Help, contraceptive hell!!!

[modelesque]

I'm currently on the mini-pill, combined isn't suitable :(, but I've been bleeding continuously since starting it three months ago. Been to gp who was reluctant to prescribe it for a further 3 months and suggested the coil or implant. Ironically, taking the pill as anaemic due to heavy periods.

I've come to the conclusion that the progesterone levels don't agree with me, I had the same reaction on depo despite persisting for 9 months on it. Because of this I can't see the implant or coil being any better, but they obviously aren't as straight forward to remove if they do cause a problem.

Anyone got any advice/experience? I was going to persist with pill for a further 3 months to try and get to the magical 6 months mark where apparently it all settles down.

Has the GP never referred you onto a gynae to properly establish the cause of the heavy bleeding?.

Fibroids can cause such problems to arise, the cause of this bleeding needs to be determined. Also this type of issue is outside a GPs remit anyway so a gynae referral should be sought.

which mini-pill are you taking as there are 4 different types and you may get on better with a different one? I had fortnightly periods with micronor and femulen but had no periods with cerazette. Alternatively the mirena coil is supposed to make bleeding lighter so could be an option

Has the GP never referred you onto a gynae to properly establish the cause of the heavy bleeding? Fibroids can cause such problems to arise, the cause of this bleeding needs to be determined. Also this type of issue is outside a GPs remit anyway so a gynae referral should be sought.

Good lord, what twaddle:

1. Any female GP will manage hundreds of patients a year with breakthrough bleeding on progesterone-only [PO] contraception.
2. Fibroids do not cause continuous bleeding - they cause heavy periods
3. Other causes of bleeding should be considered but, provided it only occurs when on PO contraception and there are no symptoms to suggest other causes, most women do not need other investigations so please don't scare the OP.

OP, you are right that the Mirena coil and Nexplanon are also PO contraception. However they do often help women who have had breakthrough bleeding on the POP/depot. If necessary, you can have both the coil/implant AND POP, which often controls bleeding. If I were you, I'd opt for the coil - it's incredibly easy to remove - takes about 3 seconds .

Thanks for the help. The breakthrough bleeding only happens when I'm on the POP or depo, it's Cerazette that I'm on. The heavy periods before I went on the pill weren't painful just an inconvenience. They have got worse after each pregnancy and for the first three days tend to make me flood both pads and tampons very quickly. Never been investigated for heavy periods but dm had fibroids so might be worth looking into.

I wish gp had suggested trying other brands of pill first, it seemed like the coil and implant were only other options. I may consider the coil more now, I had assumed it wouldn't help with the bleeding as the hormone is so localised and didn't realise you could take the POP at the same time.

Lots to think about. Gutted as loved the combined pill :(