How to prevent spontaneous ovulation with premature ovarian failure in the mix?
June 27, 2011 8:23 PM Subscribe
What to use for birth control when the pill might make it MORE likely to get pregnant?
posted by anonymous to health & fitness (18 answers total) 2 users marked this as a favorite
Let me start with saying, YANMD, and I have an appointment with my gynecologist next week already, so will definitely be bringing this up at that time. However, while she's an awesome doc, she's not an expert in my particular diagnosis, so I could use some assistance in formulating my questions, and possible resources to go in with.
The backstory: About six years ago (at age 29) I was diagnosed with Premature Ovarian Failure (now sometimes called Primary Ovarian Insufficiency, commonly misnomered Premature Menopause). I went to the NIH and participated in the study, learned nothing about the cause but lots about the diagnosis. Ultimately, this wasn't a huge deal for me, since I've never wanted to get pregnant anyway. Combine that with the fact that my next major relationship was with a woman, and the whole thing wasn't a big deal at all, apart from remembering to take my hormone replacement therapy.
Fast forward until now: the relationship with a woman recently ended, and the prospect of a relationship with a man is now on the horizon. Still no change in the decision about not having kids though. The problem is this: women with POF can sometimes spontaneously ovulate, without warning. They usually find out this has happened when they realize they are pregnant. It would be VERY bad if this happened in my situation. The odds are stacked against this; however, the spontaneous "remission" rate is in the area of 10% -- a bit higher than I'm ok gambling with.
In trying to figure out what the best birth control solution is for me right now, I'm finding a bit of difficulty, as follows:
-I could switch from HRT to BCPs. But, there is wildly conflicting information out there as to whether or not the Pill will actually prevent pregnancy in women with POF. Also, I was plagued by side effects while on the Pill previously (which may or may not be pre-diagnosis POF related).
-We'd rather not be using condoms forever.
-I've never had luck when talking to doctors about IUDs, sterilization, etc. since I haven't had a child. Plus, this may just be A relationship, not THE relationship, so it seems like overkill.
-Most internet resources for POF folks are focused on women facing infertility and actively trying to get pregnant. Posing my question in some of those places feels misguided at best, insensitive at worst.
Finally, the questions:
-Can you show me resources online where I can read up and get myself educated before walking into the doctor's office next week?
-Can anyone point me to support groups/forums/etc for POF that are NOT infertility focused?
-What questions should I be sure to ask of the doctor while I'm there?
-What else am I under or overthinking here?
Private comments or questions to firstname.lastname@example.org. Thanks!