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Birth control pill and breastfeeding

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

QUESTION (submitted 1/09/2022): “When prescribing a birth control for a breastfeeding mom who is breastfeeding at least 4x day but who has experienced breakthrough bleeding, ie got a period, and now wants to start on an oral birth control (wants something easy...

Is significant weight gain a reason to stop DMPA (Depo)?

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: “Is there a specific amount of weight gain in a client that would be unacceptable to continuing DMPA if that is her method of choice? We have tried other options and she wants to use DMPA despite a significant amount of weight gain. Thank you.”...

Is there a downside to taking additional progestin when on birth control pills?

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: “Hi there. I am a women’s health NP. I work independently. Recently I saw a 44 yr. old new patient who is on combined oral contraceptives and also on norethindrone day 10 to 21 of her cycle. She stated her previous gyn prescribed the additional...

My vaginal discharge is “normal,” but bothers me.

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: “Hi! I have a question about vaginal discharge. Almost every day I have discharge that is brownish. I have gotten it checked out in the past and doctors have said it is normal and that I just have more discharge than others. I am wondering if you had...

Vaginal “smegma?”

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: “Is it normal for women to have “smegma” of sorts on their clitoris or the lips sometimes as a form of discharge? or does that mean yeast infection or unbalanced pH?” Answer: You made me laugh using the term “vaginal...
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Board-certified as an OB/GYN with a fellowship in contraceptive research and education, I aim to help people make informed decisions about their health.

I’ve co-authored sixteen editions of Managing Contraception* with over one million copies in circulation. I’m here to answer your questions about birth control.

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DISCLAIMER

Suggestions, recommendations, questions, comments, data from the literature, interpretation of laboratory tests and other information provided on this site are for informational purposes only and are not intended to be relied upon as advice from or implied to be a substitute for the professional advice of a physician, nurse practitioner, nurse midwife, counselor or other healthcare professional. Always seek the advice of your clinician or other professional for any questions you may have regarding your health, medical condition, method of birth control and other family planning or personal/social issues. Periodic references to costs of birth control methods on this website are estimates only and your actual cost for any specific method of birth control may be more or less than the stated amount. Emory University School of Medicine, Bridging the Gap Foundation, and Bridging the Gap Communications Inc are not responsible for any damage or loss you may incur as a result of your use of or reliance on any material or information provided through this website.

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