Many women on oral contraceptives are unaware that drugs like Mounjaro may result in the unexpected: pregnancy.
Oct. 18, 2023 – For women who are obese, daily life is wrought with landmines. Whether it’s the challenges of air travel because plane seats are too small, the need to shield themselves from the world’s discriminating eyes, or the great lengths many will go to achieve better health and the promise of longevity, navigating life as an obese person requires a thick skin.
Neel Shah, MD, an endocrinologist and associate professor at the University of Texas Health Science Center at Houston, said he has had several patients become pregnant without intending to. Shah said another theory is that vomiting, which is a common side effect of these types of drugs, also affects the pills’ ability to prevent pregnancy.
I really think that if patients want to protect themselves from an unplanned pregnancy, that as soon as they start the GLP receptor antagonists, it wouldn’t be a bad idea to use condoms.“To date, it hasn’t been a typical thing that we counsel about,” said Kodaman. “It’s all fairly new, but when we have patients on birth control pills, we do review other medications that they are on because some can affect efficacy, and it’s something to keep in mind.
“Most of the time, patients do take birth control before bedtime, so if the two are spaced, it should be OK,” she said. She appreciates the feeling of being proactive that these new drugs grant. It has “opened up a bunch of opportunities for me to be seen as a full individual by the medical establishment,” she said. “I was willing to take the risk, knowing that I would be on these drugs for the rest of my life.”
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