There are many different birth control choices to choose from. Here’s what you need to know about the use and side effects of the pill, patch and more. Women's Health Birth Control Options and Information There are many different birth control choices to choose. Contraceptive Use in the United States WHO NEEDS CONTRACEPTIVES? Contraception Contraception refers to the methods that are used to prevent pregnancy. Some methods of contraception (condoms) can also be used to prevent some sexually transmitted infections (STIs). There is also a type of contraception called emergency. The birth control patch is a hormonal contraception. It is a small square patch that looks like a band-aid. It sticks to the skin and. Recent combined hormonal contraceptives and the risk of thromboembolism and other cardiovascular events in new users., 87 (1. It is available through a prescription. Birth control methods fact sheet. Home >. . . . e. Publications >. Our e. Publications >. Birth control methods fact sheet e. Publications. Birth control methods fact sheet There is no . Each method has its pros and cons. What is the contraceptive patch? The patch is a combined form of hormonal contraception, containing oestrogen and progestogen hormones. It is essentially the same type of contraception as the combined oral contraceptive (COC) pill (often referred to as 'the pill. All women and men can have control over when, and if, they become parents. Making choices about birth control, or contraception, isn't easy. There are many things to think about. To get started, learn about birth control methods you or your partner can use to prevent pregnancy. You can also talk with your doctor about the choices. Before choosing a birth control method, think about: Your overall health. How often you have sex. What are injectable contraceptives? The type of shot most used is called Depo-Provera. It is a shot given every three months. It is a hormone, much like the progesterone a woman produces during the last two weeks of each monthly cycle.If you use Ortho Evra, talk with your doctor or nurse about switching to another brand of birth control patch called Xulane or to another type of birth control. After stopping or removing many methods of birth control, including oral contraceptives, IUDs, implants and injections. Hormonal Hormonal contraception is available in a. The number of sex partners you have. If you want to have children someday. How well each method works to prevent pregnancy. Possible side effects. Your comfort level with using the method. Keep in mind, even the most effective birth control methods can fail. But your chances of getting pregnant are lowest if the method you choose always is used correctly and every time you have sex. Return to top. You can choose from many methods of birth control. They are grouped by how they work: Types of birth control. Contraceptive sponge. Diaphragm, cervical cap, and cervical shield. Female condom. Male condom. Oral contraceptives — combined pill (. Talk with your doctor if you have questions about any of the choices. Continuous abstinence. This means not having sex (vaginal, anal, or oral) at any time. It is the only sure way to prevent pregnancy and protect against sexually transmitted infections (STIs), including HIV. Natural family planning/rhythm method. This method is when you do not have sex or use a barrier method on the days you are most fertile (most likely to become pregnant). You can read about barrier methods in the following chart. A woman who has a regular menstrual cycle has about 9 or more days each month when she is able to get pregnant. These fertile days are about 5 days before and 3 days after ovulation, as well as the day of ovulation. To have success with this method, you need to learn about your menstrual cycle. Then you can learn to predict which days you are fertile or . Cervical mucus is the discharge from your vagina. You are most fertile when it is clear and slippery like raw egg whites. Use a basal thermometer to take your temperature and record it in a chart. Your temperature will rise 0. You can talk with your doctor or a natural family planning instructor to learn how to record and understand this information. Barrier methods — Put up a block, or barrier, to keep sperm from reaching the egg. Contraceptive sponge. This barrier method is a soft, disk- shaped device with a loop for taking it out. It is made out of polyurethane (pah- lee- YUR- uh- thayn) foam and contains the spermicide (SPUR- muh- syd) nonoxynol- 9. Spermicide kills sperm. Before having sex, you wet the sponge and place it, loop side down, inside your vagina to cover the cervix. The sponge is effective for more than one act of intercourse for up to 2. It needs to be left in for at least 6 hours after having sex to prevent pregnancy. It must then be taken out within 3. Only one kind of contraceptive sponge is sold in the United States. It is called the Today Sponge. Women who are sensitive to the spermicide nonoxynol- 9 should not use the sponge. Diaphragm, cervical cap, and cervical shield. These barrier methods block the sperm from entering the cervix (the opening to your womb) and reaching the egg. The diaphragm is a shallow latex cup. The cervical cap is a thimble- shaped latex cup. It often is called by its brand name, Fem. Cap. The cervical shield is a silicone cup that has a one- way valve that creates suction and helps it fit against the cervix. It often is called by its brand name, Lea's Shield. The diaphragm and cervical cap come in different sizes, and you need a doctor to . The cervical shield comes in one size, and you will not need a fitting. Before having sex, add spermicide (to block or kill sperm) to the devices. Then place them inside your vagina to cover your cervix. You can buy spermicide gel or foam at a drug store. All three of these barrier methods must be left in place for 6 to 8 hours after having sex to prevent pregnancy. The diaphragm should be taken out within 2. The cap and shield should be taken out within 4. Female condom. This condom is worn by the woman inside her vagina. It keeps sperm from getting into her body. It is made of thin, flexible, manmade rubber and is packaged with a lubricant. It can be inserted up to 8 hours before having sex. And don't use it and a male condom at the same time. Male condom. Male condoms are a thin sheath placed over an erect penis to keep sperm from entering a woman's body. Condoms can be made of latex, polyurethane, or . The natural kind do not protect against STIs. Condoms work best when used with a vaginal spermicide, which kills the sperm. And you need to use a new condom with each sex act. Condoms are either: Lubricated, which can make sexual intercourse more comfortable. Non- lubricated, which can also be used for oral sex. It is best to add lubrication to non- lubricated condoms if you use them for vaginal or anal sex. You can use a water- based lubricant, such as K- Y jelly. You can buy them at the drug store. Oil- based lubricants like massage oils, baby oil, lotions, or petroleum jelly will weaken the condom, causing it to tear or break. Keep condoms in a cool, dry place. If you keep them in a hot place (like a wallet or glove compartment), the latex breaks down. Then the condom can tear or break. Hormonal methods — Prevent pregnancy by interfering with ovulation, fertilization, and/or implantation of the fertilized egg. Oral contraceptives — combined pill (. It is taken daily to keep the ovaries from releasing an egg. The pill also causes changes in the lining of the uterus and the cervical mucus to keep the sperm from joining the egg. Some women prefer the . These have 1. 2 weeks of pills that contain hormones (active) and 1 week of pills that don't contain hormones (inactive). While taking extended cycle pills, women only have their period three to four times a year. Many types of oral contraceptives are available. Talk with your doctor about which is best for you. Your doctor may advise you not to take the pill if you: Are older than 3. Have a history of blood clots. Have a history of breast, liver, or endometrial cancer. Antibiotics may reduce how well the pill works in some women. Talk to your doctor about a backup method of birth control if you need to take antibiotics. Women should wait three weeks after giving birth to begin using birth control that contains both estrogen and progestin. These methods increase the risk of dangerous blood clots that could form after giving birth. Women who delivered by cesarean section or have other risk factors for blood clots, such as obesity, history of blood clots, smoking, or preeclampsia, should wait six weeks. The patch. Also called by its brand name, Ortho Evra, this skin patch is worn on the lower abdomen, buttocks, outer arm, or upper body. It releases the hormones progestin and estrogen into the bloodstream to stop the ovaries from releasing eggs in most women. It also thickens the cervical mucus, which keeps the sperm from joining with the egg. You put on a new patch once a week for 3 weeks. You don't use a patch the fourth week in order to have a period. Women should wait three weeks after giving birth to begin using birth control that contains both estrogen and progestin. These methods increase the risk of dangerous blood clots that could form after giving birth. Women who delivered by cesarean section or have other risk factors for blood clots, such as obesity, history of blood clots, smoking, or preeclampsia, should wait six weeks. Shot/injection. The birth control shot often is called by its brand name Depo- Provera. With this method you get injections, or shots, of the hormone progestin in the buttocks or arm every 3 months. A new type is injected under the skin. The birth control shot stops the ovaries from releasing an egg in most women. It also causes changes in the cervix that keep the sperm from joining with the egg. The shot should not be used more than 2 years in a row because it can cause a temporary loss of bone density. The loss increases the longer this method is used. The bone does start to grow after this method is stopped. But it may increase the risk of fracture and osteoporosis if used for a long time. It works by stopping the ovaries from releasing eggs. It also thickens the cervical mucus, which keeps the sperm from joining the egg. It is commonly called Nuva. Ring, its brand name. You squeeze the ring between your thumb and index finger and insert it into your vagina. You wear the ring for 3 weeks, take it out for the week that you have your period, and then put in a new ring. Women should wait three weeks after giving birth to begin using birth control that contains both estrogen and progestin. These methods increase the risk of dangerous blood clots that could form after giving birth. Women who delivered by cesarean section or have other risk factors for blood clots, such as obesity, history of blood clots, smoking, or preeclampsia, should wait six weeks. Implantable devices — Devices that are inserted into the body and left in place for a few years. Implantable rod. This is a matchstick- size, flexible rod that is put under the skin of the upper arm. It is often called by its brand name, Implanon. The rod releases a progestin, which causes changes in the lining of the uterus and the cervical mucus to keep the sperm from joining an egg. Less often, it stops the ovaries from releasing eggs. It is effective for up to 3 years. Intrauterine devices or IUDs. An IUD is a small device shaped like a . There are two types: Copper IUD — The copper IUD goes by the brand name Para. Gard. It releases a small amount of copper into the uterus, which prevents the sperm from reaching and fertilizing the egg. Contraceptive patch - Wikipedia, the free encyclopedia. For the brand of patch containing estradiol only, see Evorel patch. Contraceptive patch. Ortho Evra brand of contraceptive patch. Background. Type. Hormonal (combined estrogen + progestin)First use. Failure rates (first year)Perfect use. They have been shown to be as effective as the combined oral contraceptive pill with perfect use, and the patch may be more effective in typical use. The patches are packaged in boxes of three and are only available by prescription. The contraceptive patch is often informally referred to as . The day of application is known from that point as patch change day. Seven days later, when patch change day comes again, the woman removes the patch and applies another to one of the approved locations on the body. This process is repeated again on the next patch change day. On the following patch change day, the patch is removed and not replaced. The woman waits 7 days without a patch in place, and on the next patch change day she applies a new patch. Extended use regimens, where patches are used for several weeks before a patch- free week, have been studied. This means, if skin is red, irritated, or cut, the patch should not be placed in that area. Additionally, avoid using lotions, powder, or makeup around the area where the patch is, or will be placed. This can be considered the same as a day 1 start above, and no backup contraception is required. If a woman chooses to begin with her patch change day as the first Sunday following day 1, it is necessary to use a backup form of contraception such as spermicide or condoms for the first week of patch wear. If a woman is late placing her patch in the first week, or more than two days late placing the patch in the second and third weeks, she should apply the patch immediately, and then use a back up form of barrier protection for a week. A secondary mechanism of action is inhibition of sperm penetration by changes in the cervical mucus. Hormonal contraceptives also have effects on the endometrium that theoretically could affect implantation; however, no scientific evidence indicates that prevention of implantation actually results from their use. For example, the patch may make a woman's period lighter and more regular. It may also help to clear acne, decrease cramps, and reduce PMS symptoms. Additionally, the patch is associated with an increased protection against iron deficiency anemia, ovarian cysts, pelvic inflammatory disease, and endometrial and ovarian cancer. The patch is a simple and convenient form of birth control that only requires weekly attention. When a woman stops using the patch, her ability to become pregnant returns quickly. John's Wort are also known to affect the effectiveness of hormonal contraceptives. It has also been found that the Ortho Evra patch is less effective in women over 1. In three large clinical trials involving a total of 3,3. Ortho Evra / Evra patch for up to one year, 1. The most frequent adverse events leading to patch discontinuation were: nausea and/or vomiting (2. Breakthrough bleeding (requiring more than one pad or tampon per day) was reported by: 4% in cycle 1, 3% in cycle 3 and cycle 6, and 1% in cycle 1. Symptoms that may last longer include skin irritation around the area where the patch is placed and a change in the woman's sexual desires. There is ongoing research into the thromboembolic risks of Ortho Evra as compared to combined oral contraceptive pills. A recent study found that users of the contraceptive patch may have a twofold increased risk for non- fatal venous thromboembolic events compared with women who took a norgestimate- containing oral contraceptive with 3. The label was again revised in September 2. January 1. 8, 2. 00. FDA again updated the label to reflect study results. During the same time frame, only 6. In Hatcher, Robert A.; Trussell, James; Nelson, Anita L.; Cates, Willard Jr.; Kowal, Deborah; Policar, Michael S. Contraceptive technology (2. New York: Ardent Media. ISBN 9. 78- 1- 5. United States.^Trussell, James (2. In Hatcher, Robert A.; et al. Contraceptive Technology (1. New York: Ardent Media. Prescribing Information. Archived from the original(PDF) on 2. Evidence on Ortho Evra Patch Thrombosis Risk Is Contradictory. Published February 1. Cole JA, Norman H, Doherty M, Walker AM (February 2. January 1. 8, 2. 00.
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