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I'm the last forty, should I stop taking birth control pills?

Questions

Dear Network Doctor

I am a woman of 48 years. I have just received a new doctor, since my old doctor, who I have had since I was 14 years old, retired. In that regard, I was bypassing my new doctor to renew my prescription for oral contraceptives (microgyn).

I have taken birth control pills since I was 16 years old, only interrupted by a pregnancy 25 years ago. My new doctor absolutely thought that I should stop the pill and thought that I should have done it when I turned 40 years because of an increased risk of blood clots.

I am now interested in knowing about the "side effects" by just stopping after about 30 years on the pills. I have read something about weight gain, unclean skin, minor breasts (they are small enough in advance), mood swings, water in the body and more. All of this I am of course nervous about, especially now that we meet in the summer? I think if that fits, I'll wait with the stop until we have to go with long pants again.

I am also in doubt if it can expedite menopause? Is it an idea to step down with mini pills? Since I can see the reason for stopping the pills because of blood clots, it's not because I will not follow her instructions, but I may just think I'll wait until the summer is over with the prospect of all these depressing side effects.

It has to be said that I train twice a week and cycle every day. I'm smoking, but I've just got a prescription for smoking pillars, which I'm going to get started with here in May. This smoking cessation will of course also affect me so there are just a few things at once. So what do you say in relation to "side effects" at pill pill, mini pills and advancement of menopause?

Yours sincerely

One Question

Reply

Dear Questions

When we talk about health and illness - as well as so many other things in life - we experience time and again that what was "the right thing" yesterday seems to be scandalous today. And of course it does not fit. The truth may be somewhere in between, and what might be good for one might be bad for the other.

But nothing is either white or black - and thanks for it. It is the nuances that create the diversity of life.

Now, when we talk about doctors and other health professionals, they have all learned some basic truths as they build their work - but that are also colored and nuanced by the reality they live in. Therefore, For example, two doctors express different views of disease and treatment, without saying that one is right and the other one.

Throughout your adulthood, you have had a doctor you have been happy and have trusted. You must continue to have it. You have probably had a very good doctor.

And as life has formed, it's because you've taken birth control pills all the time for you to be the right one.

The perception of effects and side effects of medicine (and thus also contraceptives) has changed over the last decades. Even doctors sometimes become "smarter" over time, and we all need to live with it, but of course, you may sometimes get a little bit lost. Especially if you always go for the latest news instead of "clapping The horse".

Now you are 48 years old. When taking birth control pills, it is no longer just for avoiding pregnancy. If so, then the time your new doctor says is enough to stop. If nothing else, then to experience how your body works without birth control pills - and then take it off.

Of course, I can not rule out that you can still get pregnant, but the chance / risk is minimal in your age. If you stop taking the pill, take a few months to see how you and your abdomen react. Do not think about transition symptoms as a result of termination. If they come, it's unrelated to the pills. If you are "afraid" of pregnancy, try one or more of the slightly less secure methods: Condom for example. But otherwise there are both interrupted intercourse and secure periods, which you can read about here at health-root. Finally, there is something called emergency contraception.

Sincerely

Erik Fangel Poulsen

Specialist in Women's Diseases


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