Consultation tomorrow!
Hello! I’m a 36 year old with four kids. USA We are definitely done.
At my yearly yesterday I asked my gyn about my options for sterilization and he said because I have acne, heavy periods and don’t want kids then he recommends nuvaring (without taking a week off). He said ablation isn’t recommended because I’m too young, it would likely fail.
Removing tubes, I’d still have a heavy period and hormonal acne. I’m not really worried about treating the acne with birth control because I just started spironolactone in January and had my first dose increase to 100mg last week. I also realized after the fact that I can’t use nuvaring or any combined hormonal contraceptive because I have chronic migraines (occasionally with an aura)
18 year history of abnormal paps (asc-us) so I still go yearly for Pap smears. This years was done yesterday so I’m still waiting for results.
*I have hormonal acne (on spironolactone)
*IUD Kyleena (strings are in my uterus so they’re sending me to the complex health clinic to have ultrasound guided removal) can worsen acne, otherwise it’s been a great IUD. The only birth control that hasn’t tanked my libido.
*history of very heavy periods (no period on Kyleena)
Tomorrow I have a consult with the complex family health office to discuss what option I want to pursue once they get my IUD out…
Options that I know of:
Bilateral salpingectomy with uterine ablation
Or
bilateral salp (with IUD to keep periods away.)
Or
IUD only
*not sure I’m ready to consider hysterectomy due to fear of early menopause risk, even if I keep my ovaries, can’t they fail early? However, I like that it solves my constant cervical dysplasia.
Ideas, experiences, comments by women who have had one of these around my age? Thanks so much! 🩷