HomeAnswersObstetrics and Gynecologybirth control methodsPlease tell me the pros and cons of switching from combination OCP to a hormonal IUD.

What are the pros and cons of switching from combination OCP to a hormonal IUD?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Reetika

Medically reviewed by

Dr. Sneha Kannan

Published At July 15, 2020
Reviewed AtSeptember 4, 2023

Patient's Query

Hi doctor,

I am a 21-year-old female. I am suffering from depression, and I am taking combination OCP for six years now. I am sexually active with one long-term partner but not interested in getting pregnant any time soon. Before starting OCPs at the age of 15, I had hefty flow and severe cramps, negative for endometriosis. Also, I have had no pregnancies and also am occasionally forgetful about pills. I hope to get some advice about the advantages and disadvantages of switching from my combo OCP to a hormonal IUD from someone with more experience on the topic than my family doctor. My main concern is the effects of losing the estrogen in my pills but not the IUD and how that will affect my body and mind.

Answered by Dr. Reetika

Hello,

Welcome to icliniq.com.

I understood your concern and will surely help you.

1) Estrogen in your OCP (oral contraceptive pills) may leave some side effects for few days. Something similar when you started your OCP long back, but it will slowly fade away. It will not adversely affect your routine and life in any major way in the long term.

2) As you are not planning to get pregnant soon and sometimes forget to take the pill, IUD (intrauterine device) is a better choice.

3) IUD will not interfere if you have to use any medication in the future, whereas OCP may interfere, or their effectiveness may get reduced.

4) IUD will require a regular check for the position.

5) Also, your periods will take some time to stabilize with IUD like you were having heavy flow and extreme cramps before OCP. However, it will settle down after the first period.

I think you can go for IUD, and according to research, discontinuing estrogen-based pills will not hamper your routine. Feel free to ask any questions or to share any additional information.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Reetika
Dr. Reetika

Obstetrics and Gynecology

Community Banner Mobile

iCliniq's FREE Newsletters

Expert-backed health and wellness information, delivered to your email.

Subscribe iCliniq
By clicking Subscribe, I agree to the iCliniq Terms & Conditions and Privacy Policy and understand that I may opt out of iCliniq subscriptions at any time.

Ask your health query to a doctor online

Obstetrics and Gynecology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy