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Home Health

A Comprehensive Guide to Birth Control

by Nick Erickson
May 6, 2022
in Health
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A Comprehensive Guide to Birth Control
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IUDs

Women’s health experts consider intrauterine devices, or IUDs, to be one of the most effective forms of birth control, in part because people who use them don’t have to remember to take or apply them, like a pill or a patch. A doctor inserts one of the T-shaped devices into the uterus, a procedure that usually takes five minutes. Depending on the type, the IUD can last for three to 12 years. †

There are currently two types of IUDs available:

hormonal, that secretes progestin. “Very little” of the hormone is absorbed into the bloodstream, compared to oral birth control pills, said Dr. Rosen, so patients tend to experience fewer mood-related side effects. People who receive hormonal IUDs may have abnormal bleeding or spotting for the first three to six months after insertion. Then the bleeding usually becomes lighter and more regular, or disappears completely.

Buyer† that do not contain hormones. People with heavy or painful periods may want to avoid copper IUDs, said Dr. Rosen, as they can cause longer periods and heavier flows for some.

Contraceptive Implants

Nexplanon is a type of implant that is inserted under the skin of the upper arm and lasts about three years. It also has the lowest failure rate of all birth control methods, according to Dr. Nippita.

A doctor or nurse inserts the small swab, which is about the length of a match, and the process only takes a few minutes. No pelvic exam is needed.

Side effects can vary from person to person. About a third of patients will experience “daily, abnormal, bothersome” spotting, said Dr. Rosen; another third will experience no bleeding at all; and the other third will just have lighter, rarer spots. Some people with the implant also report mood swings, headaches, weight gain, and acne.

Understand the state of Roe v. Wade


Map 1 of 4

What is Roe v. Wade? Roe v. Wade is a landmark Supreme Court decision that legalized abortion in the United States. The 7-2 ruling was announced on Jan. 22, 1973. Judge Harry A. Blackmun, a humble Midwestern Republican and defender of the right to abortion, wrote the majority opinion.

What was it about? The ruling overturned laws in many states that had banned abortion, stating that they could not ban the procedure before the point at which a fetus can survive outside the womb. That point, known as fetal viability, was about 28 weeks when Roe was decided. Today, most experts estimate it at around 23 or 24 weeks.

What else did the case do? Roe v. Wade created a framework to regulate abortion regulation based on the trimesters of pregnancy. In the first trimester, it allowed almost no regulation. In the second case, rules were allowed to protect women’s health. In the third, it allowed states to ban abortions as long as exceptions were made to protect the mother’s life and health. In 1992, the court rejected that framework, while affirming Roe’s essential position.

What would happen if Roe was destroyed? Individual states could decide if and when abortions would be legal. The practice would likely be banned or severely restricted in about half of them, but many would continue to allow it. Thirteen states have so-called trigger laws, which would immediately make abortion illegal if Roe were overturned.

Birth Control Shots

Depo-Provera is an injection that contains progestin and protects against pregnancy for three months. A health care provider will usually administer it every 12 to 14 weeks, in one arm or the buttocks.

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