There are several factors that can compromise the effectiveness of your birth control.
One of these is weight.
Living with overweight or obesity can affect the absorption and metabolism of drugs and hormones.
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Hormonal IUDs may also help reduce the risk ofendometrial cancerandhyperplasia, conditions patients with obesity are more susceptible to.
It newer version is injected beneath the skin as opposed to in the muscle.
Shots are delivered quarterly, or every 12 to 14 weeks.
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For those with higher weights, it may take even longer.
The traditional version of the Depo Provera shot is also an option if you have obesity.
Failure is most often associated with improper or inconsistent use rather than a problem with the product itself.
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If you are uncertain how to use a product, speak with your healthcare provider or ask your pharmacist.
Tubal Ligation
Tubal ligationis a permanent method of birth control.
In this population, the surgery might take slightly longer and require more anesthesia.
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Tubal sterilization surgeries are often done laparoscopically.
Compared to open surgery, laparoscopic surgery is associated with less risk such as infection in those with obesity.
Robinson JA, Burke AE.Obesity and hormonal contraceptive efficacy.Womens Health (Lond).
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Schneider ME.Beware hormonal IUD expulsion in obese women.
American Cancer Society.Endometrial cancer risk factors.
2012 Dec;256(6):934-45. doi:10.1097/SLA.0b013e318269a46b
