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Considering Life Without Birth Control: Seeking Insights

5/1/2026, 5:50:37 AMMale25-34

Approaching the age of 55, I find myself in a peculiar situation. It seems that every healthcare professional insists that menopause typically occurs around 51, which is not particularly helpful. Currently, I'm experiencing continuous bleeding, having dealt with spotting throughout March alone. Moreover, there are a few days each month where the bleeding is considerably heavier—what I would classify as a menstrual period. Although I have a copper IUD, several gynecologists suspect that this ongoing bleeding is attributable to the device and not to the onset of perimenopause. Notably, I don’t exhibit many of the other common symptoms associated with perimenopause. I am contemplating the removal of the IUD to determine if it’s the root cause of my bleeding concerns. My partner and I are committed, so the idea of relying on condoms is not appealing. Additionally, hormonal birth control has adverse effects on my body, making it an unsuitable option. I’ve even thought about undergoing a tubal ligation, but I prefer to avoid surgery unless absolutely necessary. My research on natural birth rates beyond 55 has yielded limited information, which is not surprising considering the topic. Reflecting back to my early 30s when I was eager to become a mother, I was fortunate enough to conceive shortly after we began trying. Should I opt for IUD removal, would I find myself in a perpetual state of anxiety about unexpected pregnancy due to the irregularity of my bleeding? What if I face the possibility of miscarriage or the need for an abortion? How does that risk compare to potential complications from a bilateral salpingectomy? I would greatly appreciate any guidance or insights you might have on this matter. Thank you for sharing your perspectives!

Morning SicknessIVFGynecology
Alice Lee

Alice Lee

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