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A married couple in their early 40s need advice on contraceptives. The…
A married couple in their early 40s need advice on contraceptives. The wife wants to stop taking birth control pills as she is concerned about the long term effects, but is certain that she also does not want more than the two children they already have.
For this couple, there are other birth control options that don't involve pills. While there is mixed evidence about the long term effect of birth control due to hormonal changes, there is nothing solid to show taking them long term is detrimental.
There are plenty of options besides pills, such as condoms, the morning after pill, or even longer term options such as an IUD.
Best Case Options:
1) There is very little evidence to suggest that taking birth control pills long term has any negative effect. While it does effect hormonal levels, there is typically no major symptoms aside from the short term effects. She should be able to continue taking them, should she wish, and not have to be concerned.
2) If the couple are both certain that they are done with having children, and the wife is certain she wants off of birth control pills, an IUD may be an option. These versions of birth control can last from 3-10 years, and should the couple decide they want another children, it would still be an option.
3) The final and simplest solution would just have the husband wear a condom. That way, the wife can stop taking medication and the desire to have no more children would still be allowed.
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Worst Case Options:
1) The wife's periods may be irregular for a while. One of the benefits of birth control is that a woman's periods will stop. Once birth control is stopped, it may take a month or two for the hormonal levels to balance out and periods to begin again. Additionally, PMS may come back, causing mood swings and other typical symptoms.
2) The wife may accidentally get pregnant again. Some people may think that it could take a while to get pregnant again after stopping birth control. Unlike the hormonal levels, the ability to get pregnant returns very quickly compared to other bodily systems that need balancing.
3) Headaches, body hair, and acne might return in higher amounts. There are many studies that have had women report higher amounts of headaches and migraines when getting off of birth control. Additionally, as hormone levels return to normal, higher amounts of acne and body hair might pop in new places.