<s>[INST] MY NAME IS ELAIN AND I M 29YRS OLD.I AM 70KG AND BELIEVE I M GAING WEIGHT BECAUSE OF THE PILL(TRIGESTREL/TRIPHSAL)BIRTH CONTROLL.EVERY 3MNTHS I GET EITHER ONE FROM MY LOCAL CLINIC.I HAVE BEEN TOLD ITS THE SAME BY NURSES WHO ISSUE THEM.I WOULD LIKE TO GET THE LOOP INSERTED.AND WOULD REALLY LIKE TO LOOSE THIS WEIGHT AS IT IS AFFECTING MY MARRIED LIFE.MY HUSBAND IS TO EMBARASSED TO GOT OUT WITH ME N IS PUT OF SEX.I AM REALLY DEPRESSED.HE KEEPS TELLING ME THIS OVER N OVER PLEASE HELP.I DONT NO WHAT TO DO [/INST] Hi, Weight gain is a common side effect of all hormonal contraceptives. Fluid retention and hormonal changes caused by the pill is responsible for the weight gain. I would suggest you to switch to other contraceptive methods and stop taking Trieste / trefoil pill. You can also try the loop contraception after discussing with your gynecologist and ruling out any contra-indication. I would also suggest you to do physical exercise every day at least half an hour to reduce the extra weight. Adequate HY Chat Doctor. Take care. Hope I have answered your question. Let me know if I can assist you further.  </s>