Doctor insights on:
Many things: Primarily used to balance estrogen such as with post menopausal hormone replacement therapy or birth control pills. Sometimes we use it to start someone's cycle and it can be used to treat bleeding problems. The word progestin is a general term that refers to the class of drugs similar to Progesterone and is not a specific drug. ...Read more
How effective is the progestin-only BC pill when taken perfectly? I've seen a wide range of efficacy claims, but suspect they account for user error.
How does the androgenic activity level of progestins affect type, frequency, and severity of side effects?
Not getting: the question fully. Progestins have androgenic effects. But then, high amounts of estrogen break down to androgens so, in PCOS, there's androgens (testosterone) and this rather than progesterone is androgenic norgestimate, desogestrel, gestodene are less androgenic synthetic progesterones used in more modern OCP's ...Read more
Your doc: Should ahve already discussed that with you. You may not have any but possible side effects can be break through bleeding, wt gain, no periods, blood clots ht attack, stroke, the same side effects that you could ahve taking any pill. Obviously some side effects are much less common than others nad many people who take them have no side effects. ...Read more
Should, or does?: It should only last for a month or so - but if it lasts longer, it may be difficult to stop. Some people will have to discontinue certain birth control pills due to irregular or unpredictable bleeding. A sonogram is helpful to look for other structural causes of abnormal bleeding, but progestin only pills do not do as good a job at regulating cycles as do estrogen/progestin birth control pills. ...Read more
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