Mirena IUD and Menopause

Question: I’m 52 and am, according to my GP currently in menopause, following some blood tests. I have the Mirena in place, the current one is in since December 2019. My last Mirena was removed due to it moving into the lining of the womb. I am experiencing a...

4th generation progestins and thrombosis.

Question: What is the recent literature on 4th generation progestins . In my facility my medical director had been advising that if our patients wants to be on this birth control to document that we counseled them on the slight higher risk of thrombosis. Is Slynd a...

I missed some pills and my period is late.

Question: I’ve been on my birth control pills for 6 months. Taken every night at 9pm. I missed my birth control for 2 days 3 weeks ago but I caught back up. Ever since then we have used a condom just to be safe. I am currently 5 days late? I am very nervous. What...

What’s the scoop with Phexxi?

Question: I am a Nurse Practitioner at Student Health. One of our physicians sent an article about Phexxi, a contraceptive option to use in conjunction with condoms if a patient did not want to use any standard birth control options. What are your thoughts about this?...

Hair Loss with Nexplanon

Question: “I have a patient that is complaining of hair loss after having Nexplanon placed. Is that common and if so, is there any treatment for it?” Answer: Dear Doctor H., Hair growth / loss is affected by hormones, especially progestins, so it may be a...

Postmenopausal Bleeding

Question: “I am 45 years old recently menopausal based on no periods for 18 months and confirmation by labs. I recently was having pelvic pressure and went to my ob/gyn. He ordered a transvaginal ultrasound that showed thickened endometrium (15) which he said...