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Depression chat with Dr Sarah Brewer

continued from page 2
Can the pill and the coil make you feel depressed?
Q
: I've been taking the pill for eight years and have tried eight different types. However, I've found that most types seem to make me very low and tearful. I've been told that it's probably because I'm allergic to the progesterone. I'm currently undergoing gynaecological investigation and may have to try Mirena for other period problems. I am concerned that Mirena will also make me depressed.
nemo01

A:The hormone in Mirena is only absorbed into the circulation in very tiny amounts - much less even than the mini-pill. It is therefore much less likely to cause hormone-related side effects than most other hormonal methods of contraception. Side effects that do occur are usually mild and disappear within three months. It can cause irregular bleeding for the first three months, however, and some people bleed continuously at first. By the end of a year, one in five women do not have a monthly bleed - bliss! Fertility resumes quickly after the device is removed. Do discuss any concerns with your doctor before having Mirena inserted.
Dr Sarah Brewer

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