Contraception — St. Mark’s Center for Women’s Health

(tranquil music) (upbeat music) – I think one of the most important things is how sure do you wanna be
about not getting pregnant. That’s probably the most
important question to ask yourself you also ought to consider the cost, a lot of people consider
how reliable they can be at using a contraception. For a lot of women, they can’t remember to
take a pill every day, or they won’t remember to use a condom or some other method
while they’re having sex. So you wanna consider all of those things. You also wanna think about, is there anything else I’m
trying to treat with this, for example birth control pills, certain IUDs can treat
heavy periods, cramping, in addition to giving good contraception. You also wanna think about methods that have worked well for you in the past. You wanna think about certain health conditions that you might have, that may be a contraindication
to certain medication, or that may interact
with certain medication. (upbeat music) Birth control pills these days are actually very, very, safe. There are a lot of
different types of hormones with different risk factors, but all of them are safer
than being pregnant actually. And most women these days don’t know that, The biggest risk of being
on hormonal contraception, like birth control pills, is blood clots, but those are extremely rare. About one in every 2,000 women will have one of those
events, so really very rare, and if that’s a concern you should talk to your provider about it. The IUDs that are now available are again, safer than being pregnant, with very low risk for
infection or other problems. (upbeat music) The new data on IUDs is that actually, they cause about the
same amount of infections or less infections than in
the population not using them. So really the old concerns about getting infections
that caused infertility are really no longer there with IUDs. Birth control pills and
other hormone contraceptives actually protect fertility. (tranquil music) That is one of the most
common concerns I hear, and it’s really surprising
to me when I hear it. I think the majority of
women think, for some reason, that they’re gonna
trouble getting pregnant. But half of women have
unplanned pregnancies, which means they didn’t think
they would get pregnant, but it tells you how often
we get pregnant easily. In fact 85% of us within
a year will be pregnant if we don’t use contraception. (tranquil music) After most contraceptives, people are actually fertile immediately, depending on the type of contraception. There are rare types of contraception, such as a shot with progesterone
called Depo-Provera, where delays in pregnancy can be anywhere from three months to two years, but the majority of contraceptives, people go off them and
they’re immediately fertile. (upbeat music) Well, one of the things
you wanna consider is, is there a circumstance in your life, where even though you don’t think you’re gonna have more kids, you might change your mind. So when we talk about sterilization, whether it’s vasectomy or plugs
inside your fallopian tubes, which is called Essure,
or tying women’s tubes, those really are considered
permanent sterilization, and if you decide to do that, you need to go into that planning I really don’t think I’m
gonna have more kids, I’m gonna count on that. (upbeat music) Other options include IUDs, and we now have two types of IUDs which are very highly effective. We also have all kinds of
hormonal contraception, meaning there are hormones in them to try to protect you
from getting pregnant. And they include certain
types of birth control pills, there are patches, there are injections, there are even little cartridges that go underneath your arm
and last for three years. When you consider how you’re gonna choose to not get pregnant, I think
the most important thing is, what’s most comfortable to me, and how much do I want to
try to avoid pregnancy. A lot of women have fears
about contraceptives, or they’ve heard things which
may or may not apply to them, or may or may not be true, so I really strongly encourage women to have full conversations
with their providers about all choices that are available, and the pros and cons. (upbeat music)

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