#2221 ·
amberfox4 said:Now, please don't take everything I say as gospel, because I am certainly no doctor.
From what I understand, older generations of birth control pills used to affect carbohydrate metabolism in certain ways (specifically the progestin component, depending on its strength and type)—essentially affecting glucose tolerance.
And it affected lipid metabolism, too, or fat metabolism.
I believe modern formulations have reduced these specific side effects to a minimum, though.
Why don't you just bring all of this up during your next check-up and ask your doctor if they can switch you to a different brand? It seems to me that your symptoms stem from the progestin component, especially since you aren't experiencing nausea.
For instance, they say Yasmin contains drospirenone, a progestin that is supposedly very body-friendly and doesn't cause water retention.
Yasmin didn't work for me personally because I dealt with nausea—which was clearly a side effect of the estradiol component—since the progestin in Yasmin was evidently too weak for my system. On the other hand, Diane works fine for me; even though it has more estradiol, I don't feel sick, despite it having a strong progestin component (cyproterone acetate) used to treat hyperandrogenism.
If any of this sounds confusing, the bottom line is this: you need to present your physician with every single symptom you're feeling. They will be able to pinpoint exactly which part of the pill is causing the issue and then suggest a better alternative that fits your biology.
It would be great if things worked like that in practice... unfortunately, our doctors tend to swap medications based on a "trial and error" logic: if Celest isn't working, try Yasmin?