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Posted

I just married a lovely Thai lady. She was married previously and said that she then took the pill from time to time but it gave her a lot of nausea.

I don't like the idea of her taking the pill as it interferes with the body's hormonal balance, however I can't think of anything else for us to use which is very reliable, apart from an IUD. My sister in Australia has one and says they are used just as commonly there as the pill.

Does anyone have any information on which types might be used in Thailand ? And should we go to a hospital, or gynecologist ? And perhaps if we should use one at all ?

Alternatively, though I don't like trying to make her change her mind, can anyone suggest a brand of pill (perhaps a mini-pill ? ) which might be unlikely to produce nausea ?

She is a very feminine, delicate lady and I don't want to unbalance her in any way........

Posted

IUDs are an excellent choice for women who have side effects on hormonal contraception, and also for women of low body weight and/or slightly older age, both groups who tend to have more problems with hormonal methods. They do increase the menstrual flow somewhat (usually by not much although more so in the first month or two.) So women whose periods are already unusually heavy are not good candidates, neither are women who suffer significant menstrual cramps.

IUDs are widely available here and of several types, both the copper T and medicated ones are available, the copper is the most commonly used. She can easily get one inserted at the nearest government hospital, even a small district hospital. Might or might not also be possible at a Health Center, I'm not sure on that point. insertion is usually by an ob-gyn but no need to worry on that point, just go in and and ask for it and they'll refer to the appropriate doctor.

However...I find it hard to believe your wife does not already know this, most Thai women do. Which makes me wonder if there is more to this story i.e. if she may want to get pregnant. Not to alarm or to pry, but this is not an unusual scenario with Asian women shortly after marriage.

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