As a 40-year-old working mother of three sons, I’m finally ready to revisit my best options for contraception. However, I’ve lived with type 1 diabetes for 26 years and am not sure that the pill is still my best option. The last time I thought about contraception was seven years ago, when I was getting prepped for my second Cesarean section, and my OB/GYN asked me if I wanted to have my tubes tied “while she was in there.” At the cusp of becoming a mother for the second time, I was stunned by her suggestion and didn’t want to think about saying no to motherhood for good. If I’d followed her advice, we would not be a family of five.
The study mentioned above also shows that my experience is not unique. It states, “Women with diabetes were less likely to receive highly effective reversible contraception and more likely to undergo sterilization procedures. Increasing the use of highly effective reversible contraceptives may help diabetic women who want to retain their fertility to delay pregnancy until glycemic control is achieved.”
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