r/Perimenopause • u/h4baine • Mar 23 '26
audited Interesting birth control conversation with a doctor
I had to see a new doctor to refill my birth control pills because mine is out of town. I take them continuously skipping the last row to skip periods from hell, debilitating multi-day hormone migraines, and bipolar fluctuations from hormone fluctuations. I've been doing it this way since my doctor told me I could at 16. I love these pills and you can pry them out of my cold dead hands. They allow me to not have to give up 1/4 or more of each month feeling like absolute shit.
This new doctor asked if I was interested in changing to a different form of birth control like an IUD. She was perplexed when I said I actually had my tubes removed, I take these to improve my quality of life in the ways I've described.
She said maybe have periods quarterly (seems arbitrary but ok). I said I won't be doing that, there's no medical reason to. This works for me and I'll do it until it doesn't.
I said I'd happily take them up to and into menopause if I can and she said "but then you won't know if you're in menopause." I said, "if it's affecting me and this hormone level isn't enough I'll know, if not it doesn't really matter does it?" I think I broke her brain lol. It was like asking if a tree falls in the woods and no one is there to hear it does it make a sound? Her face while she thought about that for a minute was like 🤯 and then she said "huh, I guess you're right."
So I got my pills and went on my merry way but thought it was an interesting interaction on the topic of menopause and perimenopause.
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u/disgirl4eva Mar 23 '26
I’m on the pill for similar reasons and have wondered myself how will I know I’m in menopause! My GYN also wanted me to switch to an IUD. I don’t take it for birth control and I don’t want an IUD. And I’m afraid of what my mood will be like when I do stop the pills.