Saturday, September 30, 2023

Do Vaccinations Affect Birth Control

What Do The Covid

Will COVID-19 and vaccines affect your fertility? OBGYN weighs in on outcomes and possibilities

The COVID-19 pills are antiviral medications. They dont protect you from getting the virus, but they do attack the virus if youre infected. The pills keep the virus from multiplying and spreading throughout your body. If taken soon enough, the pills prevent mild to moderate symptoms from turning severe or deadly.

A major advantage of the COVID pills is that you can take the pills at home rather than undergoing more complex IV therapy at a hospital or clinic. IV therapy, in the form of monoclonal antibody therapy or the drug remdesivir, has been the primary treatment available for COVID-19 until now. Taking a pill is much easier than IV infusion, is more convenient and costs a lot less.

Is Birth Control Affected By The Roe V Wade Ruling

No, birth control is not directly affected by the Roe v. Wade ruling, which now allows individual states to decide whether abortion is legal within its boundaries. And no states currently ban birth control.

However, certain forms of birth control like IUDs, and emergency contraception like Plan B, may now be an easier target for lawmakers because they prevent implantation of a fertilized egg in the womb, NBC News explains. And, since some lawmakers believe that life begins at the moment of fertilization, questions have arisen about whether these birth control methods should be considered “abortive medications.” .

State legislators would have to create separate legislature to actually ban certain forms of birth control at this point, but they may feel emboldened to do so based on the Roe v. Wade decision.

If You Get Pregnant Again Youll Need Vaccines Again

One and done doesnt apply when it comes to vaccines that are recommended for pregnant women. The amount of antibodies that you have in your body after getting vaccinated decreases over time. When you get a vaccine during one pregnancy, your antibody levels may not stay high enough to provide enough protection for future pregnancies, even if your babies are close in age. So, make sure you give baby number 2 the greatest number of protective antibodies and the best disease protection possible by getting your whooping cough vaccine each time you are pregnant. You should also get a flu shot every influenza season.

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You Arent Just Protecting Yourselfvaccines During Pregnancy Give Your Baby Some Early Protection Too

Did you know a baby gets disease immunity from mom during pregnancy? Getting the flu, Tdap, and COVID-19 vaccines while youre pregnant causes your body to create protective antibodies and you pass on some of those antibodies to your baby. This immunity can protect your baby from some diseases during the first few months of life before your baby can get vaccinated, but immunity decreases over time.

Research Studies Of Fertility In Healthy Males

Hobby Lobby case: What birth control is affected?

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Different Types Of Blood Clot

Both birth control and the Johnson & Johnson COVID-19 Vaccine have a chance to cause blood clots. The J& J Vaccine causes a rare blood clot in a blood vessel . This is clot needs to be treated differently than the blood clots linked to birth control.

The risk of developing these blood clots is drastically different as well. The J& J Vaccine has roughly a one in one million chance of developing, while hormonal birth control pills have roughly a one in three thousand chance.

I Need To Take These Medications What Are My Options

If you are already on hormonal birth control and are about to start taking one of these medications, your provider will discuss birth control options with you to make sure your medications dont interact. The birth control shot, IUD, or implant may be your best bet.

If you are interested in starting hormonal birth control, be sure to let your provider know about your existing prescriptions. If you are taking one of the medications above and decide to stop, be aware that it could take up to 28 days after stopping before any hormonal birth control will be fully effective. In the meantime, you will need backup contraception.

Either way, your prescriber will be able to advise you on the safest birth control for you depending on what other meds you take or are about to start.

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How Does Hormonal Birth Control Work

Some birth control methods are not hormonal for example, diaphragms, cervical caps, and male and female condoms. Were not talking about those here.

Most people who can get pregnant use hormonal forms of birth control meaning, birth control that releases hormones into the body to prevent a pregnancy. Most pills contain a mix of hormones, usually progestin and estrogen, as do the patch and the vaginal ring . Some pills and other birth control methods such as injections, implants , and intrauterine devices , release only progestin into the body.

click here for larger image

Progestin, the common active ingredient in all types of hormonal birth control, prevents pregnancy in a few different ways:

  • It makes it difficult for sperm to pass through the cervix and fertilize the egg.

  • It makes ovulation less likely.

  • It thins the lining of the womb, making it less likely that a fertilized egg can stick.

Estrogen is combined with progestin in most contraceptive pills, the patch, and the vaginal ring. It prevents pregnancy by preventing ovulation.

So far, so good.

Unfortunately, some medications make hormonal contraception less effective. Lets look at what those are here.

What Else Should I Know About Birth Control And Antibiotics

What impact could overturning Roe v Wade have on birth control?

Some antibiotics can cause nausea, vomiting, and diarrhea. Too much of this could mean your body canât absorb enough of the hormones in your birth control pills to prevent pregnancy.

Your body probably wonât take in enough hormones if you vomit or have a lot of diarrhea within 2 hours after taking a progesterone-only pill or less than 3 hours after taking a combined birth control pill. If this happens, take another pill right away, and your next pill at your regular time.

If you donât get sick again, youâre still protected against pregnancy. If your vomiting or diarrhea goes on for more than a day, your pill may not work as well to prevent pregnancy. Keep taking your pills but use a back-up birth control method and check with your doctor or pharmacist about what to do next.

Finally, remember that no birth control method prevents 100% of pregnancies. Youâll get the most protection from your hormonal birth control if you:

  • Take your pills at the same time each day.
  • Keep patches in place and change them once a week.
  • Get your shot on schedule every 3 months.
  • Replace your vaginal ring as often as directed.

Show Sources

Valerie French, MD, MAS, associate professor of obstetrics and gynecology, University of Kansas Medical Center, Kansas City.

American Journal of Obstetrics & Gynecology: âDrug interactions between non-rifamycin antibiotics and hormonal contraception: A systematic review.â

National Health Service: âWill antibiotics stop my contraception working?â

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What Should I Do If I Take A Rifamycin Antibiotic

Rifamycin antibiotics donât affect progesterone-only injections or intrauterine devices or systems . If you use one of these, you donât need to add a back-up birth control method.

If you use a pill, patch, implant, shot, or vaginal ring for birth control, you should use a back-up method, such as condoms or a diaphragm. To prevent pregnancy, youâll need to use your back-up birth control for 28 days after you finish your rifamycin antibiotic.

If you need to take a rifamycin antibiotic for more than 2 months, ask your doctor if you should switch to a different kind of birth control. Rifamycin doesnât affect copper IUDs or barrier birth control methods like condoms or cervical caps.

A Vaccine Side Effect Leaves Women Wondering: Why Isnt The Pill Safer

Scientists were alarmed by blood clots possibly linked to the J& J vaccine. Some women wondered if there shouldnt be more concern about oral contraceptives.

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Last month, as the Food and Drug Administration paused use of Johnson & Johnsons Covid-19 vaccine to evaluate the risk of blood clots in women under 50, many scientists noted that clots associated with birth control pills were much more common.

The comparison was intended to reassure women of the vaccines safety. Instead, it has stoked anger in some quarters not about the pause, but about the fact that most contraceptives available to women are hundreds of times riskier, and yet safer alternatives are not in sight.

The clots linked to the vaccine were a dangerous type in the brain, while birth control pills increase the chances of a blood clot in the leg or lung a point quickly noted by many experts. But the distinction made little difference to some women.

Where was everyones concern for blood clots when we started putting 14-year-old girls on the pill, one woman .

Another said, If birth control was made for men itd taste like bacon and be free.

Still, birth control is an incredible invention, thank God we have it, she said last month in an interview. Ill fight anyone who tried to take it away.

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What Are Rifamycin Antibiotics

Doctors use rifamycin antibiotics to treat bacterial infections, mainly tuberculosis. Theyâre not often used for that or any other condition, though.

Doctors sometimes call these drugs âenzyme-inducing antibiotics.â Thatâs because they raise levels of enzymes in your body, including those that can affect hormonal birth control. Itâs this process that can raise your chance of an unplanned pregnancy.

Hormonal birth control works because it enters your bloodstream and changes your hormones so that your ovaries don’t produce an egg. Your liver then breaks down, or metabolizes, the hormones in the birth control. When you take rifamycin antibiotics, your liver breaks down your hormonal birth control much faster.

That means your birth control doesn’t work as well to turn your ovaries off, French says.

Does The Hpv Vaccine Interfere With Birth Control Medication

Hobby Lobby case: What birth control is affected?

Q: Does the HPV vaccine counteract with birth control medication?

A: If youre asking if the HPV vaccine makes your birth control less effective at preventing pregnancy, the answer is no.

If youre asking if there are any special risks of receiving the HPV vaccine while taking birth control, the answer is: highly unlikely, although this is a matter of some debate in the medical community at the moment.

More than 26 million doses of the HPV vaccine have been given in the United States so far. In a recent report, the most common side effects were: pain at the injection site, headache, fever and fainting . These are common side effects with any vaccination.

There have been a lot of frightening reports in the news media that the vaccine can cause blood clots, but there is currently no evidence that the vaccine in combination birth control is unsafe.

The CDC and FDA are continuing to monitor the safety data as more people receive the vaccine. If you have questions or concerns you can always schedule an appointment with one of the providers at Student Health Womens Services.

Angela Walker, Med IV

Ryo Choi-Pearson, MD

Postlicensure safety surveillance for quadrivalent human papillomavirus recombinant vaccine. JAMA. 2009 Aug 19 302:795-6.,

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Meaghan Bowling Md Facog

I encourage my patients to get the vaccine as soon as it becomes available to them, including women trying to get pregnant, women undergoing fertility treatments, women in any trimester of pregnancy, and women who are currently breastfeeding.

Experts agree that the safest way to enter pregnancy is to be vaccinated before conceiving. “Pregnant women are known to be in a higher risk category of COVID-19 illness, compared to the average person,” says Meaghan Bowling, MD, FACOG, who is board-certified in both obstetrics and gynecology and reproductive endocrinology and infertility.

“COVID-19 infection has well-documented risks to mother and fetus, including severe respiratory illness, preterm labor, and maternal death,” Bowling says. “These real risks should be considered and weighed against the hypothetical and currently unproven idea that the COVID-19 vaccine could cause any detrimental effect on a womans reproductive health, including infertility, miscarriage, or birth defects.”

“I encourage my patients to get the vaccine as soon as it becomes available to them, including women trying to get pregnant, women undergoing fertility treatments, women in any trimester of pregnancy, and women who are currently breastfeeding,” says Bowling.

“Every woman should have the opportunity to speak with her physician, and she should be given the autonomy to make this medical decision based on a shared-decision making model,” Dr. Bowling says.

Multiple Posts Shared Repeatedly On Facebook Warn Women To Avoid Taking Birth Control Pills Two Weeks Before And Two Weeks After Their Covid

The claim was shared on Facebook here on May 30, 2021.

The Thai-language post translates to English as: If you take birth control pills, you cant get covid-19 vaccines. You have to stop 14 days before and after the jab to avoid the risk of blood clotting and die.

The post circulated online after Dr. Thiravat Hemachudha, an infectious diseases specialist at Thailands Chulalongkorn University, shared a similar claim here on his Facebook page on May 29, 2021.

The post reads: Women using estrogen for contraception should stop at least 14 days prior to vaccination, if possible.

Thailand launched a mass Covid-19 vaccination drive in early June 2021 as it sought to beat a wave of infections, AFP reported.

A similar claim was shared in Facebook posts here, here, here and here.

The posts, however, are misleading.

‘No risks’

Those who use all types of hormonal birth control pills can get Covid-19 vaccination without having to stop, reads this advisory published by The Royal Thai College of Obstetricians and Gynaecologists on May 31, 2021.

Based on the present data of the research studies of women getting Covid-19 vaccines, there are no risks of getting blood clots whatsoever, the organisation said.

I certainly do not recommend women to stop taking birth control pills, Dr. Unnop Jaisamrarn, secretary-general of the organisation, told AFP on June 14, 2021.

As for hormone and birth control pills, I didnt mean that you should stop taking them, he told AFP on June 10.

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What People Taking Birth Control Should Know About Covid

Increasing evidence suggests that COVID-19 can cause blood clots, and the risk for those complications may be increased among people who are pregnant or who take estrogen-containing medicine . So researchers are warning that we need to learn a lot more about how these two factors could converge with potentially lethal results.

In a recent article, published last month in Endocrinology, the two authors lay out the emerging connection between COVID-19 and blood clotsand call for more research into how the coronavirus might impact those who are already at risk for developing blood clots.

People who already are at an increased risk for blood clots and the complications associated with them include those who are pregnant, those who are taking hormonal birth control, and those on oral estrogen therapy . So, the authors write, its worth examining whether or not people in those groups who also get COVID-19 are at an especially high risk for blood clots and health issues related to them.

However, were still learning quite a bit about how COVID-19 affects the body, including how it might contribute to blood clots. realizing that were just at the beginning of getting information and understanding if theres a risk or not, Dr. Spratt says.

We know that, out of all the therapies, heparin is actually one of the things that really can prevent bad outcomes of COVID, Dr. Shirazian says. All these other things we have very mixed data on.


I Instantly Burst Into Tears

Will the Flu Shot Affect my Birth Control?

In July 2019, she finished a 100K race in Colorado and assumed that her aching lungs and purple lips were the result of running for 19 hours at a high altitude.

But she knew something was seriously wrong on the morning of 24 October, 2019, when she became short of breath after walking up a short flight of stairs.

This time, after ruling out heart problems, doctors scanned her lungs and discovered multiple clots. One had cut off blood flow to a portion of her right lung.

I instantly burst into tears, Tyrrell recalled.

The doctors put her on a course of blood thinners and told her never to touch oestrogen again. Tyrrell switched to a copper IUD. Over time, she added, the incident had escalated into a sharp rage that was renewed by the Johnson & Johnson news.

Part of my anger was that a medication that I took to control my fertility ended up threatening my mortality, she said. Im angry that I hadnt been counselled better about that risk, or even what to look for.

Emily Farris, 36, was prescribed oral contraceptives at age 8 to help with migraines. In all of the conversations she has had with her many doctors over the years, never once was blood clots brought up, she said in an interview.

On Twitter, some critics pointed out that the inserts with birth control packs clearly describe the blood clot risk.

My response is a bit incredulous to that, said Farris, a political scientist at Texas Christian University in Fort Worth.

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