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#1 of 68 Old 01-25-2010, 06:14 PM - Thread Starter
 
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I mean, if you want to be, good for you.

But I'm thinking about birth control. Several friends of mine got the Mirena IUD at their 6 week pp visit and didn't have any trouble. I'm a little concerned about taking anything hormonal (even though I know it is supposed to be local only) while nursing. The copper IUD is just not an option for me, due to a close friend's bad experience. But I got AF back pretty early after DD was born--maybe 4 months? Even though I nursed on demand. And I seriously don't want to be pregnant again. Like really really really really really. Maybe ever, but definitely not for years. I have charted my cycles with great success while TTC, but I don't think that would work for me during the first year of new baby's life, what with all the night-waking and such. Plus, honestly, it's clear when it's my fertile time--that's when I want to DTD, which doesn't actually provide any kind of birth control whatsoever! We used condoms during the years between children, just for lack of making a decision about anything else, but I find them irritating and inconvenient.
Any input about the Mirena thing, or anyone else thinking about this now?

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#2 of 68 Old 01-25-2010, 06:29 PM
 
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I was surprised when the midwife asked me about this 2 appointments ago! I really had not given it much thought.

I want to stay away from hormonal birth control but need to read up a little more about the Mirena.

I (stupidly) went on pills a long time ago to "regulate" my periods. About a year before we got married I went off them because I suspected I would have trouble concieving and wanted to figure things out. I was right - I didn't ovulate and never even got my period on my own. I didn't actively try to do anything about it, other than get a flurry of tests at the GYN office - didn't find any answers. About 6 months before getting pregnant I dumped that route and looked toward acupuncture and herbs. Finally ovulated - pregnant on the first egg in over 2 years! Actually felt kind of lame that it happened b/c the acu ND wanted me to wait 2 cycles but when you are not expecting to ovulate....

whew, that was a long winded story. Basically I would like to not go on hormones to see if I can get my body on track to regularly ovulate. But charting and all that will be pretty difficult while breastfeeding. Hmmmm. And NO, I don't want to be in a 2011 DDC
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#3 of 68 Old 01-25-2010, 06:42 PM
 
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I am very much in the same mindset. I feel like my husband and I can look at each other the wrong way and conceive. We aren't planning any more kids, but I feel hormones affect my psychological well being. I'm very sensitive and when I was on the pill I got more melancholic. I'd like to avoid it. Condoms aren't my favorite at all and frankly, I'm scared of breakage. I had this conversation with some friends today and one said her husband was going for a snip. I don't like that either. AF didn't come back until night nursing stopped, which was 18 mos. I didn't feel much like DTD before then anyway. You CAN conceive even when your period hasn't returned. I definitely have the, um, "Irish twinage" running in my family.

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#4 of 68 Old 01-25-2010, 06:58 PM
 
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Two moms in my April 08 DDC on another board had their Mirena fall out on them. Supposedly that's rare, but it was just sort of odd it happened to both of them within weeks of each other. I can't/won't do an IUD because it prevents implantation (and I believe life begins at conception) as well as the fact that Mirena includes hormones, which my neurologist told me to stay away from with my migraine history. And you can get pregnant on it, though it generally means that you will lose the pregnancy, which scares me. Also another mom I know had her milk supply dry up from having the Mirena placed - again, not supposed to happen, but she successfully extended-BF'd and tandem BF'd her first two kids and then spontaneously lost her milk shortly having the Mirena placed and had to switch to formula. Just some things to think about/discuss with your doctor.

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#5 of 68 Old 01-25-2010, 07:45 PM
 
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I haven't really researched the Mirena too much but would like to. There have also been conversations between DH and I that he would get 'his' surgery done and he's all for it. Possibly a few months after the baby is born, so we'll see. We don't do condoms -never have and never will. I've been on BC before and just hated it. Sure, it helped prevent for the time being, but I was a raging b*tch at times and just not myself and I hated it. I also gained a little weight with them as well and that wasn't cool either.

This little guy will be our last one so whichever way we decide to go as far as permanent protection goes, I will be not apart of a 2011 DDC or any others in the future.

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#6 of 68 Old 01-25-2010, 08:17 PM
 
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I'm in the same boat! It's been a long time since we last DTD and I don't know how things will go once we have the baby, but know I DON'T want another new baby right away.
Actually, reading the website of the hospital where I deliver they say they will send you home with any prescriptions you might need, including contraception! It looks like we got some talking to do.

My DH is totally against hormonal BC and I am too, but I have much more faith in me taking a pill than in us both remembering to put a condom on in the heat of the moment. I think I read that IUD's can't be put in until like 6 months after childbirth, but I'm not sure about that method either! Periods are supposed to be a lot heavier with a copper IUD - yuck, I couldn't handle that.

Bah, why can't this just be easier! Eventually DH will get the surgery, but until we are sure we don't want to make more children I have no idea what we will do to keep that from happening.

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#7 of 68 Old 01-25-2010, 08:25 PM
 
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Dh and I were just joking about getting pregnant right away. I would prefer to wait at least a year, like we did with DS. My period came back at 3 months with and was super regular - even with soley nursing on demand. My mom got pregnant with my brother when my sister was just a few months old. So, I'm guessing I'll always get my period back right away. Last time we just did the "pull out" method...figuring if we got pregnant then we did. This time, I'd rather not for awhile. Since we want more kids in the near future though, it will probably be condoms for us - and who am I kidding, more of the pull out method.

When we are completely done (which seems impossible for me to ever say I am done), I'm hoping DH gets snipped. I'm not inclined to use any sort of birth control for myself. Maybe by then the male pill will be available or something.

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#8 of 68 Old 01-25-2010, 08:55 PM
 
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The thought of being in a 2011 DDC makes me absolutely horrified and I WILL NOT do it. I've been going back and forth on the whole BC thing and it's a big pain, particularly if you're breastfeeding. It severely limits you. I don't hate hormonal BC-but I was having some issues and went off it in may and got preggo, so yeah.

Mirena-I feel like this is a good option, but I worry about it falling out, etc. The hormones are supposed to be low enough to not mess with BFing, but I am a little cautious. Another option is Norplant/Implanon. I know one of my mom's friends got this after having her little girl and BF fine. It's also low-dose hormone.

Condoms-well, let's just say they don't work in our situation--evidence being the kid I'm walking around with in my uterus. I don't want to get into details, but there is always some, ahem, breaking/leaking due to us not being able to get a proper size or something. Teenagers can figure out condoms, but we have lots of trouble.

I'm going with the sponge for a while until I decide what to do. I figure that between BF, charting, and using the sponge, surely I will not get pregnant again (knock on wood). We aren't sure if we want more than 1 child, and if we do, it will be in 3-5 years I think. So, please, no irish twins for me. I'd cry my eyes out.

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#9 of 68 Old 01-25-2010, 08:57 PM
 
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I just brought this up with my OB today, and she mentioned the Mirena and barrier methods. I'm not comfortable taking or using hormones, so that eliminates a lot of options. Before getting pregnant, I had used the Paraguard IUD (the non-hormonal IUD), which I could only stand for a year because it gave me such intense and painful cramps. We then switched to a diaphragm, which I *loved*. To be safe I paid attention to ovulation, and we would also use a condom if we had sex during that window.

My OB said if I feel comfortable with the diaphragm, she thinks it's a good option - the only problem is that many pharmacies have stopped carrying them. She did say you should be re-measured after pregnancy for a diaphragm, but if you do that and use it correctly, it's a good b.c. option.
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#10 of 68 Old 01-25-2010, 11:27 PM
 
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I'm wondering about this too. I took the minipill successfully for the years between these pregnancies, but I don't want to do the hormones anymore. Condoms and charting are not too bad, but my husband doesn't really trust the charting enough to feel comfortable, and I've never done it with a little baby throwing off my sleep. I won't do an IUD.

Does anyone know anything about the NuvaRing? I remember my old midwife mentioning it after DS was born, but I never looked into it.

Better yet, has anyone yet found a magical method of birth control that doesn't involve inserting anything or taking anything? You know, some kind of magic wand? I'd like one of those...
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#11 of 68 Old 01-25-2010, 11:48 PM
 
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Does anyone know anything about the NuvaRing? I remember my old midwife mentioning it after DS was born, but I never looked into it.

Better yet, has anyone yet found a magical method of birth control that doesn't involve inserting anything or taking anything? You know, some kind of magic wand? I'd like one of those...
I tried to NuvaRing twice. I just don't like hormonal methods, I always feel like I lose my already low libido and I get depressed. BUT if the hormonal methods don't bother you, NuvaRing is pretty sweet, since you only deal with it once a month.

But yeah, I'd much prefer that magic wand method you mentioned (I accidentally just typed magic wang - if only! )

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#12 of 68 Old 01-26-2010, 12:59 AM
 
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I'm going with abstinence, even though that won't do anything for anhedonia. If I abstain from abstinence, I am going to use a Lea's shield with contraceptive film. I'd like a pill to restore libido....
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#13 of 68 Old 01-26-2010, 01:57 AM
 
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I can relate so well to many of you. I DO NOT want to have another baby. This pg has been my hardest by far both physically and emotionally (makes me a little sad, I enjoyed my others so much). And I think my hands will be quite full with 4, starting out with all age 5 and under no less. I do not want to go on hormonal bc, don't like what it does to me and not so sure it would be good at my age anyways (43). Dh and I discussed long b/f having kids that neither one of us was keen on permanent bc, but I casually brought it up the other day in hopes he might have reconsidered getting snipped and it went over as expected, no go. He wants to do nfp and withdrawal, hates condoms -- which we've had break more than once anyways, I'm scared b/c we got pg with our first ^i^ while practicing nfp to prevent. Like a pp, the only time I'm really "into" dtd (while bfing) is when I'm o'ing. I've just been extra scared of late since someone mentioned "haven't you ever heard of menopause babies". That's just what I want to hear, think you're done and safe and surprise.

Are there any other non-hormonal bc options out there besides the iud's? I've often heard mention of the sponge but honestly know nothing about it.

Susan, homeschooling mama to KS/6, A/5, K/3, ^i^, ^i^, & our new Valentine -- RG 02/14/10.
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#14 of 68 Old 01-26-2010, 02:02 AM
 
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I'm thinking about an IUD too-- not sure if I'll go with a copper one or Mirena. But I don't think I'll get one until this baby is about 1. In the meantime we'll use condoms (what we've always used, with no issues).

Linchi, if you are still in France when your DH is ready to get a vas, know that it's very, very difficult to find a doctor who will do one. It's just not something that's common here. You may have to go to Germany or the UK. Just a heads up!
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#15 of 68 Old 01-26-2010, 02:08 AM
 
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My CNM asked us about this last appt too. I was a little surprised that she was asking...like it's not really her business...but I guess it is. We talked about it and we plan to use a mix of charting, condoms, and pull out method. I'm just afraid of getting an eye roll from the midwife about this, but we prevented that way for 4 years, and then got pregnant after 4 very halfhearted months of TTC. (meaning that is was almost like "trying but not trying" while temping & charting) I don't really want to get pregnant right away either, but don't want to use any other prevention methods, and we know we want more kids, so I just figure if I do get pregnant while using those methods that it was just meant to be.

Good topic!
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#16 of 68 Old 01-26-2010, 03:17 AM
 
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Barrier methods. I know it seems boring and I understand why people dislike condoms, but I've never found them to be THAT horrible. I have PCOS and want to avoid anything hormonal, especially Mirena because I had borderline low supply last time (which could have been situational based on some nursing probs we had at the beginning, I don't know). It seems like the likelihood of us conceiving again right away is pretty low, so I'm just not that worried. Don't get me wrong; I want my children spaced at least a couple of years apart and I would freak out if I got pregnant with a 2011 baby. But it took us a couple of years of trying + Clomid to conceive my 3 year old. This baby was conceived without any help, but we had unprotected sex for over a year before that and I didn't conceive until my daughter weaned at 2.5.

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#17 of 68 Old 01-26-2010, 05:06 AM
 
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Taking Charge of Your Fertility by Toni Whescheler.

 http://www.facebook.com/#!/pages/Wise-Woman-Fertility/182752565080597
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#18 of 68 Old 01-26-2010, 08:19 AM
 
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Taking Charge of Your Fertility by Toni Whescheler.
I second that; that book is the bible of all things female reproductive system.

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#19 of 68 Old 01-26-2010, 11:07 AM
 
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eavesdropping from the march ddc, but wanted to add that I am another one who had the mirena come out. during sex. not pretty, plus it was an extra scary pregnancy scare. I don't know what we'll do after this kiddo arrives, but it probably won't be an IUD for us.
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#20 of 68 Old 01-26-2010, 11:28 AM
 
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T I can't/won't do an IUD because it prevents implantation (and I believe life begins at conception)
Oh I am so right there with you Nicole on that subject and so using Mirena is a concern of mine although that is the option we're planning on using right now. I did some research on the subject of preventing implantation and birth control and there appears to be some disagreement over whether or not birth control like that actually prevents implantation. All birth control is supposed to prevent implantation, but I guess they haven't done enough research on what actually happens when a woman conceives....whether it actually DOES prevent implantation... I'll try and post the stuff I found on it...

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#21 of 68 Old 01-26-2010, 12:00 PM
 
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I plan on using charting and condoms. I don't have a problem with condoms (in fact I actually rather like the fact that they keep things much less messy for me), so we'll do those if I think I'm in an ovulation period. I also have TCOYF and will look through the chapters on LAM soon.

I won't use IUDs, I have a psychological issue with something foreign being up there all the time. I also decided that after the hell I went through after being on the pill that I would never mess with hormones again. It worked fine when I was younger for my acne and my periods, but at some point it stopped being helpful. After I went off it I could *feel* my head kind of clear up, like I'd been in a fog for a long time and didn't notice. The last few years I really think it made me crazy and that scares me that I didn't notice anything. And then it took a year to get pregnant - that was scary seeing as how we were only 26. So yeah, no hormones for me ever again. If we have a house full of stair step kids, I'll make do. Hormones scare me *that* much.

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#22 of 68 Old 01-26-2010, 12:44 PM
 
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Oh I am so right there with you Nicole on that subject and so using Mirena is a concern of mine although that is the option we're planning on using right now. I did some research on the subject of preventing implantation and birth control and there appears to be some disagreement over whether or not birth control like that actually prevents implantation. All birth control is supposed to prevent implantation, but I guess they haven't done enough research on what actually happens when a woman conceives....whether it actually DOES prevent implantation... I'll try and post the stuff I found on it...
Let me know what you find - it can be difficult to find "unbiased" stuff out there...

I know the literature that we passed out at the pregnancy crisis center (which is Christian-run) said that the hormonal IUD works in basically 3 ways:

1) irritates the uterus to make it more hostile to sperm
2) attempts to prevent ovulation
3) thins out the lining so that an egg cannot implant

Which more or less sums up most hormonal birth control. Unfortunately, no one seems to know which is the one that would work in any given case. And I've known at least two women who got pregnant with the IUD in place - one had an ectopic pregnancy, which obviously had to be terminated, and the other had a uterine pregnancy that came out/was miscarried with the IUD when the IUD was removed (I guess if you do get pregnant then the IUD needs to come out ASAP or you run the risk of puncturing your uterus?). I personally experienced enough guilt over my miscarriages (which as we all know occur due to no fault of our own) that I know I couldn't handle the thought of getting pregnant and then having to terminate a pregnancy because of something I did (even though that obviously wasn't the intended outcome). So I personally won't do anything that has the risk of blocking a fertilized egg from being implanted, even if the actual risk of that is a very small percentage.

Disclaimer: I know everyone has different feelings on when life begins and whatnot, so no judgment here, I'm just saying MY feelings.

To some extent, I'm sort of glad that the neurologist gave me an "out" for hormonal methods. Because of my extreme sensitivity to hormonal changes she wants me to stay away from anything with hormones in it, including "localized" hormones like an IUD or the Nuvaring. (You might recall the terrible migraines I got in the first trimester). So while not everyone will understand or agree with my religious/moral/emotional views on using hormonal birth control, most will respect a MEDICAL reason for it. Including DH, who, being somewhat "removed" I suppose from the whole process and pretty much considers the fetus to be a "blob of cells" until 8 weeks or so when he gets to see that first u/s.

So it will pretty much be condoms or pull and pray over here I guess.

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#23 of 68 Old 01-26-2010, 01:50 PM
 
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I mean, if you want to be, good for you.

But I'm thinking about birth control. Several friends of mine got the Mirena IUD at their 6 week pp visit and didn't have any trouble. I'm a little concerned about taking anything hormonal (even though I know it is supposed to be local only) while nursing. The copper IUD is just not an option for me, due to a close friend's bad experience. But I got AF back pretty early after DD was born--maybe 4 months? Even though I nursed on demand. And I seriously don't want to be pregnant again. Like really really really really really. Maybe ever, but definitely not for years. I have charted my cycles with great success while TTC, but I don't think that would work for me during the first year of new baby's life, what with all the night-waking and such. Plus, honestly, it's clear when it's my fertile time--that's when I want to DTD, which doesn't actually provide any kind of birth control whatsoever! We used condoms during the years between children, just for lack of making a decision about anything else, but I find them irritating and inconvenient.
Any input about the Mirena thing, or anyone else thinking about this now?
FWIW, I've never begun cycling before 14 months post partum and even once my period started my cycles were anovulatory more often than not until my kids were closer to two years old (we cosleep and they've been night nursers until past the two year mark). I'd be very hesitant to begin anything hormonal until after the one year mark (I'd probably never actually use a hormonal method, but definitely not before baby is a year old). The mirena and the mini pill are SUPPOSED to be compatible with breastfeeding, but they seem to sometimes compromise milk supply. You can at least stop the mini pill more easily than you can remove the mirena. We'll use condoms, and then eventually get my tubes tied (this is #4, and I just can't do pregnancy again!)
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#24 of 68 Old 01-26-2010, 02:40 PM
 
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Let me know what you find - it can be difficult to find "unbiased" stuff out there...

I know the literature that we passed out at the pregnancy crisis center (which is Christian-run) said that the hormonal IUD works in basically 3 ways:

1) irritates the uterus to make it more hostile to sperm
2) attempts to prevent ovulation
3) thins out the lining so that an egg cannot implant

Which more or less sums up most hormonal birth control. Unfortunately, no one seems to know which is the one that would work in any given case. And I've known at least two women who got pregnant with the IUD in place - one had an ectopic pregnancy, which obviously had to be terminated, and the other had a uterine pregnancy that came out/was miscarried with the IUD when the IUD was removed (I guess if you do get pregnant then the IUD needs to come out ASAP or you run the risk of puncturing your uterus?). I personally experienced enough guilt over my miscarriages (which as we all know occur due to no fault of our own) that I know I couldn't handle the thought of getting pregnant and then having to terminate a pregnancy because of something I did (even though that obviously wasn't the intended outcome). So I personally won't do anything that has the risk of blocking a fertilized egg from being implanted, even if the actual risk of that is a very small percentage.

Disclaimer: I know everyone has different feelings on when life begins and whatnot, so no judgment here, I'm just saying MY feelings.

To some extent, I'm sort of glad that the neurologist gave me an "out" for hormonal methods. Because of my extreme sensitivity to hormonal changes she wants me to stay away from anything with hormones in it, including "localized" hormones like an IUD or the Nuvaring. (You might recall the terrible migraines I got in the first trimester). So while not everyone will understand or agree with my religious/moral/emotional views on using hormonal birth control, most will respect a MEDICAL reason for it. Including DH, who, being somewhat "removed" I suppose from the whole process and pretty much considers the fetus to be a "blob of cells" until 8 weeks or so when he gets to see that first u/s.

So it will pretty much be condoms or pull and pray over here I guess.
So here's the information I was looking at from the American Association of Pro-Life Obstetricians and Gynecologists:
http://www.aaplog.org/PositionsAndPa....aspx?fileID=1

Within that, there are two papers that disagree with each other over whether or not hormonal birth control/IUDs actually prevents implantation...

Such a difficult subject to try and understand and make a call on... I am glad you are at peace with your decision. I am not there yet, but am praying for God to reveal clearly what He wants us to do..

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#25 of 68 Old 01-26-2010, 02:55 PM
 
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Within that, there are two papers that disagree with each other over whether or not hormonal birth control/IUDs actually prevents implantation...
That's the other thing that bothers me, when life begins issues aside. I just cannot be comfortable taking something that even the medical community can't agree on how it works! The whole "we don't know how it works, we just know that it does" thing doesn't sit well with me.

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#26 of 68 Old 01-26-2010, 03:53 PM
 
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That's the other thing that bothers me, when life begins issues aside. I just cannot be comfortable taking something that even the medical community can't agree on how it works! The whole "we don't know how it works, we just know that it does" thing doesn't sit well with me.
Yeah, no kidding, huh? Totally agree, it's very unsettling...

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#27 of 68 Old 01-26-2010, 06:10 PM
 
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I'm so jealous of those of you who go for a long time without ppaf -- I always start no later than 6m even with nursing on demand and night nursing. We got pg with #2 at 7m when we were "not trying/not preventing" thinking nothing would happen right away since it took forever to ttc #1.

And thanks to those who suggested "Taking Charge of Your Fertility", I'd forgotten all about that book. I'll have to look into getting it.

Susan, homeschooling mama to KS/6, A/5, K/3, ^i^, ^i^, & our new Valentine -- RG 02/14/10.
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#28 of 68 Old 01-26-2010, 06:50 PM
 
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I'm going with abstinence, even though that won't do anything for anhedonia. If I abstain from abstinence, I am going to use a Lea's shield with contraceptive film. I'd like a pill to restore libido....
Me too!

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I'm thinking about an IUD too-- not sure if I'll go with a copper one or Mirena. But I don't think I'll get one until this baby is about 1. In the meantime we'll use condoms (what we've always used, with no issues).

Linchi, if you are still in France when your DH is ready to get a vas, know that it's very, very difficult to find a doctor who will do one. It's just not something that's common here. You may have to go to Germany or the UK. Just a heads up!
Oh, I dunno when we'd be ready to make a decision that permanent, but it's good to know! I wonder why it's so uncommon here. Ay, the French!


It seems that the Nuvaring isn't compatible with breastfeeding according to their site. Still searching... Any word on that magic wang Keeta?

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#29 of 68 Old 01-26-2010, 06:53 PM
 
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Taking Charge of Your Fertility by Toni Whescheler.
agreed. I just need to read up on the breastfeeding and charting section. And then hope that sometime I have a normal cycle. I love that book and think it should be required reading for every female (and their partners!)
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#30 of 68 Old 01-26-2010, 08:08 PM - Thread Starter
 
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Taking Charge of Your Fertility by Toni Whescheler.
Yeah, that's what I meant in the OP when I said charting. Love the book, and think it should be required reading for womanhood, but I tried charting after my DD was born, and it just was more than I could handle with the all-night breastfeeding. Plus, as I said, even without the precise charts it's pretty clear when I'm fertile--and the book itself doesn't provide any kind of actual birth control at all, unless maybe I throw at it at my partner during my fertile phase?

Love the magic wang idea.

I share some of your reservations about the hormones in the Mirena. I also had lots of side effects on BCP and am concerned that even the low dose could cause some, or mess with my milk supply, or just creepily give me extra estrogen at a time that I'm breastfeeding a baby boy. I think if I do go that route, I'll wait until he's a year.

Hadn't really considered the diaphram idea--does anyone else have experience with that? Seems like it would have a similar hassle-level to condoms, but without the irritation and the ick smell?

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