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Q. Birth control pills make me depressed and tired, and my serum ferritin is low. Please help.

Answered by
Dr. Poonguzhali Liston
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Jul 06, 2020 and last reviewed on: Jul 29, 2020

Hello I am a 25 year old woman who gave birth to my first child a year back. After giving birth in 2 months I started taking yasmin birth control pills then they gave me nausea all time and I didnt feel hungry or could eat so I switched to yaz control pills after 4 months and they make me so depressed on placebo pill days only and I have no sex drive and I can eat but I could not get hungry. I sleep a lot and feel my I have no energy all the time so I asked the doctor to do a ferritin serum blood test and the result is 12 ng/mL out of range 22-112 ng/mL. I did not do a vitamin D test cause I know its somehow low. I have constipation and I do not want to take iron pills as I do not have anaemia on my CBC. So I was think of taking a multivitamin but its expensive. I need my energy to be able to do my daily tasks and chores I feel so drained I need to take care of the family please help doctor.

Dr. Poonguzhali Liston

Obstetrics And Gynaecology

hello, there are few things I like to point out from ur history

1) yaz or Yasmin is not the right choice of birth control pills right after child birth ( yaz and Yasmin are combined oral contraception containing estrogen and progesterone and this is not safe immediately after child birth if ur breast feeding the child )

2 ) if yaz is causing a lot of side effects it time to switch to other forms of contraception. u can try progestrone only pils, or dmpa shots or implants these tend to have lower side effects

3 ) tiredness and low energy are a symptom of reduced blood counts . they are seen even before the change in ur blood counts .

4)low ferritin means ur iron stores in the body are very low and all the iron absorbed from ur food in going to replenish the stores. low ferritin is another sign of impending anemia .

if u are not satisfied by iron tablets or not tolerant to them u can opt for iron injection under a doctor's supervision. Before trying all tat try to include iron rich substances in ur food. These include -

  • peanut /groundnuts
  • jaggery
  • green leafy vegetable like spinach
  • red meat
  • eggs
  • liver
  • milk
  • beans like black bean , kidney beans
  • dry fruits
  • walnut
  • dates
  • iron fortifies salt and flour.

if the tiredness and lethargy persist also get a thyroid test done as low thyroid causes loss of energy regards

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