Fantastic educational content! I found a lot of nondiabetic post menopausal women that start bleeding or spotting from zepbound and semaglutide. You can find multiple accounts in Reddit groups and Facebook groups. Have you heard of this? Can you please do a video on it?
Very insightful video. My OCP is mainly for to stop my bleeding with the added benefit of preventing pregnancies. But if one is to start zepbound and continues with OCP using extra barrier protection to prevent pregnancy, will bleeding occur?
Bleeding may occur, or it may not. The answer is vague because no one will really know until you try it. It depends on which oral contraceptive you are taking and also depends a lot on your body as an individual. A 5mg dose of Tirzepatide (Zepbound) reduced the hormone level by about 20% so it is possible that the higher you go up on your Zepbound, there may be even more reduced hormone level and more chance of bleeding. Here are a few thoughts I have that you could talk to your doctor about: 1. Switching your birth control to Simpesse which is a 3-month, extended cycle OCP. The interaction with Zepbound will still occur but may have less impact since you will be taking hormones for 3 months straight. 2. There is another extended cycle pill called Amethyst that can be taken continuously for up to a year. However, the hormone content in Amethyst is actually lower than Simpesse, so it wouldn’t be my first choice. 3. Another thought is to use Hailey 1.5/30 (not Hailey FE 1.5/30). This option would be to do it continuously like an extended cycle. This is “off-label” use so your doctor may or may not want to do this. It is used as extended cycle for endometriosis and heavy bleeding due to it’s low estrogen to progestin ratio. While there are even more creative options, I think the best option is to go ahead and continue the OCP that you are taking and see if you have bleeding. Maybe you won’t! Since you would be using a back up method for birth control, it makes sense to try that first. By the way, the first 2 extended cycle pills I mentioned, both contain the hormone, levonorgestrel. This progestin is on the androgenic side. It’s perfectly fine if you are not acne prone. If you are prone to acne, then avoid those options. Best of luck to you!
@@veena-usa omg thank you so much for the reply with all the helpful information. I am currently on OCP that has the hormone drospirenone, which I am sure you already know is a progestin. Estrogen OCP never really helped to stop the bleeding so this was my next option. And you are definitely right, I won’t know what my side effects are until I start the zepbound. My PCP has me starting on low dose zepbound, so I’m low key hoping no bleeding but still will be expecting some side effects. I seriously appreciate your input! Thank you so much 😊
Fantastic educational content! I found a lot of nondiabetic post menopausal women that start bleeding or spotting from zepbound and semaglutide. You can find multiple accounts in Reddit groups and Facebook groups. Have you heard of this? Can you please do a video on it?
Thank you! I was actually not aware of this phenomenon. I will check it out.
❤@@veena-usa
Great video!
Thank you!
Very insightful video. My OCP is mainly for to stop my bleeding with the added benefit of preventing pregnancies. But if one is to start zepbound and continues with OCP using extra barrier protection to prevent pregnancy, will bleeding occur?
Bleeding may occur, or it may not. The answer is vague because no one will really know until you try it. It depends on which oral contraceptive you are taking and also depends a lot on your body as an individual. A 5mg dose of Tirzepatide (Zepbound) reduced the hormone level by about 20% so it is possible that the higher you go up on your Zepbound, there may be even more reduced hormone level and more chance of bleeding. Here are a few thoughts I have that you could talk to your doctor about:
1. Switching your birth control to Simpesse which is a 3-month, extended cycle OCP. The interaction with Zepbound will still occur but may have less impact since you will be taking hormones for 3 months straight.
2. There is another extended cycle pill called Amethyst that can be taken continuously for up to a year. However, the hormone content in Amethyst is actually lower than Simpesse, so it wouldn’t be my first choice.
3. Another thought is to use Hailey 1.5/30 (not Hailey FE 1.5/30). This option would be to do it continuously like an extended cycle. This is “off-label” use so your doctor may or may not want to do this. It is used as extended cycle for endometriosis and heavy bleeding due to it’s low estrogen to progestin ratio.
While there are even more creative options, I think the best option is to go ahead and continue the OCP that you are taking and see if you have bleeding. Maybe you won’t! Since you would be using a back up method for birth control, it makes sense to try that first. By the way, the first 2 extended cycle pills I mentioned, both contain the hormone, levonorgestrel. This progestin is on the androgenic side. It’s perfectly fine if you are not acne prone. If you are prone to acne, then avoid those options. Best of luck to you!
@@veena-usa omg thank you so much for the reply with all the helpful information. I am currently on OCP that has the hormone drospirenone, which I am sure you already know is a progestin. Estrogen OCP never really helped to stop the bleeding so this was my next option. And you are definitely right, I won’t know what my side effects are until I start the zepbound. My PCP has me starting on low dose zepbound, so I’m low key hoping no bleeding but still will be expecting some side effects. I seriously appreciate your input! Thank you so much 😊
Is it possible to use Monjaro while I am two months pregnant?
First of all, congratulations!No, Mounjaro and other GLP-1’s are not considered safe during pregnancy.
@ thank you💗