(Closed) progestin only, or the mini pill? (birth control)

posted 9 years ago in Wellness
Post # 5
Member
2004 posts
Buzzing bee
  • Wedding: November 2008

From what I know of these methods (which is a decent amount) I would guess that the odds of irregular bleeding would be higher but that the emotional effects would be lower. Another alternative would be to try a combined pill that uses a different type of estrogen. There are at least five or so on the market, and all act differently in different people. I reacted very differently to different types of estrogens (though in the end, none were quite right, alas! I hope your luck is better).

What made me never try the minipill was that it seems like a more delicate instrument—it says you’re supposed to take it within 3 hours of the regular time every single day of the year, even during your period. With the regular pill, I always felt the placebo pills were like a "reset" and with the minipill you wouldn’t have that, psychologically. However, it does say it’s better for your blood pressure, that’s a good thing.

Let us know how it turns out!

Post # 6
Member
147 posts
Blushing bee
  • Wedding: June 2009

I’m not on the mini pill but we looked into it a few months back as I am unable to be on anything with estrogen due to a clotting disorder.  My Ob-Gyn was hesitant to offer up a prescription of the mini pill due to it’s fickle-ness – it has to be taken about the same time each day and cannot be missed or you have to start over the next cycle!  That’s a little too picky for me, especially as a long term solution.  After a lot of discussion, we ended up going with Implanon – another progesteron-only method.  It’s basically a plastic rod the size of a matchstick that gets inserted in the arm.  Shockingly, it barely hurt at all.  I’ve been on it about two months ago and so far, not bad!  My periods are really light and, while I do have this odd spotting sometimes between periods, it’s been manageable.  I think over time it might even out and disappear.  I know it’s a different method but that is a common side affect with all progesteron-only methods.

 Good Luck! 

Post # 8
Member
2004 posts
Buzzing bee
  • Wedding: November 2008

Re: mini-pill vs. implanon: I can’t imagine that your odds of breakthrough bleeding would be much better on the mini-pill than on Implanon. At least with the implant, your’re getting a steady dose of hormones, whereas with a pill it fluctuates daily and you have to be right on time with the next dose. However, you could just stop taking the minipill, whereas you would have to get a procedure done to remove the implant. Maybe you could try the minipill to see how you like it, and if it works, try implanon? I see a parallel with taking the combined hormonal pill and the nuvaring (daily pill versus implanted, continual dose).

Post # 10
Member
303 posts
Helper bee
  • Wedding: April 2010

I’ve been on the mini-pill for almost a year, because I get migraines with aura and can’t take combo pills, and have had great luck with it (read: no babies yet)!

You do have to be careful to take it on time everyday. If I miss the planned time by more than 3 hours, I have spotting and light cramping. My periods are regular, but they are 6 weeks apart now. We are also very careful about using backup if I miss a pill by more than 3 hours! FI is persistant at reminding me b/c he’s not a fan of using backup :). You do not have to start over the next cycle if you miss a pill – all the pills are the same in a 28-day pack (at least with Ortho Micronor). If you miss a pill you take it, take the next one when its planned & be careful for a while.

 I think this pill takes a little more vigilance, and you HAVE to write your cycle down in a calendar or something becasue occasionally it’s irregular, but if you can do that, it has a similar effectiveness rate (98% or whatever) as other pills!

Post # 12
Member
303 posts
Helper bee
  • Wedding: April 2010

I get mine at the local public health clinic and it costs $15/mo (whoohoo!). I’m not sure how much it would be in a regular pharmacy, but I wonder if there is a generic equivalent? I know there are is a generic of orthotricyclen that I was on in the past. I guess you could just call your pharamcy and check?

I googled it, and the generic name is norethindrone – I think – I’m definitely not a pharmacist!

 

Post # 13
Member
147 posts
Blushing bee
  • Wedding: June 2009

@ Joeswifey : I just looked at my health insurance claim… it cost a total of $245 (with the $20 lab fee included).  I only had to pay the $30 deductible (but many people aren’t so lucky!).  It’s not cheap but MUCH cheaper then Mirena (that I was looking into initially)… and it’s probably cheaper than having to buy birth control pills for the next however many years!

I had been told that the progesteron-only methods all carry the risk of break-through bleeding – it’s a common side-effect.  I agree with chelseamorning on that…  might be worth seeing if it’s an issue. 

Good luck! 

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