Clinically Talking: Inquiries to Ask Your HCP About Beginning Management Strategies

Medically reviewed by Dr. Erica Montes

Up to now, the contraception dilemma appeared easy: Go to the physician and get “The Tablet.” However now that there are numerous choices to select from, together with non-hormonal ones, it is a bit extra advanced. Which tablet? And why? What negative effects are there? What are the opposite choices? These are every vital questions to contemplate when selecting contraception.

We requested Dr. Erica Montes, FACOG, an OB-GYN and creator of ladies’s well being weblog “The Trendy Mujer,” for some information that can assist you absolutely perceive your decisions with regards to contraception — and which technique may work finest for you.

What’s the distinction between hormonal and non-hormonal contraception?

Hormonal contraception (contraception) incorporates hormones — both estrogen and progesterone or simply progesterone. It often acts to forestall ovulation or thicken cervical mucus to forestall being pregnant. Non-hormonal contraception does not comprise any hormones and contains condoms, vaginal gel, spermicides, fertility consciousness strategies similar to monitoring fertile days, sterilization or tubal ligation, and the copper intrauterine machine (IUD). Much less generally, some girls go for a cervical cap, diaphragm or sponge.

How do I do know which kind of contraception is healthier or extra acceptable for me?

You’ll have to contemplate your plans for being pregnant sooner or later, value, effectiveness, ease of use, negative effects and whether or not you’ve any well being circumstances that have an effect on which choices you should use. Your healthcare skilled might help reply these questions so you may decide which technique will suit your way of life and your physique.

Moreover stopping being pregnant, what are another benefits of taking/utilizing contraception?

Contraception capsules, which comprise hormones, might help lower your threat of uterine and ovarian most cancers with safety that lasts greater than 30 years after use. They’ll additionally assist enhance pimples, regulate your interval, ease painful menstrual cramps, cut back ovarian cysts, or management sure medical circumstances like irregular uterine bleeding or endometriosis. The advantages of non-hormonal contraception embody fewer adjustments in menstrual bleeding patterns, no adjustments in intercourse drive and no hormonal negative effects. Non-hormonal choices can typically be extra handy and simple to make use of.

Can contraception work together with different drugs?

Sure antiseizure drugs may cause oral contraception capsules to be much less efficient. Rifampin, which used sometimes to deal with tuberculosis, is the one antibiotic that may trigger contraception capsules to be much less efficient. Different antibiotics don’t have an effect on your tablet’s potential to forestall being pregnant.

Does contraception defend towards sexually transmitted infections (STIs)?

Not essentially. Solely latex or polyurethane condoms, together with inside condoms, defend towards each being pregnant and STIs. For cover towards STIs, it is vital to make use of condoms along with different types of contraception that solely defend towards being pregnant.

How do sure well being circumstances have an effect on which contraception strategies I ought to contemplate?

Sure well being circumstances, similar to hypertension, migraine, a historical past of blood clots or breast most cancers can restrict your hormonal contraception choices. Individuals with these circumstances might go for non-hormonal contraception, so long as it is dependable, as a result of being pregnant will be riskier with a few of these medical points. You will need to focus on your previous medical historical past along with your healthcare supplier to allow them to counsel you about which choices are secure.

Does contraception improve my threat for cancers (breast, cervical, and many others.)?

It is sophisticated. In accordance with analysis from Most cancers.gov, the danger of breast and cervical cancers does improve over time with the usage of some varieties of hormonal contraception — however these may also decrease threat for different varieties of cancers, like endometrial, ovarian and colorectal. So, it is best to speak to your HCP about your explicit threat profile. Non-hormonal choices don’t improve your threat of any cancers.

What are some doable negative effects of contraception?

With hormonal strategies, it’s possible you’ll expertise nausea, breast tenderness, headache, bloating, temper swings, melasma or irregular bleeding. Some girls expertise heavy menstrual bleeding or long-term recognizing when utilizing a copper IUD. Different non-hormonal strategies don’t carry a threat of negative effects as a result of they do not have an effect on any hormone ranges in your physique.

Is it secure to go on and off contraception?

It isn’t a good suggestion to go on and off hormonal contraception in case you are attempting to forestall being pregnant as a result of inconsistent use can decrease effectiveness. For instance, the tablet is most dependable while you take it constantly on the similar time every day to maintain hormone ranges from fluctuating. The fixed hormones make sure that there isn’t any ovulation and create thicker cervical mucus to forestall being pregnant. Inconsistent use of hormonal strategies may also create irregular bleeding that many ladies dislike. Non-hormonal contraception choices could also be excellent for those who want contraception not often or on an as-needed foundation, since they’re simpler to begin and cease than a hormonal possibility.

In the event you don’t love your present contraception technique, speak to your HCP to see if there’s a higher possibility for you.

This useful resource was created with assist from Evofem Biosciences.

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