Advice in the UK is very firmly that if you get migraines (esp. with aura), or upon taking the combined pill start getting migraines (ditto), then you should avoid taking synthetic oestrogens due to the increased stroke risk.
In both the UK and the US, nulliparous people (those who haven't given birth) tend to have a bit more difficulty accessing IUDs, but recent guidance is very much along the lines of "there's no reason not to".
Unfortunately, with any form of HBC there's about a 10% chance of mood/depressive effects - it's just that *which* 10% of the population is affected varies massively between forms.
It might be worth you looking into the Mirena: it's the lowest available dose of hormones, it's progesterone-only, and it lasts five years. As you already know you don't get noticeable mood issues with at least one form of progesterone-only contraception (any prog-only option sends me into a depressive nosedive), it might very well be worth looking into. Here's the Patient Information Leaflet (http://www.medicines.org.uk/emc/medicine/2796/PIL/mirena/) if you'd like to do more reading.
[sorry about the generally unsourced nature of this comment - I'm a bit bleary. Let me know if you'd like me to hunt down sources backing it up!]
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Date: 2012-07-23 10:20 am (UTC)In both the UK and the US, nulliparous people (those who haven't given birth) tend to have a bit more difficulty accessing IUDs, but recent guidance is very much along the lines of "there's no reason not to".
Unfortunately, with any form of HBC there's about a 10% chance of mood/depressive effects - it's just that *which* 10% of the population is affected varies massively between forms.
It might be worth you looking into the Mirena: it's the lowest available dose of hormones, it's progesterone-only, and it lasts five years. As you already know you don't get noticeable mood issues with at least one form of progesterone-only contraception (any prog-only option sends me into a depressive nosedive), it might very well be worth looking into. Here's the Patient Information Leaflet (http://www.medicines.org.uk/emc/medicine/2796/PIL/mirena/) if you'd like to do more reading.
[sorry about the generally unsourced nature of this comment - I'm a bit bleary. Let me know if you'd like me to hunt down sources backing it up!]