Birth Control Considerations

When it comes to birth control, one size doesn’t fit all. Just like how we are all different, not all birth control options are appropriate for everyone. You may have questions about which contraceptive methods may be appropriate for you. Don’t worry; we’ve got you covered!
In this article, we’ll dive into what to consider when making this important decision about your reproductive health (and future!).

Birth control and BMI: Health risks to consider

First things first: having a higher BMI doesn’t mean you can’t use birth control. It just means that you and your healthcare provider may need to consider certain factors when choosing a good option for you. It is also crucial to consider your underlying vascular health risk factors when making birth control decisions (regardless of BMI).

While traditional combined hormonal contraceptives (those containing both estrogen and progestin) increase vascular risk, this doesn’t mean you’re out of luck.

Slynd® (drospirenone): A potential option

Slynd® is a progestin-only birth control pill that contains drospirenone, a type of progestin. Slynd® included a diverse group of female patients, including those with a high BMI, in its clinical trial.

1. Clinical Study: Efficacy of Slynd® was studied in a single arm, multicenter, US clinical trial of 953 female patients, 35 years or younger. This study included a diverse range of patients, including those with high BMI. 35% of women had a BMI ≥ 30 kg/m2 and 18% had a BMI ≥ 35. Slynd® was proven to be effective in preventing pregnancy, in fact, 98.2% of women successfully avoided pregnancy. However, the study was too small to calculate rates of pregnancy prevention by BMI groups.

2. Vascular Risk: It is crucial to consider your underlying vascular health risk factors when making birth control decisions. It is unknown whether the risk is increased with Slynd® alone, but if there is a risk, it is expected to be lower than that of estrogen and drospirenone combined.

3. Other Considerations: Slynd® may be an option for women who consider themselves hormone-conscious, are at an increased risk of blood clots, or who have medical reasons to not take an estrogen-containing contraceptive.

Do not take Slynd® if you have kidney disease or kidney failure, have reduced adrenal gland function, have or have had cervical cancer or any cancer that is sensitive to female hormones, have liver disease, including liver tumors, or have unexplained vaginal bleeding. Tell your doctor if you have or have had any of these conditions. Your doctor can suggest a different method of birth control

Please see additional Important Risk Information below.

Talk with your healthcare provider

It’s important to have an open and honest discussion with your healthcare provider in order to determine which contraceptive may be right for you.

Come prepared with written questions and concerns, and share your full medical history, including your medical history as well as any symptoms you’ve experienced. Don’t hesitate to ask for clarification if you need simpler explanations, and express your preferences for a birth control method based on factors like ease of use or minimal side effects.

Keep in mind that when discussing birth control use with a higher BMI, your doctor may also address considerations such as safer sex practices, regular exercise, maintaining a balanced diet, managing chronic stress, and attending regular check-ups.

The decision is up to you

Choosing the right birth control is a personal decision that should be based on your individual health profile and preferences. Remember: your worth is not defined by your BMI or any other number. Regardless of your birth control option, the most important thing is that you feel confident and comfortable with your choice. Here’s to you!

Before you take Slynd®, tell your healthcare provider about all of your medical conditions, including if you are pregnant or think you may be pregnant, have ever had blood clots in your legs (deep vein thrombosis), lungs (pulmonary embolism), or a stroke or heart attack (myocardial infarction), have or have had depression.

  Tell your healthcare provider if you have had a blood clot, or if you plan to have surgery, or are not able to be active due to illness or injury.

Reference:    1. Slynd Prescribing Information.     SLY-24-674 R00

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