The Real Truth About Weight Gain and Contraception
Continued from previous page
For a woman who wants a child, hormonal changes and weight gain related to pregnancy are a small price to pay, and indeed they are a small part of the price we gladly pay when we decide to have a baby. Surprisingly, except in women already prone to gain and retain weight, childbearing itself has little long-term effect on body weight. Within a couple years after a pregnancy, most women tend to be back on a similar weight trajectory as their same-age peers, with an average of an extra pound or so per child.
Women’s bodies respond differently to hormones, as we all know. Some of us have horrid periods and pregnancies. Some of us breeze through. Some of us barely gain a few pounds while incubating a baby; others gain a third or even half of our body weight. It is reasonable to assume that there are differences in how we respond to hormonal contraceptives as well, and every woman needs to listen to her own mind and body. All the same, it helps at times to remind ourselves of what is known—and to update our knowledge, since technology and research are constantly moving forward.
So, the bad news about contraception is this: mostly it isn’t the explanation for those frustrating extra pounds. You are likely to gain some weight over the next decade regardless. So am I. Throwing the Pill pack in the garbage or getting the IUD or implant pulled isn’t likely to be a magic bullet. The great news about contraception is this: mostly it isn’t the explanation for those frustrating extra pounds. We really do have good options when it comes to managing our fertility, better options than most of us thought; better options than our mothers and grandmothers could even imagine.