自打吃避孕藥以來,我長胖了15磅
I've always had a fast metabolism. Thanks to genetics and being an athlete, I never had to think about weight or my diet growing up. (In fact, I was so thin that my high school classmates gave me the nickname “slinky.") I was also able to maintain my normal weight and avoid the freshman 15 throughout college. But once I graduated, got into a relationship, and decided to get on birth control pills, my body started to change.
我總是代謝很快。由於遺傳和運動員身份，我從未考慮過我的體重或飲食。（事實上，我太瘦了，以致於我的高中同學給我起了“竹竿子”的外號。）大學時代，我也能將體重維持在正常範圍，沒有像其它新生那樣長胖很多。但畢業談戀愛吃避孕藥後，我的身體開始發生了變化。After five months on the Pill, I noticed that my favorite joggers weren’t fitting the way they used to and I was hungry all the time, even after a big meal. It wasn’t until my doctor said “wow, you’ve gained 15 pounds since I’ve last seen you” that I realized things were getting out of hand.
吃藥5個月後，我注意到我穿不上我最喜歡的慢跑褲了，而且即使吃了一頓大餐後，我也一直很餓。直到醫生說“哇塞，自上次見到你之後，你長胖了15磅啊”，我才意識到事態已經失控了。I amped up my workouts and tried (emphasis on “tried”) to cut out sugar and fast food, but I was still gaining weight in my face, stomach, and thighs. I couldn’t figure out why this was happening when the only thing I had really changed about my routine was my form of contraceptive. To find out what was up, I spoke to two gynecologists and a nutritionist. Here’s what I learned.
我加大了鍛鍊，嘗試（注意是“嘗試”）減少吃糖和快餐，但臉上、肚子上和大腿上還是長肉了。我真的搞不懂，我唯一改變的就是避孕方式，爲什麼會長胖這麼多呢。爲了找出原因，我與兩位婦科醫生以及一位營養師交流過，我學到了這些東西。
Hormonal birth control doesn’t cause permanent weight gain
激素避孕不會導致體重永久性增加“Over 40 studies have basically disproved the theory or myth that birth control is related to significant weight gain,” says Petra Casey, MD, associate professor and ob-gyn at the Mayo Clinic in Minnesota.
“40多項研究已基本反駁避孕與體重明顯增加相關的理論，”佩特拉•凱西醫學博士說道，她還是明尼蘇達州梅奧診所的副教授兼婦產科醫師。However, taking hormonal birth control of any kind, such as the pill, an IUD, or an implant, may prompt your body to retain more fluid before your period. That can cause you to gain a few pounds, but this typically vanishes after your period is over, says Dr. Casey. It's also normal to gain one to four pounds after starting hormonal birth control, she adds, but this is a temporary side effect that goes away after three months.
然而，採取各種激素避孕措施，比如避孕藥、宮內節育器或是植入物可能使你的身體在姨媽到來前滯留更多液體。這會導致你體重增加，但大姨媽過後，體重又會回到正常狀態，凱西醫生說道。採取激素避孕之後，長個一到四磅是很正常的，她補充說，但這只是臨時的副作用，三個月後就會消失。The one exception is the Depo-Provera shot, which Dr. Casey says is known to result in significant weight gain. “About 25% of women who start on it gain approximately 5% [of their body weight], and this generally happens within the first six months,” she explains.
唯一的例外就是可注射的Depo-Provera，凱西醫生說這一措施最容易導致體重增長。“25%注射這一避孕藥的人都開始長了原本體重的近5%，通常是在注射的前6個月，”她解釋道。
