I'm 36 years old and starting my first IVF cycle next month. My clinic has given me a prescription for birth control
pills (Enskyce), which I'm supposed to take for 17 days this month, prior to the IVF. I'm concerned about possible side effects (mainly blood clots
, cardiovascular effects, etc). I have never taken birth control pills before.
I asked the nurse coordinator at my clinic if it's necessary to take birth control pills. I told her I'm concerned about the side effects and also mentioned that I sometimes experience heart palpitations, mainly due to stress and nervousness. The nurse coordinator said it would be better to take them to help with scheduling and to regulate my hormones. If I don't take them, it could postpone the start date of my IVF cycle, she said.
I have researched birth control pills and it seems that Enskyce is a third generation birth control pill (containing desogestrel). I found that second generation pills (for example those containing levonorgestrel or norethindrone) have a lower risk of blood clots.
I'm scared of all kinds of fertility medications
. Last time I took clomid prior to an IUI procedure I had an ectopic pregnancy
after that. I don't know if the clomid had anything to do with that, but some studies have shown an increased risk. So I'm afraid to take medications that are not absolutely necessary. But I can't speak to my RE about these concerns because she doesn't want to waste her time. Her receptionist told me I need to talk to the nurse coordinator to discuss concerns, but the problem is, she barely speaks English. So I'm all alone in this and trying to figure out the medications.
My questions are:
Is there is an alternative birth control pill I could take prior to my IVF cycle that has fewer risks?
How much of a disadvantage is it to skip birth control pills prior to IVF?
I heard that estradiol levels have to be low to be able to start IVF. I don't know what my levels are, but what if they are too high?