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trailsillustrated's avatar

Implications of young adult having birth control implant?

Asked by trailsillustrated (16804points) November 19th, 2013

My daughter was forced into a birth control implant when she turned 17. I was not here yet so was not consulted. My sisters both had breast cancer, ages 30 and 46 consecutively and our mother had post-menopausal breast cancer. My daughter will be 18 in a few months and wants it removed. She feels it is making her ‘moody’. This is not my field of expertise and of course I am furious that I was not consulted and think the familial bc probably was omitted from the medical history. She is also on low dosage birth control pills, on top of the implant. Is this safe?

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18 Answers

Smitha's avatar

The implant can be taken out at any time if you request removal. It loses its effect immediately after being removed. She can get it removed at a contraception or sexual health (GUM) clinic
or by a GP or practice nurse. Only a specially trained doctor or nurse can fit or remove contraceptive implants.

trailsillustrated's avatar

Thanks @Smitha we are trying to arrange that now.

gailcalled's avatar

Why does she have both the implant and the pill regime?

trailsillustrated's avatar

@gailcalled she has the implant for birth control and the pill I guess to regulate her periods. ?! that’s what I was told.

Response moderated (Off-Topic)
trailsillustrated's avatar

edit: by ‘I wasn’t here yet’ I mean I was still overseas and subject to parental alienation.

hearkat's avatar

It’s the double-dose that I’d be concerned about. Research the implant – it seems to me that a continuous dose would have period disruption as a common side-effect. But in choosing one over the other, the consistent dose is likely more effective, because humans can easily screw up taking a pill at the same time every day. I’d suggest that she stop taking the pill to see if that helps before going through surgery.

Smitha's avatar

I don’t think it is healthy to take two contraceptives together, normally the doctors prescribe pills to stop bleeding which could last for at least 3 months and possibly as long as 6 months. I have heard some doctors prescribe pills to decrease the symptoms of the period, but this is only for copper IUD. Please see a doctor and put your mind at rest. They will surely be able to help you out.

JLeslie's avatar

I wouldn’t worry what she has been taking, but I would get the implant removed for sure. I completely believe your daughter that it makes her moody. However, consider that she feels more moody on the BC she is taking PO also, she may not have the timing right. I felt out of sorts when a doctor put me on pills that were different doses through the month. The idea was to take lower quantities of hormones. I never had one bad side effect on regular highish doses of BC pills any other time. I took the pill 10 years with a break and starting up again in the middle and i never gained weight, zero change in my period, except that it was a perfect 28 days apart, no chenges in my breasts, nothing. But, that triphasal pill was awful.

I cannot see one good reason to be on both meds. That just seems absurd to me. From what I have read there is a slight increase in breast cancer risk for young women taking birth control, but after they stop the numbers go back down, and over time they go back to the same stats as women who never took them. But, I know that sounds unclear, it is unclear to me too. I don’t really know what ages the test subjects started birth control, family history, how many years they took it, etc. There does seem to be some protection from endometrial and ovarian cancer with BC. I would do some of your own research, I would not trust a doctor to decide if it increases her cancer risk. The general feeling among doctors in my opinion is the BC hormones don’t hurt young people and it is way less taxing on the body than a pregnancy. They don’t think long term, they just know their 17 year old patients have never had a stroke or cancer. I know medical science of course has looked at risks, but doctors tend to accept something as safe if it is standard of care and approved. Your daughter has specific risks you are concerned about.

I once noticed on a blood test my platelets were almost outside of normal range, very high normal, and I asked if it might be from the pill and was told no. I was very young and let it go. Now I realize my platelets are never that high, and I no longer take the pill. I doubt it is a coincidence, I am at risk for DVT. I wish I had access to more of my old records to see if I had been consistently high on the platelets while on the pill.

I think if you will worry about the breast cancer risk she should seriously consider not taking the pill, only because if God forbid she gets breast cancer young it will torment the two of you. You will always wonder.

You know I am not a doctor, a lot of my answer has to do with how I know I worry in my mind, which partly has to do with my distrust of medical doctors, so keep my answer in perspective regarding where it comes from and my own anxiety levels. Maybe Komen or some other breast cancer websites have more information on any relationships of the pill and breast cancer. Or, pubmed of course might cite some studies. But, for years I though HRT for women could not be all buteerflies and flowers like they touted it, and eventually there were studies to prove my gut feeling was correct. So, you have to go with your gut sometimes to avoid regret.

JLeslie's avatar

Holy crap, I just did some googling and found this article that states some of what I said, but then also says increased breast cancer risk was observed most in women taking triphasal pills. I had no idea that pill showed more risk in studies, those pills were sold to me as being safer because I needed such a “high” dose regular pill to avoid breakthrough bleeding. Now I am glad I insisted on going back to my old pill because the triphasals made me feel crazy. They kept saying to stick with it and the symptoms will go away over time, which I still don’t believe for one second. This was all many years ago when I was in my early 20’s.

trailsillustrated's avatar

Thank you for your information. Certainly something to think about.

Seek's avatar

An IUD actually has a lower dose of hormone than a pill. If anything, the pill’s probably making her crazy, not the IUD. And, the IUD doesn’t contain estrogen. It’s progestogen only.

See here

JLeslie's avatar

@Seek_Kolinahr I didn’t think she had an IUD, I assumed it was a hormonal implant thingy in her arm. You might be right. I know several people who felt awful with the hormonal IUD. Moody, just not right. My girlfriend complained about hairloss from Mirena, which her doctor’s nurse said she heard that complaint from other people too.

trailsillustrated's avatar

PS it’s not an IUD it’s a subcutaneous implant on her arm- sorry for the confusion

JLeslie's avatar

@trailsillustrated I thought those implants are only good three months? I don’t know much about them, they never sounded appealing to me.

Smitha's avatar

@JLeslie The implant is effective for three years after it is inserted. After that, it should be removed.

Seek's avatar

In that case I can’t fathom why she would be on the pill, unless someone was deliberately trying to give her a thrombosis or a stroke.

JLeslie's avatar

@Smitha Thanks. The OP wrote her daughter has had it almost a year, so I am assuming she means they keep giving it to her every three months, but if it is simply that the thing is still in her arms, then it isn’t giving any hormones anyway.

@Seek_Kolinahr Australia must really want to make sure young girls don’t have babies. I think it is awful they are double dosing her.

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