Of women’s health and choices

I said I would start blogging occasionally, so here I am. With a topic I’ve dealt with in my personal life for a while, but only really decided to tackle a few months ago. The catalyst? Being diagnosed with hypertension. If you’re on my Lorelei Moone mailing list, you’ll already know about this last part.

I’m 33 and I have high blood pressure. Sure, my weight isn’t what I want it to be, and I have too much of a sweet tooth, but I have always been relatively healthy. Or so I thought.

I’m also married and do not have (or want) children. Birth control has been something I’ve always had to think about. For more than half my life I’ve been using hormonal birth control methods. Save for the implant thingy, I had tried just about everything and found that every single one I had tried, was basically shit.

We all know about the potential side effects, right ladies? We know we might get cranky, we might get fatter, develop pimples we didn’t have before, etc. For me, a major side effect was that my libido became non-existent. It doesn’t matter what I did, I just wouldn’t want sex. Ever. I realise that this is a weird thing to admit when you write what I write.

All the methods I had tried threw my hormones off. But what’s the alternative, really?

Six or so years ago, I got really fed up with my birth control and went off it for a while. They gave me a “cap” to use instead. What a load of rubbish that is. Condoms sound great in theory, but once you’re used to what things are supposed to feel like naturally, it’s hard to go back to those. I know some people successfully monitor their fertility to prevent pregnancy, but I wouldn’t know where to begin and was never given the knowledge or tools to track any of that. And having had an unwanted pregnancy before, I would rather not risk going through that again.

Well, once the hypertension diagnosis came in, it came as a shock to me. I was so ashamed of myself. Sure, when you’re taking the pill, your GP will want to check your blood pressure perhaps twice a year or so. Heightened blood pressure is a known side effect, and yet I always thought it wouldn’t happen to me. Certainly not at this age.

But it did. And now I’m taking pills for it every day.

That same day I got my diagnosis, I made a decision. I couldn’t go on like this. I wouldn’t accept that I would be on medication for the rest of my life. I decided to quit my birth control immediately. As luck would have it, my period had just come on. I insisted that along with blood pressure pills, I would get a prescription for a non-hormonal IUD – something I had shied away from all these years, because I’d never heard a good thing about them. I was told that because I was on my period, this was the right time to get it inserted.

Spurred on by shame and desperation, I went for it.

Without going into too much detail, it was the worst pain I’ve ever experienced. Afterwards, I had to see the doctor again for aftercare instructions and nearly passed out in her waiting room.

Now, 4 months later, my periods are still brutal. At least one day every month the cramps are so bad I can hardly bring myself to leave the house. This was something I had never experienced before. If there’s one thing hormonal birth control is very good at, it’s lessening PMS and period cramps. If my period was coming at an inconvenient time, I could simply postpone or skip it. That, obviously, is no longer an option.

And yet, I’m glad I did it.

You may wonder why. I can share a few reasons with you right now.

  1. I am done for the next 10-12 years. No condoms, no caps, no pills to remember to take. As long as the string is still there, I’m protected.
  2. I’m taking control of my life and my health. If the hypertension was caused by the contraceptives I’ve been taking, perhaps I can reverse it. Even my consistent weight gain over the years, I’m hoping to undo now. Estrogen can make you ravenously hungry, so it’s harder to keep your diet in check. And so on.
  3. I feel like a real woman. And I don’t mean that in any mystical, floaty sort of way. I have my sexuality back. Like a frog, slowly being boiled in a pot of water, I hadn’t noticed all the parts of myself that had gone missing. All the things I hadn’t truly felt all these years.

Sure, it’s annoying to deal with painful periods. But pain can be managed. Hot water bottles and ibuprofen are my new best friends during those days.

And I’m pretty sure that if men were the ones getting pregnant, there’d be a whole lot of better methods of prevention out there. But what can we do? These are the cards we’ve been dealt as women.

So yeah, I’m glad I took the plunge. The only regret I have is that I didn’t do it sooner, before the hypertension issue had even come up. Would I have done it, though, if someone had encouraged me years ago? Probably not.

I knew it would hurt, though I did understimate it. For future reference, when a doctor casually asks you about your pain threshold before a procedure, fucking brace yourself!

But, childbirth hurts a lot more. And when you don’t want to become a mother in the first place, it’s going to be even worse.