If I tell my dh to get off the fence re:contraception?

[Bobbiewickham]

Quick version;

I would have had more children - he said no.

But have been using withdrawal for seven years.

I can't go on the pill due for medical reasons, and I can't use condoms.

Am finally sick of the am I ? aren't I? every month.

Have told him to sort out snip, but I can't guarantee I won't feel any resentment. He says he can't do it if he thinks I will resent him - but still won't agree to another child.

AIBU to think he is sitting on the fence and giving me false hope?

Or am I being horrible?

I do really love him, btw.

This is exactly like us....don't know what to do when I wean DD2 off the breast (see, at the moment we have Pull And Pray, plus BFing to count on). Really considering sterilisation for me but would adore an accident while I'm waiting.

Depression is only considered to be a 'use with caution' and 'stop if gets worse', although in my experience I tend to avoid it if at all possible in women who have had severe depressive episodes. I certainly warn anyone who has had any previous depression to report back to me ASAP if they start feeling low again on progesterones and also warn all women that mood disturbances are possible as part of my routine counselling.

i'm really bummed about Essure only being in Edinburgh .

my pal had it in the US and she was in and out in about 45 minutes.

have to use alternate contraception for 3 months and there is no reversal possibility.

but hey ho, the snip it is.

Essure sounds really cool- no idea when it will be used more-widely.

Can't you be referred to Edinburgh or won't they accept patients out of the area?

I think I'll ask the GP if it's a possibility to be referred. Can't imagine they would, though, would probably tell me just to go with the way they're doing it now.

Which means the snip is FAR easier.

Essure is much cheaper to perform.

Although I can't imagine it will be so popular as it is in the US, where it's cheapness means it's usually covered by insurance, because IME Brits like to be put to sleep.

Over there, they don't use GA as much because of the expense and if you want it for some procedures, you have to pay the difference between the cost of the local or regional block and the GA.

My dad, for example, had a prostatectomy under epidural, with sedation, so he was asleep for most of us. I doubt they'd offer that option here.

I had a full ACL reconstruction under spinal block with IV sedation.

Sorry for typos, I don't know where DD2 put my reading glasses.

Wow. That had never occurred to me before.

The only people who don't get GA'd here are those too old and ill to be safe!

Yeah, see what I mean.

Many surgeries there, the surgeon performs them in a day surgery unit attached to a hospital.

The only time they use GA there is when there's no other way.

I'd never had one till I got here and I've had 4 knee surgeries.

I was shocked at all these people having loop electroexision under GA - had it under local, not too much fun with the jabs in the cervix but otherwise okay because hopped up on sedatives.

They are fast and loose with the drugs so you definitely don't feel anxious or stressed.

well i've moved three counties since dvts and seen an awful lot of doctors(GPs and continously at anticoagulant clinics) about contraception, none of which will let me take any form of hormonal contraception, and like i said my sister lives miles from me and her doctor has said the same....

drinkmoretea, perhaps those doctors need some updating on their contraindictions to progesterone-only contraception (POC) and VTE risk. Very few women fall into this category in reality.

The Clinical Effectiveness Unit (CEU) of the faculty of family planning and reproductive healthcare have stated that 'effective contraception is essential to prevent pregnancy which itself has a high risk of VTE. Women may need to be discontinued temporarily for removal but only after discussion with her haematologist. Women should be counselled about: lack of evidence for VTE risk with POC; lack of biological plausibility that POC would increase risk of VTE; her risk of pregnancy; and use of non-hormonal contraception. Use of POC would be supported by the CEU.'

The 2004 Royal College of Obstetricians and Gynaecology guidance on VTE and hormonl contraception states that 'Women with CURRENT venous thromboembolism should not use hormonal contraception. Women with a personal history of venous thromboembolism should not use combined oral contraception but may use progestogen-only methods.'

The WHO classification of contraceptive risk ranks current VTE and COCP use as a level 4 (should not be used), current VTE and POC as level 3 (risk usually outweighs benefit) and previous VTE as level 2 (benefit usually outweighs risk).

sorry to hijack the post Bobbie!

Hi Emma

Thats really interesting, maybe I should keep going back to my GP to discuss this or even ask to go back to my heamatologist.

With a history of recurrent blood clots which contraception would YOU reccommend as least risky?

I really am going to look into this alot further and will also tell my sister. I cant believe that all doctors that i have seen have been so addament and against me taking it!!!

Thanks for your advice and input x

Depends to what you would like to use and how reliable you are at using stuff I suppose.

Copper coil obviously has no hormones at all.

I personally would recommend a mini-pill just to see whether the hormones suited you. It also has the advantage that it can be stopped quickly and out of your system in 24hrs if it really wasn't for you. An implant has a very low equivalent daily dosage of progesterone compared with the mini-pill, so is a good option for longer-term contraception.

If you have a FPC near you, they are probably the best source of info and guidance as to choosing a method which would suit you best.

Just wanted to echo emma1977's comments. Am in a very similar situation, had dvt and went on the mini pill after DS3. It didn't suit me and am now using Persona method, whihc is 99% effective if used properly. My DH is catholic and feels unable to use contraception personally too but Persona works for both of us. Used it for four years between pregnancies with no problems too but you have to be strict. Good luck

Just wanted to echo emma1977's comments. Am in a very similar situation, had dvt and went on the mini pill after DS3. It didn't suit me and am now using Persona method, whihc is 99% effective if used properly. My DH is catholic and feels unable to use contraception personally too but Persona works for both of us. Used it for four years between pregnancies with no problems too but you have to be strict. Good luck