Plan B (Levonorgestrel) HELP!!!!!!

Okay boys and girls, this is a totally different side of Lostblackdog than what you have seen before.... this is the frantic, nervous as fuck, and worried shitless side that has taken the pilot's seat for a while here!

Last night I was in my room making love to my girlfriend and somewhere throughout our stoned frenzy, my libido dropped and I had to take a break to kinda "build things back up" if you catch my drift. I'm on lexapro, which is notorious for lowering libido, so this isn't like a new thing for us. I figure it was somewhere during this time that the condom I had on slipped off and fell on top of her. Neither of us noticed until it was too late and then we flipped out and tried to remember what the hell happened. We're assuming the worst here, so we went to the doctor and got a prescription for Plan B (levonorgestrel), which is the "morning after pill" as far as we know. She took a pregnancy test beforehand because of state law, and it came back negative as the doctor assumed she might have guessed. Unfortunately, this doctor made it apparent to her that he did not agree with emergency contraceptive measures, but then again... I dunno if this really is considered a contraceptive or not. Either way, she feels like shit and she's beating herself up for this and I'm beating myself up because I feel like it's all my fault. I mean, I'll do whatever I have to do as far as taking responsibility goes.... I just don't want her to feel like she's a terrible person for this.

PhotoGra1, I guess this is something that maybe you might know of seeing as you've got experience with pharmaceuticals and have been working with them for 10 years. Maybe you're lucky enough not to have to deal with this firsthand, but I trust you and your knowledge on this... Is this a good measure for her to take, or is there something more effective out there that she needs in order to be sure? I've done all I know to do short of cutting of my penis and taking a vow of celibacy, but neither of those things will help either... Any help, comments, suggestions???

-Mac

 

Definately get her to take the Plan B! It is NOT an abortion pill. It works in the same way other oral contraceptives work. I am pissed off that the doctor felt he should impose his morals. . . its his job to explain both the benefits and risks of a treatment to the patient, and then, with patients consent, provide such treatment, or refer the patient to a clinic that can provide the treatment. It is not his job to teach morality. Its not a moral issue, anyway! I am SURE he prescribes oral contraceptives EVERY DAY!

I will post again in a second to provide you with a link. . .

 

The link in this thread provides some good info:

http://hipforums.com/forums/showthread.php?t=68071

 

I also posted some info about this here:

http://hipforums.com/forums/showthread.php?t=78123&page=7&pp=10


If you have any other questions, let me know!

Good luck to you both! Everything should be fine.

 

This is NOTHING to beat yourself up over. This is called, SHIT HAPPENS!

 

Dude, thank you SOOO much for the info and the support!!! Yesterday was a pretty rough day, so I kinda never got back around to checkin up on things, but yeah... I guess shit does happen, but I think we're gonna be fine!

We got another doctor who works at the same practice as the previous one, and seeing as how I have good relationships with a couple of the other doctors there, i doubt that this doctor will get away with forcing his ethical jargon upon already upset patients anymore. My best friend here is the son of the minister at this new doctor's church, and this same doctor helped him and his ex fiancee through their pregnancy and provided support through her miscarriage. I personally have been going to this same practice for three years and I know that none of the other doctors there would approve of what happened, so this other doctor has offered to take on our situation personally and have a few words with our first doctor, which I strongly believe needs to happen at the very least.

As far as Plan B goes, she seems to be feeling kinda sick today, but she's feeling a lot better than yesterday as far as her nerves are concerned! I showed her this post this morning and she's feeling a lot better about things now! Thanks SOOOO MUCH for ALL of your help throughout this!!!! You are a true hero, man!!!!!!!

 

Plan B can and does cause some nausea. It is much less pronounced with the Plan B than with Preven, the first emergency contraceptive. She should be feeling better soon. You two made the right decision. A situation occured, and you promptly took responsibility for it.

 

By the way, Lexapro has a very low rate of sexual side effects. You should speak with your doctor about this. Here is a list of antidotes for sexual side effects from SSRI's:

Table 14. Pharmacological Antidotes for Antidepressant-associated Sexual Dysfunction32

Antidote
Dosage
Comments
Reported Effects

Stimulants

Methylphenidate
5-40 mg/day
For SSRIs or venlafaxine
Libido, arousal, orgasm

Dextroamphetamine
5-40 mg/day
Avoid night dosing
Libido, arousal, orgasm

Pemoline
18.75-75 mg/day
Check liver function
Libido, arousal, orgasm

Cholinergic enhancers

Bethanechol
10-50 mg prn
Used for antidepressants with anticholinergic side effects
Arousal

Estrogen creams or lubricants

Topical agent
As needed
For vaginal dryness, atrophy of vaginal tissue
Libido, arousal, orgasm

Miscellaneous agents

Bupropion
75-150 mg/day, qd or bid in divided doses
SSRIs or venlafaxine; fluoxetine may raise bupropion levels; use precautionary measures for bupropion
Libido, arousal, orgasm

Cyproheptadine
4-12 mg at bedtime
MAOIs, TCAs, SSRIs, venlafaxine; watch for reemergence of depressive symptoms, sedating
Orgasm

Mirtazapine
15-45 mg/day
SSRIs and venlafaxine
Orgasm

Nefazodone
Start 50 mg/day up to 150 mg/day
SSRIs and venlafaxine
Orgasm

Sildenafil
50-100 mg/day
Contraindicated with nitrates
Libido, arousal, and orgasm

Yohimbine
5.4 mg tid
May cause anxiety; ? safety with MAOIs
Libido, arousal, and orgasm

 

I am glad you and your GF are going to be OK, Blackdog. Boy, I have been there. (Had about three of my kids this way, LOL!) But Bear and I were ready for children when it happened, I am so glad you were able to get the Plan B from an other doctor.

Photo, your link is invaluable! I just "stickey"ed it, so it will always be at the top of the WIF.

I hope your gf is feeling better, a little nausea is nasty, but better than an unwanted pregnancy.

Take care of the both of you.

Blessings,

Maggie

 

Thanks Maggie! I really think that this has been an awesome learning experience, but not one I would like to repeat any time soon.... unlike some of this semester's classes... unfortunately! In the mean time, thanks for all the support from you guys in the forums! It's meant more to me than I could possibly say!
-Mac

 

Photo,
Any Meds To Help Out In The Bedroom Due To Opiate? Mt Husband Takes Oc's For Chronic Pain And He Can't "stay Up" Or "cum Through".
Need Help!!!

 

I would try Wellbutrin or Yohimbine. They may be beneficial.