NuvaRing - Deciding To Give It A Try


Feb 17, 2016

Who here has been on the NuvaRing?

After discussing my options with my doctor last week, I decided to give it a try. So far so good. I had some cramping in the first few days, but that's completely gone now and I haven't noticed any other side effects.

Part of why I chose NuvaRing is I don't have to think about it very much. Also, my doctor doesn't like the implant, and would rather save an IUD for last if I don't find something else I like. She did mention Depo, but I didn't want that because of what I've heard about bone density loss and weight gain, neither of which I want. Another reason is my doctor said she has lots of patients with success skipping their periods on the ring, and that's something that's important to me. If I could, I'd stop my period until I was ready to get pregnant.

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The doctor told me I could fill the prescription or not, it is up to me. How do you decide when your vision is bad enough to start wearing glasses? I don't mind the glasses themselves, just wondering if it is worth the cost yet. Thanks for your input.

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I have a complicated history.  February 2013 my retina detached right eye.  I had a vitrectomy and a lot of laser in left eye.  The following January (2013) I had cataract removed and a toric lens implanted.  Having always been a high myope with a lot of astigmatism it was a miracle.  Only real problem was the disparity between my eyes and need to always have contact in left eye if awake.  WIthin 5 weeks I had developed posterior capsular opacification.  After the YAG I could see for a couple of days clearly again and then vision started declining again. I developed an epiretinal membrane and macular hole so I got to experience another vitrectomy in September of 2013.  Since then my vision  has declined.  Multiple attempts at contacts have been frustrating.  My dry eye makes soft contacts very unstable throughout the day and at times the vision with the soft is worse than without it.  Multiple RGP's have been attempted.  I wear and RGP in my left eye.  Glasses have been tried but I must wear contact in left eye because the difference between eyes is too great.  Unfortunately glasses don't work great because even that subtle difference of one eye corrected in front and one on eye makes my brain wacky.  So my options are according to doctor "live with suboptimal vision or be willing to take a risk."  PRK was mentioned but favorite option is to remove lens and have plane lens put in front of capsule then have vision corrected with RGP's.  I am nervous about this with my history of scarring and retinal damage.  Has anyone experienced this.  I can be corrected to 20/20 in the eye.

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After doing the best I can to ferret out the risks vs benefits of cardiac catheterization.  92% of my brain says, "No."  That niggling 8% is a real pain.

I am female.  I am over 60.  I have not had a myocardial infarction, (that they're telling me about anyway).  I have some stress wall hypertrophy, but that's pretty much it.  If I could get the physicians/cardiologists, to give me better evidence of need for such an invasive procedure, I might consider it...however...

I know me.  Just having the procedure would be psychologically, and, therefore, physically, ruinous.  I think I understand - but who can understand this really - that choosing not to have the catheterization, and whatever may happen as a result, means I might sign out quite unexpected.  But is this a better way to live?  I think so.

I have not felt "well" for at 7 years.  (I'll spare you the ailments).  However, I don't get colds, flu (no vaccinations)...I don't have hypertension.  I'm told I have angina, but I am convinced that the post-meal sensations I get are due to gastric/diaphragm...more on that order of things.  I don't have frank chest "pain."

I'm figuring that it will be a complete crapshoot to refuse the catheterization, but I am 100% certain, that there is a better chance of me surviving an invasive procedure if I don't die before I have it, then lending myself to what looks like a never-ending routine of invasive procedures.

What I'm currently hoping for, but have been unable to get, is a cardiologist who will agree to fully monitor me; one who truly understands the various medications available and who would find one that is best suited for this particular body, and who considers cardiac catheterization, et al, a last resort, rather than a first.  (Nice fantasy).

So far, I've had the general practitioner I see, attempt to scare the hell out of me without telling me on what evidence he was doing so.  (I would change to another GP if there was another one around).  That kind of tactic is not only useless, but demoralizing.  When it comes to "heart," demoralization can, without a doubt, lead to "heart trouble."

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Spinal Surgery :: Deciding To Have PCDF And ACDF Surgeries

In 2009, I was diagnosed with Thoracic Osteoarthritis, Degenerative Disc Disease, and Fibromyalgia - and in November 2015 diagnosed with Cervical Radiculopathy. As you see, I have dealt with chronic pain for a long time, and I am tired of it – it’s exhausting and limits my day to day activities.

Anyway based on my MRI results and my physical symptoms - the surgeon diagnosed me with Cervical Radiculopathy and *suggested* a Posterior Cervical Decompression (PCDF) as well as an Anterior Cervical Discectomy with Fusion, ( ACDF).  No pressure … he told me to just think it over and referred me to Physical Therapy.

Since the diagnosis, I am doing a ton of research and educating myself about my condition and the surgery.

Last week I asked my physical therapist what she thought of the surgery and she said, “I had time to have the surgery later”. (I’m 63 and not clear about what “later” even means This week my primary care doctor said outright, that I do not want this surgery because it may not relieve the numbness and pain, and does nothing for the arthritis in my neck, and there will be issues with scar tissue and that my condition is not that bad – yet. He suggested I get a second opinion. I agreed to get a second opinion.

Cervical Radiculopathy Timeline

January 2015 I developed a pinch nerve in the left side of my neck along with the slow progression of excruciating numbness and/or pain in my arm, fingers and thigh. In June 2015, my primary care doctor diagnosed me with pinch nerve and referred me to PT along with the suggestion that I get a back massage. I had tried PT before for my osteoarthritis and hated it. So, I decided to try yoga instead.

Through yoga, I relieved most of the thigh and neck pain and increased my range of motion. However, the numbness and pain in my fingers and in my arm became worse - along with the loss of grip strength. I informed my primary care Dr. in Oct of 2015, he referred me to an orthopedic surgeon, who of course ordered an MRI.

As I said, based on the test results, the surgeon suggested surgery but wanted me to first try physical therapy, this time I went. I started twice weekly therapy sessions in November 2015 and so far it’s effective. After 6 weeks of passive exercises, my arm pain had diminished significantly and the numbness decreased to a ‘low buzz’.

Because I was progressing so well - the week of Christmas 2015 the therapist changed to more aggressive exercises (10 mins on the treadmill, resistance bands, etc) I felt ok while there. However, by the time I returned home after the session the pain in my neck and back was out of control. I had learned many PT pain intervention techniques and I tried them all but the pain escalated. Numbness increased significantly in my thumb. In addition to that I now not only have pain on the left side of my neck but also the right - along with a considerable decrease in my range of motion on both sides of my neck. My grip strength decreased almost immediately and I am dropping things again.  Thought it best to cancel my next appointment, ha-ha! Although I feel better, today I am still in pain - most movements makes it worse. At this point, I’m confused and not sure what to do next. My next PT appointment is on Jan 5th and I see the surgeon on Jan 19 to inform him of my decision.

My questions.



1. Without ongoing physical therapy –(i.e. the rest of my life) will the symptoms of Cervical Radiculopathy return? (Anyone have experience with this?)

2. With degenerative disc disease, overtime, will my disc continue to lose height and stack on top of one another causing even more pain? (So far because of this I’ve lost 2” in height.)


3. From the point of being diagnosed with Cervical Radiculopathy what is the longest time anyone has waited in deciding to have the surgery or not to have surgery?

4. Why would waiting for the symptoms to get worse be beneficial to obtaining a positive outcome or to justify the surgery?

5. Finally, why are some medical professionals against having this surgery? Has anyone experienced being discouraged from having the procedure and how did it influence your decision to have or not have the surgery?

 I thoroughly understand this is a major surgery with a very rough and long recovery period. To be honest at age 63 – I am more worried about recovering from the anesthesia and if my body can withstand the actual length of the surgery, and those factors are certainly not going to get better as I age.

I also understand that I need to rely on the medical professionals’ opinions however, I have been ‘burnt’ in the past with so-called medical opinions. That is why I am seeking experiences related to this from ‘normal’ folks ---I need a different perspective from people who have dealt with this process. 

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