Dr. Chapa’s Clinical Pearls. 2025 SFP Statement on BC and Body Weight
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Dec 19, 2024 The latest guidelines from the CDC on contraception for individuals with obesity are discussed, highlighting key updates due in 2025. There's a deep dive into whether specific birth control methods are contraindicated based on BMI. The podcast dismantles myths about contraceptives causing weight gain, and focuses on various contraceptive options, including the E-tronorgestrel implant. Interestingly, while most methods have little impact on weight, Depo-Provera does stand out as an exception. Tune in for valuable insights on shared decision-making in contraceptive use!
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Contraception and Weight
- The Society of Family Planning (SFP) questions if contraception is contraindicated for higher BMIs.
- They also address misunderstandings about normal weight gain over time, separate from birth control.
No Absolute Contraindications Based on Weight
- No contraception type is absolutely contraindicated based on weight or size alone, even with higher BMIs.
- However, some choices are less effective than others, prompting patient-centered discussions.
Consider Patient-Specific Factors
- While no contraception is strictly contraindicated by weight, consider patient-specific factors like BMI.
- Transdermal patches, like Twirla, may be less effective due to decreased serum levels in higher BMIs.