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#1 fireprincess723

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Posted 12 November 2011 - 05:18 PM

I am 11 months out of surgery and my boyfriend and I had a condom malfunction and now I am worried about pregnancy. I took Plan B the following morning, but I was told that it might not absorb the way it should because of the RNY and it might not work. I was just wondering if anyone has any advice on if it gets absorbed the right way or not. Any information would be helpful.
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#2 cinwa

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Posted 12 November 2011 - 06:32 PM

There is evidence that some medications might have a reduced absorption - this is particularly important for extended release meds: http://www.ajhp.org/...63/19/1852.full

.......Drug solubility and surface area for absorption are also affected by gastric bypass procedures. By bypassing major portions of the small intestine, Roux-en-Y procedures drastically reduce the surface area for absorption. These changes may warrant manipulation in drug route or dose to ensure adequate delivery. Drugs with long absorptive phases that remain in the intestine for extended periods are likely to exhibit decreased bioavailability in these patients. The reduced size of the stomach after surgery can place patients at risk for adverse events associated with some medications. Medications implicated in such adverse events include nonsteroidal antiinflammatory drugs, salicylates, and oral bisphosphonates. Drugs that are rapidly and primarily absorbed in the stomach or duodenum are likely to exhibit decreased absorption in patients who have had combination restrictive–malabsorptive procedures........


I suggest you make an appointment with your PCP just in case.

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#3 mindy_nicole

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Posted 13 November 2011 - 08:07 AM

Plan B pill is not time released. Its hormones, like taking a large dose of birth control pills. Post op RNY don't have problems with birth control pills so plan b should be no different.
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#4 HeatherNicole

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Posted 13 November 2011 - 11:52 AM

Plan B pill is not time released. Its hormones, like taking a large dose of birth control pills. Post op RNY don't have problems with birth control pills so plan b should be no different.


double post.

Edited by HeatherNicole, 13 November 2011 - 11:53 AM.

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#5 HeatherNicole

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Posted 13 November 2011 - 11:52 AM

Plan B pill is not time released. Its hormones, like taking a large dose of birth control pills. Post op RNY don't have problems with birth control pills so plan b should be no different.


Actually, women post-op RNY are advised to use another contraceptive method besides the pill because it is NOT as effective, because it doesn't fully absorb. The pregnancy thread is full of people who became pregnant post op on the pill.
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#6 Samma

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Posted 13 November 2011 - 12:09 PM

There have been some studies done about using Plan B vaginally instead of orally. Maybe that would be better for us specifically??

Samantha


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#7 Jeanie

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Posted 14 November 2011 - 08:04 AM

Actually, women post-op RNY are advised to use another contraceptive method besides the pill because it is NOT as effective, because it doesn't fully absorb. The pregnancy thread is full of people who became pregnant post op on the pill.

I have been on the pill since I had surgery 7 years now and never got pregnant on the pill. You have to work with your OB to get the right pill but it can be effective. I also have lots of friends that had GBS that are on the pill and didn't get pregnant, so while I'm not saying the doc are wrong it CAN work for people.
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#8 rhianna

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Posted 14 November 2011 - 08:15 AM

maybe give your surgeon a call and ask them. while the advice here is great were not the professionals in this situation. See what the surgeon says but asap as plan B only works for up to a certain amount of hours after. I would think you should be fine but again im not the professional lol
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