Q:        I am currently on Minastrin Fe 24 and I am having breast pain. I know that this is a side-effect, however it is bothersome. I do not want to go to any pill that is lower in hormones out of fear of breakthrough bleeding (BTB) and other side-effects. This is the only side- effect I am experiencing with this pill. Therefore, I would like to stay on it.

So, I wanted to know if taking evening primrose would be helpful and if taking it would decrease the efficacy of the pill. Are there any other natural remedies to help the breast pain go away that won’t affect the pill?


I would not suggest using Primrose.Possibilities:

Firm support from your bra

Lower dose pill (10 micrograms)

Progestin-only method such as pills, Mirena IUD or Nexplanon implant or Depo-Provera injections.

Robert A. Hatcher MD, MPH

Emeritus Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA

To learn more about the advantages and disadvantages of low-dose birth control pills, progestin-only pills, Mirena IUD, Nexplanon implant and Depo-Provera injections, go to: www.managingcontraception.com and click on Choices 2013 edition.  You can also order this wonderful new educational book from our website or by calling 404-875-5001.  Do you have your copy yet?  It is now available in English and Spanish.


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