What are the preferred birth control methods for a potential BRCA gene carrier?

Question

Hello doctor.

I need to find the birth control method that works best for me. I take Levest, but my doctor has advised against doing so since it increases my chances of breast cancer, and I am already in danger due to my mother's diagnosis. Because of my job, I will not be able to handle stressful or unpredictable situations that arise without warning. In order for my cycle to not adversely affect my job, it must be as regular as possible. I am unaware of what medications are available or how they will all impact me. Zeletta, for example, would not be effective for me since it produces sporadic bleeding that interferes with my ability to function. I had really painful, heavy periods before I started taking a pill, and I am unwilling to go back to that. I used to pass out from the abuse they used to give me. Kindly help me.

Answer 1

Hello,

Welcome to icliniq.com.

One thing I would like to emphasize is that your cycles are a good indicator of your overall health. Hormones control cycles, which are in turn controlled by your emotions. You dislike your cycles, which is not a healthy thing because these are physiological processes that must be treated with the highest respect. Because your mother had breast cancer, most combination medicines are not recommended for you. Only progesterone medications have adverse effects that you cannot tolerate. So the only viable choice is Mirena (hormonal intrauterine device), an intrauterine implant that contains hormones. Because you require contraception, I assume you are sexually active or were using medications to regulate your periods. Finally, I recommend that you begin practicing yoga, which is a blend of asanas and meditation. I hope your mum underwent BRCA 1 and 2 testing (genes responsible for breast cancer).