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Re: FAQ-Pre-Op (1): ARCHIVE

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Toni Russo

This can be a difficult question to answer. There is a small possibility that you may not absorb all of the hormones from the contraceptive pill. Some doctors recommend monitoring the hormone levels for a few months before you completely rely upon the pill for contraception.

It is especially important that you have regular check ups with your family planning team if you use a diaphragm. As you lose weight, you may find that you need a larger diaphragm. Never take a gamble if it does fit properly.

Contraception is important after bariatric surgery. Being overweight can suppress fertility and this often returns with weightloss. A few patients have been caught unawares as they assumed that they were safe.

If you are not planning a pregnancy in the near future, speak to a family planning expert and consider one of the longer lasting contraceptives such as the implant or the Mirena coil (sometimes called the IUS)

If you ever need to take emergency contraception (“morning after pill”) be sure to tell the doctor that you have had a bypass. In the case of duodenal switch patients, it is highly likely that the dose may need to be doubled.

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