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Birth control options
How to select the best option

By Lisa Kramer

Tina, a 23-year old, who lives in Des Moines, Iowa, writes, "I never had to worry about birth control since I never did it when I was single.  I am getting married in two weeks but we have no plans to have a baby anytime soon.  What are my options for birth control?"

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Since we are assuming that your husband is disease-free (you obviously must be) and after marriage both you and him will pursue a monogamous relationship, you have more choices to have both pleasure and protection.  Therefore, pills and patches are perfect because they don't have anything messy to deal with and you don't have to worry about pregnancy at all.  But I will also add information below about other options  (In any case, please consult your doctor since this is not meant to be a substitute for medical advice.  Only your doctor can decide what is best for you but if you do your research and have more information about the choices you can tell your doctor what your preferences are):

Depo-Provera:  When you use Depo-Provera, you don't ovulate. Depo-Provera stops the release of eggs from your ovaries.  And you take the pill roughly once each quarter.

Orthotri-cyclenlo:  It is like a regular birth control pill but with less hormones and identical effectivness but lower side effects.  

ParaGard:  This is hormone-free, reversible intrauterine contraceptive that can be used for up to 10 years or removed at any time.  Has zero side effects.

LadyComp and/or BabyComp (Distributed by RaXMedical):  This is a truly natural way to control pregnancy by not being intimate when you are most likely to conceive.  All you do is buy the LadyComp device and just press its button once a day for 30 seconds.  It immediately tells you if you can be intimate or not.  Very accurate. 

Implanon:  It is an implantable contraceptive (matchstick-size rod is inserted underneath the skin of the upper arm).  It can prevent pregnancies for up to three years with a 99% effectiveness.  (Related:  Stop menstrual cycle)

Conclusion:  Learn more about each of these options and then make up your mind after talking to your doctor.  I also suggest that you include your partner in these decisions because without his support and cooperation some of them may not work.  They are all fairly safe but only your doctor can decide what is best for you.

ORTHO EVRA or (OrthoEvra):  This is a contraceptive patch that contains hormones similar to those found in birth control pills.  You simply wear the patch in a discreet area of the body once a week and forget about it since it is totally water-proof.  This patch has, however, gotten into trouble after reports that some women have suffered blood clots, stroke or heart attacks.  Many women who have been injured have filed lawsuit against the maker of Ortho Evra Ortho-McNeil Pharmaceutical ( a subsidiary of Johnson & Johnson).  The FDA has now changed the label with a bolded warning about higher exposure to estrogen for women using the weekly patch compared to taking a daily birth control pill containing 35 micrograms of estrogen, a commonly prescribed dose. Higher levels of estrogen may put some women at increased risk for getting blood clots.  In general, a woman may be at higher risk for getting side effects if she takes higher doses of estrogen.  (Related:  Dangers of Ortho Evra birth control patch)

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