I’m on Merina and my sex drive has tanked. Low sex drive isnt listed as a side effect but I just don’t think this is me! Any suggestions for BC that is progestin only that may not kill my libido?

This is such a tricky question, since there are so many things that can influence your libido at any given time. The first thing that I would do is make sure that there are no other confounding variables. Other life stressors, depression, changes at home or work, new responsibilities, partner issues, etc. All of these things can have an influence. I would also note how long you’ve been on Merina, and give yourself a few months on it to let your body adjust to the progestin if you haven’t already. It’s a real bummer swapping birth control, particularly an IUD, which is why I’m offering up things to check prior to thinking about switching. It’s probable that you’ve already mentally checked these off your list already.

The next thing I would suggest is going to talk to your doctor about other options. If you’re set on a progestin only option, you can try your luck with the progestin only pills. <”Mini Pills.”> It’s another option that might work for you if you think you can take the pill at exactly the same time every day. Your doctor is going to be the best person to ask this question because they know your medical health history and can answer any questions you have about various types of birth control. Doctor, local clinic, local Planned Parenthood… all great options.

Lastly, if you haven’t already, check out the Planned Parenthood website for more information about different types of birth control. They also offer a test you can take to see what type might be right for you [here].

Fluctuation in your natural libido is normal, too. It’s important to know what is normal for you and your body, if only for you own peace of mind. Set up a chart for yourself for a while and note things like when you’re particularly ravenous for sex, when you’re really not into it, and anything else you want. Diet, weight gain, general mood, how often you are having sex, major life stressors. It won’t be particularly useful right away, but looking back month by month you may be able to pick out patterns and find correlations between things in your life and your sex life.

Hope you’re able to figure out the tanking drive, and your birth control. Good luck!