Birth control and fatty liver

[Jackie020]

Is anyone on a hormonal birth control with a fatty liver? My dr wouldn't allow me to take an estrogen pill but suggested a mirena iud. However I have read contradictions on that so thought I'd see if anyone here had insight

[nash2 Partner]

Can't help much here. There are some animal studies that suggest that estrogen receptors in the liver might contribute to NASH but if there are studies specific to people I haven't seen them. Minimizing the chemical load that the liver has to deal with is a conservative approach but so much depends on your personal history that only your doctor has a sense of. The IUD question is far out of our area though some here may have relevant experience.

[Jackie020 in reply to nash2]

Yes I was hopeful someone on the board may be in my situation. My dr said estrogen is a big no to him but the progestin in the iud is minimal in blood circulation so not as harsh on the liver. I'm just overly cautious until I get some weight off and my liver is healthier.