2017 HMPT LII Lesson46 Depo Patch - Amazon S3...– You don't need your partner's cooperaon to use it – It doesn't require daily aen,on or having to remember to take a pill every
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HompesMethodPrac00onerTrainingLevelII
©HealthforthePeopleLtd–notforreusewithoutexpressedpermissionHompesMethodisatradingnameofHealthForThePeopleL<|RegisteredinEngland&Wales|Company#6955670|VAT#997294742
Lesson Forty Six – Depo Provera Injection, Patch, Coil
Introduc0on
• Thisisnotapoli,calorsociologicaldebate.• I’mnottakingmoralhighground.• Itisadiscussiononphysiologicalconsequencesofthepillinwomen:– Howthepillworks– Theproblemsitcansolve– Theproblemsitcancause
Non-pillhormonalcontracep0ves
• Therearefourtypesofcontracep,on:– Hormonal:
• Thepill• Thepatch• Theinjec,on
– Barrier:• Non-hormonalcoil• Condoms
– Intrauterine(insertedinsidetheuterus)– Sterilisa,on
Depo-ProveraInjec0on
• Contracep,veinjec,onforwomen
• Depo-Proveraisabrandnameformedroxyprogesterone(aproges,n)
• Givenasaninjec,ononceeverythreemonths
• Typicallysuppressesovula,on
• Thickenscervicalmucus
Depo-ProveraInjec0on
• Alsoavailableinlowerdosage• ThisversioniscalledDepo-SubQProvera104– Depo-Proveraisinjecteddeepintothemuscle– Depo-SubQProvera104isinjectedjustbeneaththeskin
• Benefits,risksandsideeffectsaresimilar
WhyDepo-Proveraisused
• Preventpregnancy• Modulatecycle• Don’twanttotakethepill• Wantorneedtoavoidestrogen(there’snoestrogeninit)…– Exis,ngcondi,ons:fibroids,anemia,seizures,endometriosis(anythingthatcarriesriskfromexcessestrogen)
Benefits(MayoClinic)
• Doesn'trequiredailyaZen,on• Eliminatestheneedtointerruptsexforcontracep,on
• Decreasesmenstrualcrampsandpain• Lessensmenstrualbloodflow,andinsomecasesstopsmenstrua,on(notsurethisisabenefit!)
• Decreasestheriskofendometrialcancer
Drawbacks
• Requiresaninjec,on• Preventsovula,onandcreatessignificantproblemsforsomewomenasaresult
• Decimatesnaturalprogesteronelevel• Mayblockprogesteronereceptors• Highproges,nlevelscarrytheirownrisk!
Drawbacks
• I’veseenmajor,life-changingissuesfromthisinjec,on–itisatoxintosomewomenandfucksuptheirabilitytogetpregnant
• Likethepill,theissuecanbewhathappenswhenit’sstopped,notwhileitisbeingtaken
• Noperiodsformonthsoryears,massivehormoneimbalancesduetomessedupHPGaxis,infer,lity,miscarriages,termina,ons…
Drawbacks(MayoClinic)
• “YourhealthcareprovidermaydiscourageuseofDepo-Proveraifyouhave”…– Unexplainedvaginalbleeding– Breastcancer– Liverdisease– Sensi,vitytoanycomponentsofDepo-Provera– Riskfactorsforosteoporosis– Ahistoryofdepression
• “InaddiUon,tellyourhealthcareproviderifyouhavediabetesorahistoryofheartdiseaseorstroke.”
Drawbacks(MayoClinic)
“Youmayhaveadelayinyourreturntofer3lity.A[erstoppingDepo-Provera,itmaybe10monthsormore
beforeyoubeginovulaUngagain.Ifyouwanttobecomepregnantinthenextoneyearorso,Depo-
Proveramightnotbetherightbirthcontrolmethodforyou.”
Drawbacks(MayoClinic)
• OthersideeffectsofDepo-Proveramayinclude:– Abdominalpain– Acne– Breastsoreness– Decreasedinterestinsex– Depression– Dizziness– Headaches– Irregularperiodsandbreakthroughbleeding– Nervousness– Weaknessandfa,gue– Weightgain
TheContracep0vePatch
• Containssynthe,cestrogenandproges,n• Workslikethecombina,onpill• Preventsovula,onandthickenscervicalmucus• Twotypes/brandsareavailable:– Xulane(US)– Evra(UKandEurope)
TheContracep0vePatch(Wiki)
“Awomanappliesherfirstpatchontoherupperouterarm,bu<ocks,abdomenorthighoneitherthefirstdayofher
menstrualcycle(day1)oronthefirstSundayfollowingthatday,whicheversheprefers.ThedayofapplicaUonisknownfromthatpointaspatchchangeday.Sevendayslater,whenpatchchangedaycomesagain,thewomanremovesthepatchandappliesanothertooneoftheapprovedlocaUonsonthebody.This
processisrepeatedagainonthenextpatchchangeday.Onthefollowingpatchchangeday,thepatchisremovedandnot
replaced.Thewomanwaits7dayswithoutapatchinplace,andonthenextpatchchangedaysheappliesanewpatch.”
hZps://en.wikipedia.org/wiki/Contracep,ve_patch
Benefits(MayoClinic)
• …usedtopreventpregnancy.Ithassomeadvantagesoverothertypesofbirthcontrol:– Iteliminatestheneedtointerruptsexforcontracep,on– Youdon'tneedyourpartner'scoopera,ontouseit– Itdoesn'trequiredailyaZen,onorhavingtoremembertotakeapilleveryday
– Itprovidesasteadydoseofhormones– It'seasiertouseforwomenwhohavetroubleswallowingpills
– Itcanberemovedatany,me,allowingforaquickreturntofer,lity
Sideeffects(MayoClinic)
• Sideeffectsofthebirthcontrolpatchmayinclude:– Anincreasedriskofblood-cloingproblems,heartaZack,stroke,livercancer,gallbladderdiseaseandhighbloodpressure
– Breakthroughbleedingorspoing– Skinirrita,on– Breasttendernessorpain– Menstrualpain– Headaches– Nauseaorvomi,ng
Sideeffects(MayoClinic)
• Sideeffects,con,nued:– Abdominalpain– Moodswings– Weightgain– Dizziness– Acne– Diarrhea– Musclespasms– Vaginalinfec,onsanddischarge– Fa,gue– Fluidreten,on
Sideeffects(MayoClinic)
“Researchshowsthatthebirthcontrolpatchmayincreaseestrogenlevelsinthebodycomparedto
combinaUonbirthcontrolpillsthataretakenbymouth.Youmayhaveaslightlyhigherriskofestrogen-relatedadverseevents,suchasbloodclots,whileusingthe
patchthanifyoutookcombinaUonbirthcontrolpills.”
hZp://www.mayoclinic.org/tests-procedures/birth-control-patch/details/risks/cmc-20167250
TheContracep0vePatch(Wiki)
“Inthreelargeclinicaltrialsinvolvingatotalof3,330womenusingtheOrthoEvra/Evrapatchforuptooneyear,12%ofusersdisconUnuedthepatchbecauseofadverseevents.Themostfrequentadverseevents
leadingtopatchdisconUnuaUonwere:nauseaand/orvomiUng(2.4%),applicaUonsitereacUon(1.9%),breastdiscomfort,engorgementorpain(1.9%),headache
(1.1%),andemoUonallability(1.0%).[13]”
hZps://en.wikipedia.org/wiki/Contracep,ve_patch
TheContracep0vePatch(Wiki)
“ThemostfrequentadverseeventsreportedwhileusingtheOrthoEvra/Evrapatchwere:breastdiscomfort,
engorgementorpain(22%),headache(21%),applicaUonsitereacUon(17%),nausea(17%),upperrespiratorytractinfecUon(10%),menstrualcramps
(10%),andabdominalpain(9%).[13]”
hZps://en.wikipedia.org/wiki/Contracep,ve_patch
Contracep0veimplant
• Flexibleplas,crodaboutthesizeofamatchs,ckthatisplacedundertheskinoftheupperarm.
• Releasessteadydoseofaproges,n(proges,nonly)
Contracep0veimplant
hZps://www.healthexpress.co.uk/contracep,on/contracep,ve-implant
Typesofimplant
Contracep0veimplant(MayoClinic)
• Abdominalorbackpain• Anincreasedriskofnoncancerousovariancysts• ChangesinvaginalbleedingpaZerns,includingabsenceof
menstrua,onDecreasedsexdrive• Dizziness• Headaches• Mildinsulinresistance• Moodswingsanddepression• Nauseaorupsetstomach• Poten,alinterac,onwithothermedica,ons• Sorebreasts• Vaginalinflamma,onordryness• Weightgain
Theyallcarrysimilarrisk
• Thepill,injec,onandpatcharesimilar• Thesubtle,esmaydifferfromonetoanother• Theystopovula,on• Thecontainfakehormones(Frankenhormones)– Theyaredrugs–manydon’tconsiderthis
• Theyaretheonlydrugstakenwhenthereisn’tadisorderordisease!
• Problemscanoccurduringuse,oraperwards
ThehormoneIUD
• IUDmeans“intrauterinedevice”– Commonlyknownas“coils”
• Canbehormoneornon-hormone• TwohormonalcoilshavebeenFDA-approved:– Mirena• Preventspregnancyforupto5yearsaperinser,on
– Skyla• Preventspregnancyforupto3years
WhatisanIUD?
• T-shapedplas,cframethatreleasesproges,n
• Thickenscervicalmucustopreventspermfromreachingorfer,lizinganegg.
• Thinstheliningoftheuterusandpar,allysuppressesovula,on. hZp://www.nhs.uk/Condi,ons/
contracep,on-guide/pages/ius-intrauterine-system.aspx
WheredoestheIUDgo?
hZps://www.pinterest.jp/explore/iud-placement/
Mirenacoilsideeffects
• SideeffectsassociatedwithMirenainclude:– IncreasedriskofSTD– Headache– Acne– Breasttenderness– Irregularbleeding– Absenceofperiods(amenorrhea),especiallyaperoneyearofuse
– Moodchanges– Weightgain– Ovariancysts– Crampingorpelvicpain
Mirenacoillawsuits!
CopperIUD
“TheIUDworksbystoppingthespermandeggfromsurvivinginthewomborfallopiantubes.Itmay
alsopreventaferUlisedeggfromimplanUnginthewomb.”
hZp://www.nhs.uk/Condi,ons/contracep,on-guide/Pages/iud-coil.aspx
CopperIUD
• ThecopperIUDdoesn’tcontainhormones• Howevercopperitselfisamajorproblem• Itreleasescopperinsteadofprogestogen
– Coppertoxicitycancausesignificantissues,asyouknow,andcanbeassessedusingahairmineralanalysisand/orserumcoppertoplasmazincraUo
CopperIUD
• Copperisassociatedwithestrogen(zincwithtestosterone)
• Coppertoxicitycancauseestrogendominance• Estrogendominanceisamajorproblem,asyou’veseenalready
Naviga0ngthecontroversy
• You’renotallowedtorecommendawomanusesordoesnotuseanymedicalcontracep,ve
• Youcaneducateandrecommendtheydiscussthesitua,onwiththeirphysicianorOBGYN
• Youcanthenhelppeoplerebalancetheimbalancesthatmayhavebeencausedbythesemethodsofcontracep,on
– Educate,educate,educate…!
Summary
• Injec,onsareproges,n-only• Patchesaresynthe,cestrogenandproges,n• Implantsareproges,n-only• HormonalIUDsareproges,n-only• CopperIUDsarenon-hormonal,butcans,llmassivelyshiphormonebalance
• Don’tplaydoctor:justeducate
Thanksandnextup
• Thanksforwatchingorlistening.Nextup,we’regoingtolookatsomecommoncondi,onsassociatedwithfemalehormoneimbalances…PMS,PMDDandPCOS.
hZps://en.wikipedia.org/wiki/
Estradiol
hZp://journal.fron,ersin.org/ar,cle/10.3389/fendo.
2014.00192/full
hZp://www.medscape.com/viewar,cle/523196_3
hZps://en.wikipedia.org/wiki/
Estradiol
hZps://www.researchgate.net/figure/7360494_fig1_The-estradiol-metabolic-pathway-Estradiol-is-synthesized-from-cholesterol-in-a-series-of
hZp://catsfork.com/Health-Metabolism/
Hormones-Female.html
hZps://clinicalgate.com/adrenal-exhaus,on/
MyTopResources
• I’vereaddozensofbooksabout“hormonebalance”inmy,meands,llhavefewontheshelfthathaveasyetgoneunopened.
• Onthefollowingpagesyou’llfindmytopthreeorfourpicks.
• I’veprovidedplentyofvideosandar,clesinyourresourcessec,on,aswell.
MyTopResources
• NaturalHormoneBalanceMadeSimple–JohnLee,M.D.– Oneofthepioneersinthefieldofprogesteronetherapy,thisbooksummarizesDr.Lee’sworknicely.
– Dr.KalishlearnedagreatdealfromDr.Lee.
MyTopResources
• TheNaturalSuperwomanbyUzziReiss,OBGYN.– Quitesimplyabrilliantbookwhenitcomestohormoneeduca,on;Dr.Reisshasbeenhelpingwomenbalancetheirhormonesformorethanthirtyyears.
MyTopResources
• StayYoungandSexywithBioidenUcalHormoneReplacement–JonathanWright,M.D.– Dr.Wrightwastheguywhoeffec,velybroughtbioiden,calsintoprac,ce.Thisbookcarriesawealthofscien,ficevidencesuppor,nghormonetherapy.
MyTopResources
• DiscoverYourMenopauseTypebyJosephCollins,N.D.– Thisisasuperbbookthatbreaksmenopausesymptomsdownintodifferenttypesandtreatments.
MyTopResources
• TheBi<erPill–Dr.EllenGrant,M.D.– Afascina,ngexplora,onofhowthepillwasdevelopedintheUK,alongwiththedisturbingside-effectsthatcame–ands,llcome–alongwithit.
MyTopResources
• Menopause–ASpiritualRenaissance–HeleneB.Leonei,M.D.– LovelybookbyaladyI’vehadthefortunetointerview.
MyTopResources
• BHRTWorldSummit–Various;hostedbyJoelYaffa,M.D.:– Excellentsummitwithopinionsfromvariousleadingexperts.Givesagoodspreadofopinion.
MyTopResources
• Therearesomeothersuperbresources,andI’llmen,onthemaswegoalongaswellaslis,ngthemonaresourcesheetforyou.
ThankYou!
• Thanksamillion!Inthenextlessonwe’lllookatthespecifichormonesinvolvedinthemenstrualcyclesowecanthendiveintowhatcangowrong.
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