SERVICES & PROCEDURES

Birth Control

Our top priority is to listen to our patients’ needs and help each woman select the right method of birth control for her. The method that’s right for you will depend on several factors, including your age, medical history, your desire to have children and your family history of certain illnesses.

It is common for a woman to use different birth control methods during different periods of her life. We’re here to discuss your concerns and answer all your questions about family planning.

HORMONAL BIRTH CONTROL PILLS

There are two types of hormonal birth control pills available:

The combination pill

The combination pill, which releases the hormones estrogen and progestin into the body.

The progestin-only pill

The progestin-only pill, also called the “mini pill.” This pill is usually preferred if a woman is breast-feeding.

Patients take one pill daily by mouth, preferably at the same time every day. If used correctly, both pills are 97-99% effective in preventing pregnancy.

VAGINAL RING CONTRACEPTIVES (NUVARING)

NuvaRing is a small, flexible plastic ring which is inserted into the vagina. It releases hormones throughout the month, which eliminates the need to take a pill every day.

You will insert a NuvaRing yourself at home, and leave it in place for 21 days. You’ll then remove it for seven days, and insert a new one once the seven days are over.

INTRAUTERINE METHODS (IUDS)

An IUD (intra-uterine device) is a small, T-shaped plastic or copper device that is inserted into the uterus to prevent pregnancy. There are two types of IUDs available:

  • Hormonal IUDs release progestin and can be used for three to five years.
  • Copper IUDs are non-hormonal and can be used for up to 10 years.

IMPLANTS

The Nexplanon implant is a flexible rod, about the size of a matchstick, that releases the hormone progestin into the body. It provides long-acting reversible contraception for up to three years. The rod is inserted under the skin of your upper arm through a small incision. It can be removed at any time.

PERMANENT BIRTH CONTROL

Permanent birth control is highly effective contraception that provides permanent prevention against pregnancy. It is irreversible, so it’s meant for women who have decided they do not want to have any more children.

If you know your family is complete and you are done having children,permanent birth control options might be right for you.
It’s important to know that all methods of permanent birth control are just that—permanent! In other words, they should be considered irreversible.

We offer a minimally invasive sterilization procedure called Essure that is performed in our office using sedation anesthesia. A small insert is permanently placed into each of your fallopian tubes. These inserts work with your body to form a natural barrier that keeps sperm from reaching the eggs, preventing pregnancy. It usually takes about three months for the barrier to form. You must use an alternative form of birth control during this time. Three months after your procedure, you will need to have a confirmation test to determine if you can rely on Essure for birth control.You must continue to use another form of birth control until your doctor confirms you can rely on Essure to prevent pregnancy.

We also offer laparoscopic tubal ligation, a minimally invasive procedure performed as an outpatient at the hospital. It requires general anesthesia.

STI AND PREGNANCY TESTING

It is important for our patients to remember that the above methods of birth control do not protect against sexually transmitted diseases, including HIV. At your appointment, we may recommend testing for sexually
transmitted infections. We are here to answer any questions you have about birth control and STIs.

We may recommend a pregnancy test first before prescribing any method of birth control.

"Everyone was so caring and kind. I felt very comfortable and at ease."

-- Anna K.