The Birth Control Choice Is In….

…and it’s…. condoms!  Whoa!  No one was expecting that, were they?

It was a strange decision that had a lot to do with my not wanting to take the chance of the progesterone only pill drying up my milk.  This is a thing.  Just Google it and you will be shocked by how many women have had this problem.  It’s just not worth the chance.  It may be a 1 in 1 million chance, but that is enough of a chance for me.  With breastfeeding, PCOS, DOR, the likely possibility that I have primary ovarian inefficiency which will lead to menopause within the next 2-3 years, AND condoms…. I think our chances of conceiving accidentally would be pretty low, if not non-existent.

Right now I am really terrified that I have a cyst on my left ovary.  I’ve been feeling twinges ever since giving birth, but I assumed this probably had something to do with GIVING BIRTH, but it’s been worse and worse over the past two days.  I remember them mentioning a small cyst on my ovary during one of my pregnancy ultrasounds (most likely a leftover follicle from the IVF), but geez, you’d think pregnancy hormones would have kicked that thing out of there?  Dried it up? Something…  Guess I did not get that lucky.  I just really hope I do not have to deal with a rupturing cyst.  This is like a period multiplied by 1,000.  It’s not quite on the level of epidural-less birth, but it is still pretty horrific.  I am usually hunched over the toilet throwing up, screaming, and sobbing.  Not sure how I’d breastfeed through something like that?  Let’s just send out some vibes that will kill this (likely) cyst!

 

Oh, and in happy baby fertility news… I have a friend who, after two years, 3 IUI’s, a fresh IVF, a chemical pregnancy (early miscarriage), and an FET, was FINALLY successful and is now about 12 weeks pregnant!  The FET was successful!  I am very excited for her.  It gives me hope for all of you who are out there still trying.  I know it’s hard and you want to give up, but please don’t.  I’m not saying it has to be fertility treatments, it can be adoption.  Just any way to have a child.  If you want a child, please continue fighting for one!  And if there is anything I can help you with (although I’m certainly not a professional) please let me know!  I am here to answer questions!

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After Birth: Birth Control and PCOS

I’m back for a bit to update you on the recent information I’ve gathered regarding my lovely PCOS and my future birth control plans.

I have my six week checkup on Thursday (has everything healed?  Are my goodies permanently deformed??), but before I go in I decided to gather some information from my RE.  (I absolutely adore this doctor and wish I could pay him to be my doctor for everything).  I asked his opinion on what I should do for future birth control, both for my PCOS and for the future (if we choose to do an FET).  I want my body to be both healthy for now, and healthy for a possible second child.  Since I am on the cusp of menopause (already peri-menopausal) I wanted to also verify that menopause would not deter a future FET.  Turns out it won’t!  It won’t even hurt the chances of success!  Science is on the ball, guys.

So, the birth control options are an IUD, progestrin only pills (refered to as a “mini pill” by the RE), a combined pill with progesterone and estrogen (he is not 100% sure they will still do this for a breastfeeding mother, but they used to ten years ago when he did his residency), and good ol’ condoms.

Condoms are out.  Those are so not fun to deal with.

The mini pill is most likely the way my OB/GYN will have me go.  I already know a girl who was put on this from the same practice.  She said they recommended this as the only option for a breastfeeding mother.  I may not have an option.

The combined pill is what I want the most.  I am worried about remembering to take a pill at the moment, since I am quite tired most days, but it is best for me because of the estrogen.  The estrogen will help keep my not-so-fun PCOS symptoms under control.  I’m just not sure they will let me take a pill containing estrogen while breastfeeding.  We shall see!

IUD is an option, of course, but it worries me that I do not know one person who has successfully had an IUD placed and kept it longer than a couple months.  Constant pain seems to be the biggest complaint, and who wants to live with that?  Only upside?  My RE believes that it will prevent any future periods.  This is good for convenience sake, but I was quite worried about the risk factor for endometrial cancer.  For those of you with PCOS, we have a very high risk of endometrial cancer due to our lining not shedding enough.  The lining stays in and basically rots.  Awesome.  But rest assured, if you go with the IUD, the hormone that is released by the IUD keeps the endometrium from forming, which prevents the risk of the cancer.  Hoorah!

So, these are my options.  I will update and let you all know which I’m going with.  IUD, combined pill, or mini pill??