User login

Enter your username and password here in order to log in on the website:

Forgot your password?

Please note: While some information will still be current in a year, other information may already be out of date in three months time. If you are in any doubt, please feel free to ask.

Contraception in case of CF with diabetes

Dear expert team,
I (22 years old, CF) have a few general questions, that could either not be answered satisfactorily by my gynaecologist nor by my CF-doctor.
1. Which contraceptional method is the one most suitable in case of a CF patient with induced diabetes- except condom? Also in respect of the frequent intake of antibiotics, as well as at the moment itraconazole against candida.
2. Until now, I am taking the pill (Cerazette®, 75µg, contains only gestagens, so called "mini-pill")) and have rather been quite satisfied with it. My BMI is 16, I did not have my menstruation for about 2 years now. Due to the low BMI I however do not know, if this is due to the pill or to the underweight. Furhtermore, I do have bleedings since some days. What is the reason?
Due to my health condition (FEV below 30%) by no means I should become pregnant. Due to the diabetes I am not allowed to take a "normal" pill (problems due to the contained hormones).
I ask you for a quick answer, as I am at my wits' end with those questions.
Many thanks in advance.
Best regards,
Dear questioner,
Cerazette® is certainly a good idea in your situation and has in general no interactions with the diverse antibiotic drugs. Taking it without pause Cerazette® inhibits the menstruation in the long runs, why you have a bleeding now you should discuss with your gynecologist.
Alternatively, one could also use the hormone coil Mirena®, which also shows good efficacy and also prevents inflammations of the tubes.
In case you do not yet have any long-term damages due to your diabetes resp. it does not exist longer than 20 years, you are quite allowed to take a normal pill with estrogens and gestagens (according to WHO).
That you did not have a menstruation for 2 years now, can be due to your BMI or due to the Cerazette®, that cannot be answered retrospectively.
I hope that I have been able to help you with that.
Best regards,
Dr. Anja-Undine Stücker