TTC after Mirena Coil + Anxiety

[ItsFunnierInEnochian]

Hi all.

My coil removal is booked for the 2nd October. A few years ago when I had the Implanon removed it took 4 months for me to have a period but by the time my next one was due, I was pregnant. Whats anyone elses experiences with TTC after Mirena? Its been in for almost 2 years if that makes any difference.

I've also been on anxiety medication for almost a year. I've gone from being the sort of person who takes a running jump off the cliff to cowering in a corner, but the meds have helped dramatically. I'm sick of tip toeing around life. DH and I really want another child. I currently take 40mg Propranolol and 75mg Amytriptylene. Info online is sketchy at best and I have an appointment on Monday with GP to discuss. SIL has calmed me somewhat re needing to take meds in pregnancy as she has to due to epilepsy, but I'd rather not take anything, however I'd like to know that should I need them I can take them. Obviously will discuss with GP but again looking for real life experiences.

Thanks in advance

I've just had my mirena out last week, so can't offer any advice there yet but I an offer a bit more advice about medicines in pregnancy.

When you see your GP, if they're not 100% sure, as them if they can ask their local medicines information service to get information. A few weeks ago my GP made me cry telling me I shouldn't consider pregnancy on the medicine I'm on... and I'm a doctor myself. Deep down I knew he wasn't really using proper evidence to base his advice, and it was almost the opposite to the advice I'd give a patient, so I spoke to my consultant who has spoken to our local medicines info to get hold of real evidence based advice. If I hadn't have known how to get that information I probably would have stopped the medicine I need and felt rubbish.

Hope your GP isn't quite as negative as mine!

i also have epilepsy and i have 2 children on my 1st pregnancy i did not take my medication and found it very scary as to the fact my seizures increased a lot and was worried for my baby physically but my baby was born healthy
on my 2nd pregnancy i did take my medication but again i found it very scary for my baby more internally this time but again my baby was born healthy
i consider myself very lucky and think u should consider both options

hope this helps

I've had two pregnancies on anti-psychotics and antidepressants. I was under consultant led care and they had no problems with me taking in them as the benefits outweighed the risk. An anxious, suicidal pregnant woman was more of a danger to the baby than the medication. Your gp will probably tell you to stop taking them but I've found I'm often more informed than them - if you have a psychiatrist they will be a better person to ask and they may be able to change you over to something with a better record in pregnancy. There is an American site called safe foetus where you can type your medication in and it gives you a risk category under the FDA. For example Folic Acid is in Category A.

Hi, thanks for the replies.

Propranolol is the one I'm concerned about as my panic attacks start with palpitations and they do not stop until I take a beta blocker.

Taking them everyday is for prevention rather than cure but once I'm pregnant I'd rather try to manage without daily meds and only take them when/if needed.

I don't have a Psych and not sure if I can get one on the NHS? Definitely can't afford private but I have previously been referred to Peri Natal Psych so wonder if thats an option this time? I live on the other side of the City now so not sure about "catchment" for the hospital.

Approach the GP with your concerns and ask to be referred to a psychiatrist. There are a lot of safer anti-anxiety meds on the market now so there will be other options.

Talk to the GP to get some proper advice, but lots of people do take beta-blockers in pregnancy. They increase baby's risk of having low blood sugar after birth so they like to keep an eye on baby until they're happy blood sugars are stable. A reasonable number of ladies are started on beta-blockers for high blood pressure in pregnancy so is definitely something you could take as long as you're aware of all the risks and benefits after talking with your doctor. It doesn't need to be a psych to talk about risks of pregnancy with the medicines, your GP and an obstetrician should be able to manage it between themselves.

Hi all :) GP has no concerns about propranolol but does want me to wean off Amitriptylene. SO happy. Had braced myself for bad news so still a little shocked.