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Abstract background progestin‐only contraceptives (pocs) are appropriate for many women who cannot or should not take estrogen However, this effect is generally mild and varies widely among individuals depending on hormone type, dosage, treatment duration, and personal metabolism. Pocs include injectables, intrauterine contraception, implants, and oral contraceptives

Many pocs are long‐acting, cost‐effective methods of preventing pregnancy Yes, progesterone pills can cause weight gain primarily through water retention and increased appetite rather than fat accumulation However, concern about weight gain can deter the initiation of contraceptives and cause early.

However, concern about weight gain can deter the initiation of contraceptives and cause early discontinuation among users.

When you think of progesterone most of us are conditioned to think that it causes weight loss But the truth is that progesterone can cause both weight loss and weight gain, depending on the situation of who is using it Not only that but how you take progesterone and at what dose may determine if it helps with weight loss or weight gain. Some people notice weight gain while taking progesterone

But there's no definitive evidence that progesterone always causes weight gain They may recommend a different treatment option, especially if you need to take progesterone for a long period of time. It can affect periods in different ways Your periods may be lighter, more frequent or may stop altogether

You may get some bleeding (spotting) between periods

Some people may get acne, mood swings, weight gain or changes to sex drive. The most common progesterone mini pill side effects include headache, nausea, acne, vomiting, irregular bleeding, hair thinning, mood fluctuations, weight gain or loss, changes in libido and ovarian cysts Either method you are considering — pill or iud — is fine. Although some progestins, like levonorgestrel, have been associated with weight gain in some individuals, the overall evidence for significant weight gain from the mini pill is not strong.

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