Can You Get Pregnant On The Depo – When Alison Smerek found out she was pregnant with her first child 14 years ago, she had been using combined birth control pills (containing estrogen and progestin) for nearly a decade and was always careful to take them consistently. When Smerek, 28, urinated on a stick and tested positive, she thought:
. To say it wasn’t planned is putting it mildly. She and her then-boyfriend, Dean, were not yet living together in her new home, and she had only been at work for a few days when she received the doctor’s confirmation that she was pregnant. But after the initial shock, she was delighted that they had a baby. Today, Dean, who is now her husband, says it was fate and jokes that they wouldn’t have stopped trying to revive life if it wasn’t for the surprise baby.
Can You Get Pregnant On The Depo
Smerek’s story is not unusual. According to a 2016 survey of 3,200 women by the Society of Obstetricians and Gynecologists of Canada (SOGC), one in five experienced an unplanned pregnancy. Although many methods of birth control are very effective, it is not uncommon for people to become pregnant while using birth control.
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In fact, many people that Dustin Costescu, an OB/GYN at McMaster University in Hamilton, sees in those with unintended pregnancies have used birth control. “Birth control greatly reduces the chance of an unplanned pregnancy, but it’s not perfect,” he said. “This is a normal experience and therefore women should not feel embarrassed about forgetting their pill or getting pregnant while using contraception.” Here’s what you need to know about the risks of getting pregnant while using birth control.
Birth control pills are popular among Canadian women. According to the Canadian Survey of Health Measures published by Statistics Canada in 2015, about 16 percent of non-pregnant Canadian women ages 15 to 49 had taken a combined pill or progestin-only pill in the month prior to the survey. And it’s pretty effective, though certainly not perfect. Amanda Black, a professor of obstetrics and gynecology at the University of Ottawa, notes that both the combined pill and the progestogen-only pill have an eight percent failure rate with regular use. The main reason for failure? People don’t take it constantly. For those who take combination pills, it’s especially important to take them every day for the first week of your pack, Costescu says. “If you miss something, even a pill in the first week, there may not be enough estrogen to prevent you from ovulating, and then there’s a risk of getting pregnant,” he says, explaining that hormones drop in the week before. off has already started the process of egg production, so skipping the pill in the first seven days can trigger ovulation. There is less room for error with progestin-only pills, where being more than three hours late in dosing is a risk of pregnancy.
The pill can also fail due to illness where you vomit or have diarrhea, because it may not have time to be absorbed by your system, before it is, ahem, expelled. As for medications, some anti-seizure medications can affect absorption and interfere with hormone levels in the pill, Black said. And there’s a chance that St. John’s wort may also affect the pill’s ability to work, she said.
People who use combination pills where they take a week off often experience what is called withdrawal bleeding, which is when the body mimics a period due to the drop in hormones at the end of the cycle. But the pill can also mask the easiest sign of pregnancy to notice: a missed period.
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“Some women on the birth control pill will still experience frequent withdrawal bleeds, but other women may experience minimal withdrawal bleeds or may take it continuously because they want to avoid monthly withdrawal bleeds,” explains Black. Therefore, its first signs may be breast tenderness, nausea, changes in abdominal circumference, or fatigue.
If you suspect you’re pregnant, your first step is to take a home pregnancy test, Black says. If the test is positive, stop taking the pill. (Don’t stop before then or you’ll risk getting pregnant.) The hormones in the pill she’s been exposed to so far won’t harm the fetus, Black says. Costescu agreed. “Pregnancy is a state of heightened sex hormones and is therefore very similar to the clinical effects when using the pill,” she said. “And the placenta actually prevents these hormones from reaching the developing pregnancy anyway. They leak out.”
The IUD is a very effective form of birth control, Costescu said. The failure rate of the copper IUD is only 0.8 percent, while the hormonal IUD has a failure rate of only 0.2 percent. The copper IUD is effective immediately when inserted, and the hormonal type is effective within five days of insertion, she explained. And, since you don’t have to do anything after it’s set up, and you already have follow-up actions to make sure it’s entered correctly, there’s no chance for user error.
One risk is that during the five-year lifespan of her IUD, there is a three to five percent chance that her body will be able to remove it. “If someone notices that they suddenly have heavy bleeding with a clot with the IUD in it, that could be a sign that the IUD has been removed,” Black explains. If this happens, check the string to make sure the IUD is still in place; If you can’t find the string, make an appointment with your healthcare provider to make sure everything is in place, and use a backup form of birth control, such as condoms, in the meantime.
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It can be quite rare, but some people get pregnant with an IUD. For those using a copper IUD, the first sign of pregnancy is likely to be a missed period. But many women who use hormonal IUDs do not have periods or have very light periods, which can make it difficult to use as an indicator. For these women, sudden breast tenderness and nausea may be the first indication that they are pregnant. But if you’ve just had your IUD inserted, don’t assume that pregnancy is necessarily to blame for these symptoms. Costescu says that during the first three months of hormonal IUD insertion, you may experience breast tenderness, mild nausea, and some pelvic spasms.
If you suspect you are pregnant, take a home pregnancy test. If it is positive, it is important to see a health care provider as soon as possible to have an ultrasound. This is an urgent matter because if you get pregnant with an IUD, there is a higher chance that it is an ectopic pregnancy, which means that the embryo has implanted in one of your fallopian tubes instead of your uterus, which can Be dangerous. , and needs to be treated immediately.
If it’s not ectopic and you want to continue the pregnancy, your health care provider will likely recommend that you remove the IUD if the cord is visible, since pregnancy with an IUD in place is a bit more risky, Costescu says.
“Although many pregnancies will continue without difficulty, there is an increased risk of preterm labor and premature rupture,” he explained. Black adds that he can be sure that the IUD will not cause fetal abnormalities.
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There is a small risk of miscarriage when the IUD is removed, but Costescu said it’s hard to put a number because there are no studies and many early pregnancies are not viable.
If your doctor can’t find a string, the IUD should stay in place and you will be monitored with ultrasound throughout your pregnancy to make sure all is well. For example, your health care provider will look at the IUD in relation to its distance from the amniotic sac, since the device can rupture it.
There are a few more options when it comes to birth control, and these include patches, vaginal rings, and Depo-Provera injections. Black says the failure rate for regular use of the patch and ring is the same as for the pill: eight percent. The Depo-Provera shot has a failure rate of only six percent with regular use.
With all three types of contraceptives, compliance is the biggest risk factor. They must be used as directed to work effectively. Costescu says that with the patch, which is changed once a week (think of it like a bandage), one problem is that it could accidentally fall off. With the ring, he explains that replacing it on time (users insert a new ring once a month) is the key. And it can only be released for a short period of time if you want it to remain effective. “Some women choose to remove the NuvaRing when they are sexually active, and we recommend that
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