anything but i do know that women can become more fertile post-op because of fluctuating hormones and what not. I know a lot of women have gotten IUDs like Mirena. So, good luck getting more info but I would definitely ask your surgeon why he reccommends that you not take them anymore.

on 9/20/08 12:25 pm - NY
i'm on birth control pills and it's been 2 1/2 years since surgery. ANDI
Dream it Live it
When Pigs Fly
on 9/20/08 12:49 pm - Roper, NC
Thanks you guys for the information. yes, i called my surgeon's office yesterday b/c i wondered how I would take my pill after surgery considering I have to be on liquids, etc. etc and they said for me to contact my gynogologist to find alternate routes of birth control b/c they do not want me to ever take another bc pill for the remainder of my life b/c after surgery the absorption process is so much different and they can't guarantee that the pill will continue to work. So, i immediately called my gyno. and they scheduled me an appointment to come up with an alternate route. i know there are so many different ways to go about this but none of them sound exciting to me.
on 9/20/08 12:53 pm
i got the IUD called paraguard placed in. i think its great bc i wasnt good at keeping up with pills. plus, this type of bc doesnt release hormones, and doesnt make you gain weight as regular bc does. hope this helps...

on 9/20/08 12:56 pm - Roper, NC
Thanks, I've been tossing the idea of an IUD around a little. it's just all scary and different than what i'm used to. I don't want to take shots, they make you gain weight, that's part of how I got obese to start with. i really don't like the idea of having something inside of me at all time either but it sounds like i"m going to have to accept it and move on.
on 9/20/08 1:27 pm - West Allis, WI
I am on the nuva ring, it is insertable, you insert it once a month - no pill to worry about every day, i have been on it over a year its worked great
Princess T.
on 9/20/08 2:04 pm - Licking County, OH
RNY on 09/19/06 with
I take depo shots every 12 weeks.  I didn't gain weight with it, and I don't have periods any longer.  BONUS in my book.

I'm going to DisneyWorld!!  And you're all invited to join me!!

Robin M.
on 9/20/08 3:34 pm - Oak Harbor, WA

I have also had this same question!  I get different answers.  So, I really don't want to get pregnant now, or maybe ever.  I just can't trust the pill when there are so many different medical opinions out there. So I am starting the Nuvaring.  Good luck!  If you hear of anything better, let me know!! :)


on 9/20/08 4:01 pm - TX
RNY on 06/30/08 with
Mirena. Little or no periods, no hormone circulating in bloodstream, so no weight gain. Nothing to remember or forget.  You don't even know it's there.



melanie M.
on 9/20/08 4:10 pm, edited 9/20/08 6:24 pm - Hopewell, VA
Yes there are alot of alternatives out there and like you I gained my weight due to Depo shots. I am having to look into a form of birth control myself but I'm alittle different then most people. I have PCOS and cervical cancer so nuvaring cant be used due to it touches cervix and too sensitive!! Patch and pill make me bleed for 2 weeks at a time. My dr is wanting to put Merina in (iud) we tried once at office but my cervix is closed so it will have to be inserted when I have my WLS!! If BC pills has worked for you in past I would continue with it. Good Luck
on 6/6/09 10:37 pm
RNY on 07/10/09 with
I know this was an old post, but I was just wondering if they ended up doing the Mirena when you had your surgery.  Did your bariatric doctor do it for you?  Is that something they do on a regular basis?  I know these are personal questions, so if you want to ignore me, it's totally fine.  I was just curious...I'm needing different options.  Thanks!

on 9/20/08 5:09 pm - Brisbane (Norman Park), Australia
RNY on 07/22/08 with

I love my Implanon. I am on the third one, had the first two put in in Australia.
It is still very new in the USA, but has been around in Europe and Australia for many years.

It is a small rod that is inserted under the skin in the upper inner arm. It is very low dose and lasts for 3 years.

Hi, I'm Karin  Start 310 / Surgery 283 / Current 168 / Goal 150
Would you like help with a photo or avatar? Contact me ...

melanie M.
on 9/20/08 5:48 pm - Hopewell, VA
ISnt that the same thing as Noraplant? That was a hit in the 90's then went away due to complications
on 9/20/08 7:49 pm - MS

You could stay on the pill and add a 2nd form such as VCF film. You buy it OTC at Walmart or a drug store and it's a little square of dissolvable paperlike stuff that you insert vaginally about 30 min before intercourse. Or you could use another type of spermicide or condoms. There are alot of other options too. I would stay away from ortho-evra patch. It has documented increased risk of thrombo embolisms. Good luck.

on 9/20/08 10:07 pm - Santa Monica, CA
 I had this same question a couple of years ago, and called my surgeon. They told me they hadn't seen any absorption problems with the pill. I never had any scares or problems when I took the pill, but I was always careful to take it the exact same time every day, as recommended.  I set an alarm on my phone to help me not forget. 

There is quite a bit of information out on the Nuva Ring that it may cause or increase risk of blood clots. I'm not an expert on it, and I'm definitely not saying it's a bad option. It's something I've heard about a few times recently. So, just be sure to research your options as thoroughly as possible. 
on 9/20/08 11:55 pm - MS

There is documentation that gastric bypass can reduce absorption of bc pills and other medications too. You can check the pregnancy board and hear of many cases of pregnancy while on the pill.

on 8/16/10 9:03 pm
I was searching posts, I know this one is old, wondering if there is any new information on the subject?  I am awaiting insurance approval for my revision and am currently on a 3 month birth control (I hate periods and can't do the shot any longer). I am considering Mirena if I must switch.