... to halve my Pill because I'm a small person?

[peachesoncream]

I take a daily dose of Cerazette: the Mini Pill. I can't take the combined pill because I have migraines, and I quite like a pill that covers me for 12 hours rather than 3.

I am a little person. I am just over 5 feet tall, and weigh 7st9lb. There are women double my weight with the same pill as me. The GP's dosage is not based on my weight.

Seeing as I am small in stature and low in weight, should I be on the same dosage as someone double by weight?

Am I playing with fire to only take a half or 3/4 of the tablet? Incidentally, getting pregnant would not be the end of the world- maybe a few months earlier than planned, but no catastrophe.

Well she should seek medical advice about it, but doesn't deserve to be laughed at.

When I was taking cerazette I had the most horrendous mood swings and lost a lot of weight. I was like a crazy woman. It took me 8 weeks to get my periods back. I think you should have a few cycles before ttc though to calculate the length of your "normal" cycle etc... So the fact she is coming off the pill now isn't a stupid thing.

I think some of the bemusement is because the OP says her husband is a GP, to be fair.

Oh shit. I'm on cerazette and I'm 12 stone (judge me & die, okay? Baby weight. )

Should I be phoning my GP in a panic?

POAS openerofjars! Maybe you'll have twinz because you're a "big person"!

Ooh, does Cerazette really make you lose weight? If I take two, will I lose extra weight?
I start taking it on Saturday. Expecting BIG results!

I'm worried now having read this thread - I'm a larger lady and I'm on cerazette

The nurse weighed me before prescribing it and didn't say anything about taking a higher dose

I'm considerably heavier than the op. I've only been prescribed a single dose.

I'm on cerazette, my Gp said I could take two when i first stated if I was having problems with intermittent bleeding. Did for about three months and now back on one tablet with no bleeding for the last three years.

Mumofjust1
m.netdoctor.co.uk/teenagehealth/mini-pills.htm

This says some docs suggest 2 a day for severly overweight women. So it depends, not what weight severly overweight is!

Your DH sounds like a spectacularly shite gp. Let's hope he doesn't just shrug when asked for contraceptive advice by his patients.

I'm shorter and thinner. Never been a problem when being prescribed the pill (when on morphine last year I was given high doses, despite my weight - funnily enough I don't remember much from that time period). I thought weight based meds were things like antibiotics?

I genuinely never knew that summer babies struggled educationally - thought they proved that the research only applied to the first years, then it evened out over the rest of their educational lives - basically a bullshit myth. So not really relevant to conception.

Then again I can't believe a GP doesn't know the answer to your question. That has to be the daftest part of this thread!

Just because you can, by and large, choose when not to conceive; doesn't mean it necessarily works in reverse, you know? What happens if you don't conceive until November?

Thanks krumbum - think I'll ring the Gp tomorrow

I hated being on cerazette. You couldn't pay me enough to take even half of a pill again.
But... if you are happy being on it, take the whole pill.

For those echoing myths they have heard people believe about the pill, I see your comments and raise you "I'm not on the pill, we don't use condoms, but he doesn't come inside me so we'll be fine".

Crikey so much misinformation on this thread!!

You don't need to take 2 Cerazette regardless of what weight you are (unless prescribed extra to control bleeding)

You don't need to take 2 of any progesterone-only pill (POP, or mini-pill) whatever weight you are. Historically we used to tell women to take 2 POPs if they weighed over 70kgs but that has been shown to be unnecessary and isn't now recommended by the FRSH (Faculty of Reproductive and Sexual Health)

You can get pregnant if you miss 2 pills (POP) so there is no need to "get it out of your system" - it's metabolised pretty quickly. That's why you need to take a pill every day.

Whilst it's true that some GPs have a poor knowledge of contraception - their practice nurses tend to be more up to date than they do - if a GP shrugged when asked if one should halve their dose I would want to see his qualifications.

(I'm a contraception and sexual health qualified practice nurse FWIW)

Thank you sidge

Was quite worried there thinking should be on 2 pills

I went onto the pill at 15 (originally, to help calm down my skin). I had to come off the combined pill due to hemipligic migraines (fun). I was allowed on the mini pill. Cerazette turned me into a total loon and was not for me at all! I was off the pill for 2.5 years trying to get pregnant with my second child. Went back on for 6 months after he was born. Then bit the bullet and had the coil fitted. It's nice not having to worry about remembering to take the pill, but for me, falling pregnant again would make me cry, regardless what time of the year!

Here's the blurb from the FRSH:

"Current evidence does not support the
unlicensed use of two traditional POPs per day for women
weighing >70 kg. The efficacy of the desogestrel-only pill
is not influenced by weight."

(NB Desogestrel is Cerazette)

That's only 11 stone! What if you weigh a lot more than that. I want to go back on cerazzette but if gp's vary in opinion I fear 1 pill would not be enough now I'm bigger.

Inhibition of ovulation by hormones doesn't seem to be influenced by weight.

GPs shouldn't really be varying the advice they give as we should be following prescribing guidelines which are that Cerazette (desogestrel) is a standard dose of 1 tablet (75 mcg.)

Cerazette is a 'new generation' of POPs that acts more like a combined pill, hence why you don't need more than one!

I saw two gps about cerazette and neither mentioned I had to take two

Just I wasnt "allowed" on any other pill until I lost weight

Phew! Thanks for that info, Sidge. Good job my pelvic floor is mostly okay or I might have weed a bit back there.

POAS, Donkey? No way, DD isn't even 12 weeks old. And I just gave all the tiny baby clothes away. No more babies here, dude. No siree.

Anyway, I don't have twins. Just huge enormous babies.

Luckily, I'm not severely overweight. I'm just fat.