Birth Control Options
There are numerous birth control options, both short-acting and longer-lasting. There are risks and benefits to all the options and we can help you pick the option that is right for you.
Birth control pills are a common option. They give you regular predictable periods and often decreased heaviness, length, PMS symptoms, and cramping that can be associated. They also prevent ovulation so they can alleviate pain during this time, as well. The downside to birth control pills is you have to remember to take them every day and they are hormones.
The NuvaRing is another option that is very similar to birth control pills except you only have to remember to change it once a month instead of every day. You still get the same control of your cycle and decreasing the amount of heaviness and cramping, but with the added benefit of monthly administration. The side effects and risks are similar to birth control pills since they contain similar hormones.
The Depo Provera Shot
The Nexplanon
We manage most high-risk pregnancies at Progressive Women’s Care. We always have maternal-fetal medicine specialists available, if needed. They are both in an outpatient and inpatient capacity. If indicated, you may have a consult with them, but we would still manage your care. Currently, we do not have MFMs that deliver at our hospitals, but are always available for assistance.
What Are IUD’s?
There are two classes of IUD’s: Hormonal and Nonhormonal.
The hormonal IUD’s work by thinning the lining of the uterus. Because they thin the lining of the uterus, they cause irregular bleeding when they’re first inserted. After your body has adjusted over a period of two to three months, the majority of patients stop their cycles completely or have only light spotting. If this is inserted during breastfeeding, often there is no irregular bleeding. This is a very safe contraception and bleeding control option because there is no minimal systemic release of hormones. Because of this, you can still ovulate and may have hormonal symptoms associated. IUDs last between three and five years. They can always be removed prior for side effects or the desired pregnancy.
The non-hormonal IUD, called the paragard, is a copper-based device that creates inflammation within the uterus. With this device, you will still have a regular cycle if that is normal for you, but it may be slightly heavier or more cramping. The paragard IUD lasts up to 10 years.
Surgical Sterilization
Surgical sterilization is also an option for those who have completed their childbearing and have no future desires for pregnancy or conception. This requires an outpatient surgical procedure where the patient is placed under general anesthesia. Laparoscopically, we remove the bilateral fallopian tubes. This prevents any transmission of an egg into the uterus. The recovery for this is only a few days and is effective immediately. This should always be viewed as a permanent decision.
Related Services
Infertility
When you decide you want to conceive, it can be an emotional roller coaster if there are any delays to that plan.
Abnormal Pap Smear
During your annual exam, a pap smear is performed.
Pregnancy
Meet The Team
Dr. Bertles is licensed by the Texas State Board of Medical Examiners and is board-certified by the American Board of Obstetrics and Gynecology. Amanda Smith, PA-C, spent the first 15 years of her career in primary care and is excited to join Progressive Women's Care and Dr. Bertles as she brings her primary care knowledge to women's health.
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