HompesMethodPrac00onerTrainingLevelII

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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.