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c/glp1women·posted 11 months ago by u/niels_roos

contraception — 11 things I got wrong before I got it right

Caution Cold Box ×7

contraception — 11 things I got wrong before I got it right. It is the sort of thing everyone half-believes and nobody writes down.

Started logging the cycle in the same sheet as the dose. Three months later the pattern was obvious and it had been invisible before.

The same dose genuinely feels different at different points in the month for me. Took a year to notice and it was in the log the whole time.

Fertility changed faster than I expected with the weight loss. Nobody had raised it and I wish somebody had.

I will update this if the picture changes rather than quietly leaving it up.

432 up / 157 down73% upvoted20 commentsid 14h4o17 Aug 2025

20 comments

20 in this archive, depth 4

best — the order this archive was captured in

u/tired_ledger_ftw73 points·11 months ago

Hormonal variation across the cycle affects appetite, fluid retention and subjective symptom intensity independently of anything else, which is why an unannotated log can look mysterious.

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[removed]29 points·11 months ago

[removed by moderator]

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u/hair_shed_hannahMOD48 points·11 months ago

Left up. It is precise about diagnosis versus finding, which makes the answers usable.

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u/gentle_correctionnice about it34 points·11 months ago

Left up.

Disagreeing with this line: the absorption question has a product-specific answer and a pharmacist has it.

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u/niels_roosOP26 points·11 months ago

Are you logging the cycle alongside the dose?

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u/cesar_oyelaran30 points·11 months ago

Perimenopause and all of this at once, and there is essentially nothing written about the combination anywhere.

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u/nora_oyelaran24 points·11 months ago

PCOS and insulin resistance are the thread that runs through this board

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u/wholesome_lurker14 points·11 months ago

hair shedding follows the rate of loss, not the compound

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u/niels_roosOP5 points·11 months ago

How many cycles has the pattern held for?

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u/nayeli_iyer9 points·11 months ago

symptom patterns can track the cycle rather than the dose

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u/bastian_eriksen20 points·11 months ago

Cosigning on fertility changing with weight loss. It catches people who were not expecting it at all.

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u/usp_appendixcompendial21 points·11 months ago

Is this a PCOS diagnosis or an insulin resistance finding?

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u/ines_boateng6 points·11 months ago

Trial populations for the major programmes were not designed around the questions this board asks most often, which is why the evidence base here is genuinely thinner rather than merely harder to find.

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u/neha_rahimi3 points·11 months ago

the same dose can feel different at different points in the month

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u/mateusz_achebe12 points·11 months ago

Questions about oral contraceptive absorption and gastric emptying are legitimate pharmacology questions with product-specific answers. A pharmacist can answer them properly; a board cannot.

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u/wholesome_lurker6 points·11 months ago·edited

Went looking for trial data on the specific question asked here and found the population had not been enrolled.

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u/micro_bump_mick1 point·11 months ago·edited

Right, and symptom patterns tracking the cycle rather than the dose explains a lot of confusing weeks.

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u/cold_chromatogram1 point·11 months ago

PCOS is a diagnosis, not a description, and it matters which you mean

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The questions the trials under-powered: PCOS and insulin resistance, cycle changes, fertility signal and contraception interactions, perimenopause and menopause weight physiology, and the fact that the pregnancy answer is always "not while trying, talk to your clinician".

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