7:42 am - 01/31/2014

Smears and cerazette.

I've been on cerazette for about 7 months now, and not liking it. Not only have my periods not stopped (as happens with many women), I get lots of spotting and breakthrough bleeding and this is preventing me being able to get a cervical smear that's due because the nurse won't perform it if I'm bleeding.

So my question is two-fold - does anyone know for sure if I can get a smear while I am bleeding and does it effect results? I assume some women bleed a lot caused by things down there, so I feel as though it should be possible, but I don't like the nurse and need to know enough to ask her to do it anyway if I can

And does anyone know - if I am having this experience on cerazette, am I likely to have the same breakthrough bleeds on an iud or implanon? Unfortunately while I can get in to see the nurse, I'm unable to get an appointment with the doctor to discuss this. I'm terrified of both of the alternative options. Plus I thought there might be others out there who experienced similar and could share what they are on now.

I'm unable to be on the combined pill because of my blood pressure, which sucks because I love it.

Any experience sharing would be great!

ramblingtomrigg 31st-Jan-2014 08:57 am (UTC)
They're slightly different progestogen, so you could try being on the pill form of levonorgestrel. I spotted and bled a lot on Cerazette, but my periods stopped on Depo, so it does vary. I felt horrendous on both, however, and experienced substantial side effects. Is a copper IUD an option for you? They can make your periods a bit heavier, but personally I can get them back to usual by taking Omega 3 oils (most people take fish oil, I'm veggie, so I take an algae oil called Opti3).
somniumdraconae 1st-Feb-2014 03:52 am (UTC)
This. different progestins will vary, so you could absolutely try another one and see. Depo, Mirena, and Implanon are all options. If stopping your period completely is a goal, the shot tends to be most likely to do so according to webmd -

http://www.webmd.com/sex/birth-control/progestin-only-hormonal-methods-mini-pills-shots
ramblingtomrigg 4th-Feb-2014 03:21 pm (UTC)
Depo also has the highest rate of side-effects, which can include heavy continuous bleeding. If you try Mirena or Implanon and don't get on with them, you can at least have them removed and the side-effects will stop, but if you have a Depo shot, you're stuck with the effects for at least three months. It took a year for the results to fade and my periods to come back after I stopped Depo, and that's common.

In theory, Mirena has a lower rate of side effects because the hormone is delivered directly in the uterus and so there's less of it floating around your bloodstream, but it's not quite as perfect as the manufacturers make out. Still, it's generally considered to be an excellent contraceptive with a high rate of user satisfaction. As for Implanon, I don't know as much about it, but I know that the hormone level released is higher at first and tapers off over the years. Are you in a situation when you can have Mirena or Implanon inserted and then have them removed if you don't get on with them, or would that cause financial problems?
ktbugsmom 31st-Jan-2014 01:56 pm (UTC)
Yes, bleeding can absolutely affect pap smear results.
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tigress35 2nd-Feb-2014 10:05 am (UTC)
I've had a pap on my period... It depends if the lab/doctor uses the type that is ok with some blood. You can call the office and ask if they have the one where it's ok.
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