ocp's post roux-en-y?

isenephthys
on 6/17/08 4:34 am - CA
i just completed the lengthy (16 pages!) consent form for my surgery.  it recommends using a "non-oral" form of birth control after surgery.  getting pregnant really isn't an option for me right now- i am not in a relationship.  however, i've always felt the most "normal" and had better control over my pcos symptoms while on ortho-tri-cyclen. i called my doctor and am awaiting a call back.  but in the meanwhile, is the pill contraindicated post op?  what's the deal here?  risk of blood clots?  malabsorbption?  (sp?)  this is the first i am hearing of not taking the pill post-op.  also, while we're on the topic of the pill- did all of you have to stop it one month prior to surgery?  i just stopped mine and it's killing me to know my hormones are going all wacky while i'm waiting for surgery.
Tennille M.
on 6/21/08 6:15 pm - Conley, GA
Hello, I opted for the Mirena 5-year IUD  ( a second time, I had it 5 years prior to WLS) due to concerns about malabsorption. They do make a chewable birth control pill, which may allow you to absorb more. Most of my PCOS problems subsided after surgery. I had not had a period in over 6 years prior to surgery. I get home 4 days post-op and I am in Wal-mart trying to figure out what pads were again. I opted for the IUD because I am not good with pills, schedules, and overall anything that requires memory. I am married, but between the both of us we have 3 kids, a dog, and a mother-in-law, so we need not produce anything else that can't work immediately and feed itself. However, we do not have children together and mine is adopted, so once we get rid of the rugrats we have, I will still be able to get pregnant and not wait on hormones to clear my body. (I  seriously doubt I want more children). However, the option is there for me just in case life changes its course. You may want to see how the oral may work for you that you are currently taking, but I suggest you let the chemical wear out in your body and let the weight loss work for your PCOS.  You may find that you are less hormonal and may not need the orals to feel ok. I am back to "normal" and cysts have gone from the size of grapefruits to the size of plums without meds, pills, etc.  My surgeon advised me of what meds to stop prior to  surgery and when. Listen to the Doc before changing any meds regimen. Good Luck.
TennilleM.
isenephthys
on 6/23/08 1:10 pm - CA
thanks for the response.  i am totally following my doctor's orders down to the letter; i was just wondering what to do post-op.  i may have to go back to the endocrinologist to get followed more closely.  my pcos symptoms are pretty severe and while i know wls will ameliorate them to some degree, it takes time.  i need something in the meanwhile.  i thought the mirena was only for women who already have had a child?  i'll have to look into as an option- i am childless and plan to remain so.
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