So many options! It's not just pills anymore...
Birth controls pills have changed significantly in the last 20 years. New, lower dose pills have decreased side effects. Newer prolonged therapy pills may limit your periods to just 4 times per year. Birth control pills may also be used to regulate and shorten your monthly cycles. To be most effective, birth control pills should be taken at approximately the same time everday.
IUD's (intra-uterine devices) are a great option for some women. They can be placed during an office visit and provide contraceptive protection for up to 5 or 10 years depending on the type. No pills to take. Set it and forget it. It's excellent long term birth control and, of course, you can choose to have it removed anytime before the 5 or 10 year maximum.
The NuvaRing contraceptive device is inserted by the patient once a month and stays inside for 3 weeks. It's easy for you to remove and replace but may not be effective if left out for more than 4 hours. Again, no pills to take but requires more care and planning than an IUD.
Tubal ligation (tying your tubes) is the traditional form of permanent birth control. It can be performed as an outpatient laparoscopic day surgery with as little as 1 or 2 days off work if you are otherwise healthy and sure about your decision for permanent birth control. In spite of advertisements to the contrary, tubal ligation is often irreversible.
Adiana tubal occlusion is an innovative procedure using a small fiberoptic camera (hysteroscope) to block the tubes from below. The hysteroscope is passed through the cervix into the uterus to locate the tubal openings which are then blocked with a silicone matrix. Like tubal ligation, Adiana is permanent birth control but does not require even the small incisions used for traditional laparoscopic surgery since it is performed through the cervix. Adiana is performed under anesthesia either in the office or day surgery center. Patients may usually return to work the next day.
These are just a few of the available birth control options. Each has pros and cons, risks and benefits. Talk to your doctor about which one is right for you.