Contraception

There are a lot of new options for women these days, things you may not be aware
about yet. Please be advised that withdrawal tramadol online is not considered a reliable form of
birth control. Although your partner may not ejaculate during intercourse, the preejaculate
does contain sperm and it only takes one sperm to make a baby! Failure
rate can be up to 30%.

Some couples use the rhythm method. This relies upon a regular menstrual cycle
calculated from the first day of bleeding to the next time you start your period. The
main premise is to have intercourse during non-fertile days. Non-fertile days maybe
calculated by your physician. Failure rate can be up to 25%. If your menstruation is
irregular you do not qualify for this method.

Condoms are a good form of birth control as long as they are used properly. Failure
rates are approximately 15% with typical use. Plan A is a form of emergency
contraception that can be purchased at your pharmacy and used <48 hours after
unprotected intercourse. There is no prescription required. Failure rate can be 20-
50%

The female diaphragm is another form of non-hormonal contraception although it
needs to be fitted . It must be in place prior to intercourse with spermicide and
remain in the vagina 6 hours after intercourse. Failure rate is approximately 20%
and maybe fitted at Willow Women’s Clinic.

If you wish to try hormonal methods of birth control there are several different
options. These are reversible upon discontinuation and do not need a “rest” period.
There is a new low dose estrogen/progestin pill called Lo lo. Samples are available
for 3 months. Side effects can include irregular bleeding x first 3 months, nausea,
breast tenderness, headaches and mood changes. There is a small but serious risk of
deep venous thrombosis. There are also patches and vaginal rings that act in a
similar manner. Failure rate is approximately 5% with typical use.

The intra uterine device (IUD) has been increasing in popularity since it is a long
acting reversible form of contraception. This can be used in women with or without
children. It takes <5 minutes to insert the device. The copper IUD contains no
hormones but may make periods slightly heavier and cram pier. It is around $80
and good for 5-10 years depending on the IUD brand. There are 2 progesterone
IUDs that will make periods lighter to having no periods at all. Failure rate is <1 %.
The Jaydess IUD is $280 and lasts for 3 years for women with no children. The
Mirena IUD is $380 and lasts for 5 years for women who have had a baby before.
Risks of IUD insertion include: risk of infection within the first 2 weeks, 0.1% risk of
uterine perforation, 2-10% risk of uterine expulsion.

Willow Women’s Clinic in Vancouver also inserts the Gyne-fix IUD which is currently
under evaluation. It is a copper rod with a knot at the top that is fixed at the top of
the uterine cavity. It is $80 for insertion. Benefits to this IUD is that is non
hormonal and doe not cause worsening of periods noted with aT framed copper
IUD.

Please contact your GP for discussion about these new and exciting to buy watson soma contraceptive
options. I would be happy to see you in consultation regarding these methods.