There are concerns that obesity could undermine the protective benefit of certain hormonal contraceptives including the pill, Nexplanon, shots, and the patch. While it is reassuring that reviews of studies have not found significant effects other than with the patch, these reviews also note that there are few high-quality studies. To ensure your birth control method is as effective as possible, there are a few things that you can do
Sometimes there may be problems with insertion of the device. If you are obese, it can sometimes be difficult to locate the cervix or determine the size and direction of your uterus. Your healthcare provider can usually overcome this by using an ultrasound and other special equipment to help guide the IUD insertion.
It newer version is injected beneath the skin as opposed to in the muscle. Shots are delivered quarterly, or every 12 to 14 weeks.
Depo-subQ Provera 104 was shown to be effective in obese women in two different studies. However, the one major downside is that the drug is known to cause weight gain, a major consideration if you are already struggling with weight control.
Another consideration is that it can take an average of nine and 10 months to fully restore fertility once treatment is stopped. In heavier women, it may take even longer.
The traditional version of the Depo Provera shot can also be used for obese women.
Barrier birth control options include male condoms, female condoms, spermicides, the sponge, diaphragms, and the cervical cap.
You can further increase the effectiveness by using a double barrier method, such using a condom with a spermicide or a diaphragm with a condom. If uncertain how to use a product, speak with your healthcare provider or ask your pharmacist.
While there is no evidence that your weight will compromise the effectiveness of a tubal ligation, the surgery itself is often more difficult to perform. In this population of women, the surgery might take slightly longer and require more anesthesia.
Tubal sterilization surgeries are often done laparoscopically. Compared to open surgery, laparoscopic surgery is associated with less risk such as infection in obese women.
