HomeAnswersObstetrics and Gynecologycontraceptive implantAmong Depo-Provera and non-hormonal coil, which can cause menstural abnormality?

Which is a better birth control method, Depo-Provera or a non-hormonal coil?

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

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Published At October 16, 2021
Reviewed AtDecember 12, 2023

Patient's Query

Hello doctor,

I have been using Depo-Provera for the last three years. And I am having issues with on and off bleeding. So, I decided to put the non-hormonal coil, which I have been using already. I removed the coil as I wanted to conceive, since then, nothing has happened. I have been having long menstrual cycles varying between 35 to 41 days.

Kindly advise.

Hello,

Welcome to icliniq.com.

Your irregular cycles are due to hormonal imbalance. I suggest you undergo blood tests and an ultrasound scan of your abdomen and pelvis to rule out the anemia, thyroid hormone problem, and PCOS (polycystic ovarian syndrome). The blood test to be done are CBC (complete blood count), RBC (red blood cells), HbA1c (glycated hemoglobin), TFT (thyroid function tests), prolactin levels, and an abdomen and pelvis ultrasound. If you have polycystic ovaries, then periods will be irregular, and pregnancy may be delayed. And also, your overweight should be treated immediately. Your weight should be less than 121 lbs, corresponding to your height. So go for brisk walking, do exercises, control your diet to the maximum possible way, reduce carbohydrates, take proteins, eat more vegetables and fruits. Refined and processed foods should be avoided.

Take care.

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

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Dr. Radha Peruvemba Hariharan

Diabetology

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