Posts Tagged ‘IUD’

Choosing the right birth control for you

Tuesday, June 19th, 2018

Planning your pregnancy helps you be in control of having a baby when you’re ready. But until you’re ready to start your family, birth control can help keep you from getting pregnant. There are different types of birth control. Talk to your health care provider to help you choose the right birth control method for you.

Your provider can help you understand how different methods work, how well they prevent pregnancy and if they have side effects. Other things to think about when choosing birth control include how it may affect your health, your need to prevent sexually transmitted infections (also called STIs) and when you want to have a baby.

Here are some birth control options:

Intrauterine devices (also called IUDs). An IUD is a small, plastic T-shaped device that your provider puts in your uterus. IUDs are one of the most effective types of birth control. There are two types: hormonal and copper. Hormonal IUDs contain progestin, which is a form of the hormone progesterone. Hormonal IUDs can prevent pregnancy for 3 to 5 years, depending on what brand you choose. Copper IUDs don’t contain progestin. The copper on the IUD prevents pregnancy because it makes it hard for a sperm and egg to meet. Copper IUDs can prevent pregnancy for up to 10 years.

Implants. An implant is a tiny rod that your provider inserts in your arm. The implant releases progestin to help prevent pregnancy. The rod is about the size of a matchstick. It’s hard to notice once it’s inserted in your arm. Implants can prevent pregnancy for about 3 years.

The pill (also called oral contraceptive). You take one birth control pill every day. Some pills have progestin only, and some have a combination of progestin and estrogen (called combined pills). If you’re older than 35, smoke or have blood clots, you may not be able to take combined pills because you may be at risk for heart disease and thrombophilias.

Condoms. Male and female condoms help prevent pregnancy by keeping your partner’s sperm from getting into your body. They also help protect you from STIs. Condoms are one of the most popular types of birth control. Most male condoms are made of latex (rubber), but some are made of lambskin and other non-latex kinds of plastic. Condoms made of lambskin may not prevent STIs. A female condom (also called an internal condom) is made of plastic or rubber and goes inside your vagina.

Abstinence. To abstain from sex means you are making a choice not to have sex. This method is the only one that is 100 percent effective at preventing pregnancy. It also can prevent STIs if you avoid all types of sexual activities.

Birth control, counseling and follow-up care is a preventive service covered by most health insurance plans under the Affordable Care Act, at no extra cost to you. Learn more about recommended preventive services that are covered under the Affordable Care Act at Care Women Deserve.

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Take care of your reproductive health

Monday, September 11th, 2017

If you’re planning to get pregnant in the future, it’s important that you take care of your reproductive health now.

Visit your health care provider regularly

Make sure you have an annual checkup with your provider. Your provider will most likely:

  • Give you a physical exam that includes taking your weight and checking your blood pressure
  • Give you a pelvic exam. This is an exam of the pelvic organs, like the vagina, cervix, uterus and ovaries, to make sure they’re healthy.
  • Do a Pap test. This is a medical test in which your provider collects cells from your cervix to check for cancer.

Protect yourself from sexually transmitted infections (STIs)

An STI is an infection that you can get from having unprotected vaginal, anal or oral sex with someone who is infected. Many people with STIs don’t know they’re infected because some STIs have no signs or symptoms. Nearly 20 million new STI infections happen each year in the United States. Here’s what you can do to protect yourself from STIs:

  • Don’t have sex. This is the best way to prevent an STI.
  • If you do have sex, have safe sex. Have sex with only one person who doesn’t have other sex partners. If you’re not sure if your partner has an STI, use a barrier method of birth control, like a male or female condom or a dental dam. A dental dam is a square piece of rubber that can help protect you from STIs during oral sex.
  • Get tested and treated. The sooner you’re treated, the less likely you are to have complications from your infection.
  • Ask your partner to get tested and treated. Even if you get treated for an STI, if your partner’s infected he may be able to give you the infection again.

If you’re not ready to get pregnant, use birth control

More than half of all pregnancies in the United States are unplanned. Planning your pregnancy can help you have a healthy baby. If you’re planning to have a baby, you’re more likely to get healthy before you get pregnant and to get early and regular prenatal care during pregnancy. If you’re not ready for pregnancy, birth control options include:

  • Abstinence. This means you abstain from (don’t have) sex. Abstinence is the only birth control that’s 100 percent effective. This means it prevents pregnancy all the time.
  • Intrauterine devices (IUDs). An IUD is a small, plastic T-shaped device that your provider puts in your uterus. Hormonal IUDs contain progestin and last for 3-5 years. Non-hormonal IUDs contain copper and can work for up to 10 years.
  • Implants. An implant is a tiny rod that contains progestin and is inserted into your arm. The rod is so small that most people can’t see it. Implants can last for about 3 years.
  • Hormonal methods. These methods, like implants, non-copper IUDs, the pill and the patch, contain hormones that prevent you from releasing an egg. Without the egg, you can’t get pregnant.
  • Barrier methods. Condoms and diaphragms are barrier methods because they work by blocking or killing your partner’s sperm so it can’t reach your egg.

Have questions? Email us at AskUs@marchofdimes.org.

What is an ectopic pregnancy?

Friday, June 3rd, 2016

2013d030_3168An ectopic pregnancy occurs when an embryo grows in the wrong place. Ectopic means “out of place.” Approximately 1 in 50 pregnancies in the US is ectopic.

Usually, a woman’s ovaries release an egg every month, about 14 days before the first day of her period. This is called ovulation. When a couple has sexual intercourse and does not use birth control around the time of ovulation, a man’s sperm swim to meet the woman’s egg. When a sperm penetrates the egg, it’s called fertilization or conception. The fertilized egg then travels to the woman’s uterus, where it burrows into the lining of the uterus and begins to grow.

If the fertilized egg implants somewhere else other than the uterine lining, it is an ectopic pregnancy. In most ectopic pregnancies, the fertilized egg attaches to the fallopian tube. However, it can also attach to an ovary, the cervix, or somewhere in the abdominal cavity.

Unfortunately, any place outside of the uterus doesn’t have the right environment for a baby to develop. There is not enough room and if the fertilized egg continues to grow, it can cause excessive bleeding. This bleeding can be life threatening for the pregnant woman.

Risk factors

Any woman can have an ectopic pregnancy, but there are a few risk factors that increase your chances. These include:

  • A prior ectopic pregnancy
  • Smoking
  • STDs
  • Damage to a fallopian tube
  • Pelvic infections or inflammation
  • Pregnancy when using an intrauterine device (IUD) or after having a tubal ligation
  • Fertility treatments

Signs and symptoms

You will not know right away that you have an ectopic pregnancy. You may have the typical signs of pregnancy, like a missed period and nausea. Or you may have no signs of pregnancy. If you take a home pregnancy test, you will get a positive result.

But as the embryo gets bigger, you may have signs that are unusual and not typical of early pregnancy. These include:

  • Pain in the pelvic area. The pain may be mainly on one side. It can start out mild and then become sharp and stabbing.
  • Lower back pain
  • Shoulder pain
  • Bleeding from the vagina
  • Feeling faint or dizzy
  • Low blood pressure

Treatment

There are two types of treatment for an ectopic pregnancy: medicine (methotrexate) or surgery. Your provider will decide which one is best. After treatment, your provider regularly checks your hCG levels until they return to zero. This can take a few weeks. If your levels stay high, it may mean that you still have ectopic tissue in your body. If this happens, you may need additional treatment.

If you have had an ectopic pregnancy, it is important to take time to grieve for your loss. You can have a healthy pregnancy following an ectopic pregnancy but ask your provider when it is OK for you to try to conceive again.

Have questions? Email us at AskUs@marchofdimes.org.