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Diabetes: Contraception, what is the best method I can use? – Portal Diabetes and You

    Diabetes: Contraception, what is the best method I can use?  - Portal Diabetes and You

    have diabetes No it limits you to getting pregnant, did you know that? But also No limits her to using a contraceptive method so that an unwanted pregnancy does not occur.

    The choice of contraceptive method for people with diabetes does not prevent sexually transmitted diseases, like any other person, the use of condoms is essential for this type of protection.

    sex and diabetes

    When you meet a new partner, you should tell them that you have type 1 diabetes. This is necessary so that they know what to do in an emergency or hypoglycemic crisis.

    Remember that sex counts as physical exercise, and it is necessary to have some fast-absorbing carbohydrate nearby, for eventual needs.

    Understand how diabetes affects sex life

    How to choose the best contraceptive for people with diabetes?

    It is important to use effective birth control until you decide and plan the timing of your pregnancy.

    All types of birth control have benefits and side effects. The most effective are long-acting reversible contraceptive methods. This includes hormonal implants and intrauterine devices, called IUDs. They are particularly effective in preventing pregnancy.

    More information on diabetes and pregnancy

    Intrauterine contraception (IUD)

    Intrauterine contraception uses a small IUD device that is placed inside the uterus.

    There are two kinds:

    • Copper IUD that do not release any type of hormone.
    • Hormonal IUD that promotes the release of progesterone.

    They are made of flexible plastic with a nylon cord attached to the end. After the IUD is placed in the uterus, it lasts 5 to 10 years.

    These are extremely reliable methods. Over a one-year period, fewer than 1 in 100 women get pregnant using this method.

    They are safe for women with diabetes, including those who have not yet had children. They are also reversible: once they are removed, fertility returns to normal.

    Copper IUDs are not recommended for those who have irregular or heavy menstrual periods, as they tend to increase the amount of vaginal bleeding.

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    The hormonal IUD may cause some irregular bleeding when it is first inserted, but afterward, the bleeding usually slows down or stops altogether.

    Benefits of using the IUD

    Both copper and hormonal IUDs have the following benefits:

    • highly effective in preventing pregnancy
    • provide long-term contraception (at least five years)
    • unlike many other methods, you don’t have to remember to take it regularly
    • cheaper than many other types of contraception. Although they are expensive at first, they become cheaper in the long run.
    • are reversible: you can try to conceive once the IUD is removed
    • they are suitable for women who have not yet had children and for women who have already had children.

    The hormonal IUD has the added benefit of reducing or even stopping menstrual bleeding. Also, for women with diabetes who already have complications affecting the eyes or kidneys, intrauterine contraception is often a better option than birth control pills.

    The copper IUD does not contain hormones. It is suitable for women who cannot tolerate hormones or who are taking medications that may interfere with other contraceptive methods.

    It is important to note that the IUD rarely has an effect on blood glucose levels.

    contraceptive implant

    A contraceptive implant contains the hormone progesterone and is implanted under the skin under local anesthesia. Implants can only be inserted and removed by a doctor.

    It lasts for three years, but can be easily removed if side effects occur. It is an effective and reversible contraceptive method. Over a one-year period, at least 1 in 100 women will get pregnant using this method.

    Your bleeding pattern will change and can be unpredictable. In some cases, you may stop menstruating altogether.

    implant benefits

    Implants have the following benefits:

    • highly effective in preventing pregnancy
    • cheaper than many other types of birth control
    • long term (up to three years)
    • can reduce menstrual bleeding and pain
    • easily reversible
    • does not affect fertility
    • unlike many other methods, you don’t have to remember to take it regularly

    Most women find that the implants do not generally affect blood glucose levels.

    oral contraceptive pill

    There are two types of birth control pills:

    • the combined estrogen and progesterone pill; Y
    • the progesterone pill (also called the “mini-pill”).

    The combined pill is the best option as it provides good control of the bleeding pattern and women experience fewer bleeding irregularities. There is often a reduction in excessive bleeding and it can help decrease cramping.

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    The combined birth control pill contains two types of hormones: estrogen and progesterone. The combined pill is effective if taken regularly, but 9 out of 100 women get pregnant each year while using this method of birth control.

    There are many types of combined oral contraceptives available. These contain various types and doses of the hormones estrogen and progesterone.

    The progesterone-only pill is suitable for women who are breastfeeding or who cannot tolerate the hormone estrogen.

    Benefits of the birth control pill

    The oral contraceptive pill has the following benefits:

    • can reduce the amount of menstrual bleeding and cramps
    • acne often improves


    The oral contraceptive pill must be taken every day, otherwise it will not be effective.

    The combined oral contraceptive pill can also have some undesirable effects. Some women experience headaches and/or nausea and others develop high blood pressure.

    The combined pill is not recommended for women with diabetes who already have eye, kidney, or other vascular complications; in these cases, another method of contraception should be chosen.

    Although some women find that the combination pill changes blood glucose levels, research suggests that currently used low-dose oral contraceptive pills are less likely to affect blood glucose.

    Ideally, check your blood glucose levels more times a day for the first month after starting the pill. Talk to your doctor for more information.

    The progesterone-only pill should be taken more accurately, at the same time every day. It will lose its effectiveness if you miss a dose. They can also lead to irregular bleeding.

    The oral contraceptive pill may become less effective if you are vomiting. In this case, a different form of contraception (such as a condom) will need to be used, usually until the next period. Most broad-spectrum antibiotics do not interfere with the pill.

    injectable contraceptives

    Contraceptive injections contain progesterone in high doses and form a depot and release the hormone for 3 months when given.

    Within a year, 6 out of 100 women can get pregnant using this method.

    This method can affect blood glucose levels and increase the need for a higher dose of insulin, and can also raise cholesterol levels.

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    Contraceptive injections have the following benefits:

    • Highly effective in preventing pregnancy.
    • the bleeding may be lighter or stop altogether and the cramps will lessen.
    • effective even if you have diarrhea or vomiting or are taking other medications


    Birth control injections cannot be reversed and it can take months for the full effect to wear off.

    While using birth control injections, your bleeding pattern will change and can become unpredictable. You may experience some loss of bone density, but will recover once depot contraception is stopped.


    Condoms are an immediate and convenient form of birth control that also help protect against sexually transmitted diseases (STDs). You can buy condoms in supermarkets and pharmacies. They are still distributed free of charge at health posts.

    Condoms are not as effective as implants and IUDs in preventing pregnancy.

    If you’re not in a regular relationship, it’s best to use condoms to prevent STDs, as well as a more reliable method like implants or an IUD to prevent pregnancy.


    Discover how Diabetes may be Interfering with the Quality of your Sexual Life and Find Solutions to your Problems.

    Answer the following questions:

    – Does sexual activity matter in your life?
    – Do you have diabetes and have difficulty in your sexual life?
    – Do you feel pain during sexual intercourse?
    – Do you have diabetes and want to get pregnant?
    – Or do you want to take a break, but you don’t know what method of contraception to use?
    – Are you in menopause and have diabetes?
    – Do you want to know if diabetes can cause infertility?

    If you answered YES to any of these questions, you should read the e-book: “SEX and DIABETES: EVERYTHING YOU NEED TO KNOW

    For more information, click the button below:

    SEX and DIABETES – Everything you need to know

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