We may have titled this text, “Contraception: Not Your Mother’s contraception,” as a result of girls these days haven’t had a lot of choices once it involves contraception. Did you recognize there is a minimum of seventeen types of family planning today? And that many of those choices will do over simply stop gestation.
So if you are still exploitation the constant style of contraception you were employing a decade or a lot of past, it is time for an associate update. And, if your fashion or focus has modified over the past few years or maybe months, your health care skilled will assist you to confirm a technique that most closely fits your current needs.
Hormonal-based optionsâ€” several to choose from
Good choices for girls United Nations agency are victimization oral contraceptives with no issues however area unit currently prepared for a modification area unit one in every of the 2 new estrogen-based contraceptives: NuvaRing and Ortho Evra.
NuvaRing is inserted into the epithelial duct sort of a tampon, wherever it releases a gentle quantity of steroid and progestin throughout the month. You wear it for 3 weeks, then take it out per week and have your amount. Then you insert a new ring. Side effects embody endocrine effects kind of like those from the pill and a light increase of discharge. As with oral contraceptives, NuvaRing might increase the chance of blood clots and stroke, primarily in girls United Nations agency smoke. NuvaRing is ninety-one to ninety nine p.c effective once used systematically and properly as directed.
Ortho Evra could be a transdermal patch with hormones embedded in its adhesive layer. You stick it on your lower abdomen, buttocks, or higher body (but not your breasts), wherever it slowly releases steroid and sex hormones per week. After a week, you peel it off and replace it with a new one. After you have used 3 in a very row, you are taking an opportunity for per week, throughout that you get your amount. The patch delivers a higher dose of estrogen than most birth control pills, and it’s unclear whether it increases the risk of blood clots or not. It is also ninety-one to ninety-nine p.c effective once used systematically and properly as directed.
If you would like to steer further from steroid, talk to your health care professional about progestin-only, long-term, reversible contraceptives. These area unit Implanon, a matchstick-sized rod implanted in your arm, and the Mirena intrauterine system, an IUD.
Implanon depends on a sex hormone referred to as etonogestrel for its protecting effects. It is deep-seated in your higher arm and prevents physiological conditions for up to a few years. Common side effects include abnormal bleeding, headache, and depression, and it’s not recommended for women with a history of breast cancer. Implanon is ninety one to ninety-nine p.c effective once used systematically and properly as directed.
Mirena endlessly releases sex hormone referred to as levonorgestrel and might stay in situ for 5 years or longer. This birth control device will scale back significant emission hurt, which may be a problem for a few girls as they close to a change of life. The major side effect is some irregular bleeding.Â Mirena has been FDA-approved to treat heavy menstrual bleeding in women who use intrauterine contraception as their method of birth control prevention. It is suggested for girls United Nations agency have had a toddler. This is a brand new indication for Mirena, which was approved by the federal agency in 2000 as a contraceptive.
The copper birth control device could be a hormone-free, long-term reversible option that also prevents fertilization. It is often used for up to ten years however is not an honest choice if your expertise significantly hurts. IUDs area unit thought of quite ninety nine p.c effective at preventing the physiological condition.
And, for those of you preferring pill pills as AN short-run reversible contraception choice, however, have to be compelled to avoid steroids, then the “mini pills,” that contain solely progestin hormone, may be indicated for you.
Barrier methodsâ€” there if you need them
Of course, you can always choose the protect-as-you-go option: barrier methods such as condoms (male or female), the cervical cap, diaphragm and spermicides. These square measure generally effective at preventing gestation eighty % of the time (though prophylactic device creams and jelly will improve their effectiveness), so they may be best if you’re in a monogamous relationship and may usually predict once you are going to own intercourse. One caveat: If you are not in an exceedingly monogamous relationship, add a condom to your contraceptive arsenal regardless of what you’re using; it’s the only thing shown to protect against most sexually transmitted infectionsâ€” which will have an effect on you notwithstanding what your age!
Permanent birth controlâ€” when you know it’s time
Permanent birth control is that the most typical sort of contraception overall and also the most well-liked variety of contraception for girls over age thirty-five. In fact, thirty % of ladies between the ages of thirty five and thirty-nine have opted for permanent contraception, whereas ten % of ladies during this people have male partners who have been sterilized. Between the ages of forty and forty four, the percentage of women opting for sterilization jumps to nearly 35 percent.
There are 3 selections for ending fertility, each of which is more than 99 percent effective. You’re no doubt familiar with vasectomyâ€”the man’s form of sterilizationâ€” and tubal ligation, in which your fallopian tubes are cut or blocked to prevent an egg from traveling down them to meet sperm. Today, however, women have a new option: a minimally invasive, non-surgical permanent birth control, also known by its brand name, Essure.
The medical procedure may be worn out at your doctor’s workplace in regarding half-hour with solely a neighborhood anesthetic, unlike tubal ligation, which requires surgery. During the procedure, your doctor uses a special instrument called a hysteroscope to place an insert through your vagina and cervix and into the opening of your fallopian tube in your uterus. Within 3 months, the insert causes your body to form a tissue barrier that prevents sperm from reaching the egg. During this three-month amount, you need to use another form of birth control. After 3 months, the doctor performs a special x-ray to make sure your tubes are completely blocked. Risks embrace delicate to moderate pain instantly once insertion. This technique might cut back the chance of anatomical structure (ectopic) physiological state compared to surgical contraception. Women usually will come to their traditional activities among daily or 2. The FDA, however, has received thousands of complaints since the discharge of Essure in 2002. In 2016, the government agency ordered changes within the package labeling for Essure to incorporate a boxed warning and a “patient list,” each designed to confirm that ladies perceive the risks and benefits of the device. The government agency is additionally requiring the manufacturer of Essure to conduct a clinical study to see risks of Essure for explicit girls.
As you’ll be able to see, your choices are a lot of broader than that pill package that is been a fixture in your cabinet for for a while. So make an appointment with your health care professional and talk about what’s right for the woman you are today, not the woman you were then.