Articles, Blog

Female Birth Control Options | Family Planning

December 3, 2019


[MUSIC] My name is Jenny Robinson. I’m an OB/GYN at
John Hopkins Bayview and I work in the Women’s Center for Family
Planning, which is a sub-specialty clinic that provides complex
contraception care and also provides care for women facing either
abnormal or unplanned pregnancies. Women who have high blood pressure,
who have poorly controlled diabetes, or a seizure disorder, they might be
taking medications that can impact how effective, for instance,
the birth control pill might be. Or there can be women that having
pregnancies might actually be detrimental to their health. So a woman who’s had a history
of a blood clot, for example, it would be really important for
her to avoid pregnancy until she’s ready to plan it and
can do so safely. So that makes the choice
of a safe and effective birth control method
a little bit more complex. This is a chart that we
often use when talking to patients about what their
contraceptive options are. And it lays out all the different
available contraceptive methods by efficacy. So the methods that
you see at the very top are the most effective ones. So they have the lowest
risk of failure, the lowest risk of
an unplanned pregnancy. And those methods
are the birth control implant, the different versions of the IUD,
or sterilization, which is obviously
permanent, so not necessarily gonna meet the needs of somebody
who does want future pregnancies. The next tier down are other
reversible methods, which are more shorter acting. So things like the Depo Provera
shot, the birth control pill, the contraceptive patch,
the vaginal ring, or the diaphragm, which is a barrier method. And then, the bottom tier
are the ones that have the highest failure rate. So those are methods such as male
and female condoms, spermicide, withdrawal, or periodic abstinence. [MUSIC] So this is an example of one
of the intrauterine devices, which is a long-acting
reversible birth control method. This is the copper IUD,
which is approved for use for up to ten years. So it’s a nice option for women who want a long-acting
birth control method, but don’t wanna take away the option
of having children in the future. It’s also a really nice method for
women who want to avoid hormones, since there’s no hormone
that’s part of this IUD. The way it prevents from pregnancy
is the copper actually interferes with how sperm are able
to fertilize an egg. So it doesn’t change
a woman’s menstrual cycle and there’s no hormones
in it whatsoever. So if a woman has a medical
reason why it would be unsafe for her to use hormones,
this might be a nice option for her. [MUSIC] So other options within the family
of intrauterine devices are the hormonal IUD. And there’s currently
two that are available. One was designed for use for
up to five years and the other is designed for
use for up to three years. The major difference is the dose of
hormone that’s present in the IUD. So the one that last for
five years has a higher dose. And the one that lasts only for
three years, is a little bit smaller. So it’s been specifically
designed for women who’ve never
been pregnant before. But both are options for women who
have or have not been pregnant. And the benefit of the hormone
in the IUD is it tends to make periods both shorter and
lighter and less crampy. So, not only do they provide really
excellent pregnancy prevention, but they can also treat conditions like
heavy periods or painful periods. [MUSIC] This is the birth control implant,
which also has a hormone in it. It’s designed for use for
up to three years. And this is just a little flexible
plastic rod that releases the hormones slowly. The rod is placed under
the skin of the upper arm. So it’s not visible, but
it should be palpable. So if a woman were to run her finger
over the area where the implant is, she can feel it. It’s another example of
forgettable birth control. Once it’s placed,
you don’t have to do anything else. It’s just there doing its job. It can also reduce the amount of
bleeding that a woman has during her period, although it can cause a person’s
periods to become irregular. But it’s very, very effective with a
relatively low side effect profile. So it’s a nice option, again,
for someone who’s looking for a long-acting but
reversible birth control option. [MUSIC] This is an example of
the contraceptive vaginal ring. So it falls in the same category
as the birth control pill. It has a similar combination
of hormones in it as the pill, which means it contains both
estrogen and progesterone. But instead of a pill that
you have to take every day, the ring is placed in
the vagina just once a month. So it’s a little bit easier to
manage if somebody is having a hard time remembering a daily pill. So the hormones get
released into the vagina, it’s a very effective way
of avoiding pregnancy and has the same kinds of effects
on periods as the pill does. So it tends to make periods
very predictable, and also tends to reduce bleeding. And it’s really flexible. I mean, some people get a little
nervous about the idea of placing and
then removing the ring themselves, which is how it’s
designed to be used. But it’s actually very easy
to place and then take out. [MUSIC] This is the updated
version of the diaphragm, which is a barrier
birth control method. So in the past, when women wanted to
use the diaphragm it usually meant coming into the office for
a pelvic exam and been fitted with a diaphragm
of the appropriate size. This version has been redesigned so that one size will fit most women
whether or not they have had a baby. So it makes the act of getting
the diaphragm a little bit easier. And basically, it’s designed to
be used with a spermicidal gel. So you place the spermicidal gel on
the inside cup of the diaphragm, and then the diaphragm gets
placed in the vagina so that it creates a physical barrier
between the cervix and the uterus, and the vagina. So that sperm are blocked from being
able to get inside the upper part of the female reproductive tract. [MUSIC] So in our clinic, we do accept most insurance plans
including Maryland Medicaid. And most insurance plans do cover
all of these contraceptive options, including the long-acting
reversible devices like the IUD and the implant. Some insurances, in the past,
have required prior authorizations. So patients would have to fill out
an additional form before being able to get the IUD. But we’ve been able to streamline
the process, a lot of times, so that people can come in, have a
visit with one of us, if they select to use an implant or an IUD, very
often we can place it the same day. So it makes things a little
bit more convenient. It doesn’t require people to
come back at a later date. [MUSIC]

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40 Comments

  • Reply Gregorio Ferreira November 8, 2018 at 3:33 am

    Gregory Chaves
    Boa Vista Roraima

  • Reply Razzi Rae November 9, 2018 at 9:06 pm

    Your chart is inaccurate. When used properly condoms are 98% effective.

  • Reply Future Of Gaming November 19, 2018 at 9:36 am

    Wow 96k views but only 3 comments….. Seems people feel shame talking about this things

  • Reply Valeria Andrade November 25, 2018 at 9:22 pm

    Do you need to use birth control???

  • Reply Cynthia Shumaker November 27, 2018 at 7:07 am

    What are the side effects?

  • Reply Skyla Meyer December 1, 2018 at 4:44 pm

    Can you use more than one form at the same time?

  • Reply Madonna Martinello December 14, 2018 at 8:35 am

    What is the longest lasting BC option for shtf scenarios?

  • Reply Your Master Nalah January 15, 2019 at 1:55 pm

    Best form of not getting pregnant is stay abstinent

  • Reply Violeta Garcia January 18, 2019 at 7:57 pm

    Thank you!

  • Reply Mariecon Gallardo January 24, 2019 at 2:26 am

    How to use Calendar family planning?

  • Reply Evabell13 February 4, 2019 at 6:00 am

    I have Kyleena and its literally made my periods longer and more annoying.

  • Reply Heddy And Henes February 27, 2019 at 1:18 am

    ugh pepole dont relize they are killing babies

  • Reply Felix Bruyns March 21, 2019 at 11:08 pm

    “Chastity, or cleanness of heart, holds a glorious and distinguished place among the virtues, because she, alone, enables man to see God; hence Truth itself said, ‘Blessed are the clean of heart, for they shall see God.’”- Saint Augustine

  • Reply aerox gang aerox65r March 25, 2019 at 11:34 pm

    Bucket fanny 😂

  • Reply Ankit Gond AG April 17, 2019 at 3:25 pm

    Very meaningful and simple language used and best guidelines for education… Thanks

  • Reply Getry Atema April 26, 2019 at 9:04 pm

    I had unprotected sex yesterday and took morning after pills today , can I get pregnant?

  • Reply Ghazal Randhawa May 8, 2019 at 11:17 am

    Hy Dr.
    Is there any pill that can be used only once before having sex to avoid pregnancy?

  • Reply Maya Sheffield May 10, 2019 at 10:13 pm

    Being a women is so hard! Idk which one to pick 🤦🏾‍♀️

  • Reply Patrick Saxon May 11, 2019 at 5:26 pm

    How do you feel about the NFP, Natural Family Planning? Many ProLife christians are against using any forms of artificial birth control, because it violates natural law. I personally do not feel confidence in the NFP, because it is not reliable as medical types of birth control.

  • Reply oof May 14, 2019 at 8:52 pm

    Can someone tell me If you can you get pregnant if you didn't hit puberty and you didn't start your period yet?

  • Reply Rishi Singh Badyal June 3, 2019 at 5:38 pm

    Teri mdl sali tere jesey log frk paida krte hain gender discrimination

  • Reply Latasha Rhodes June 4, 2019 at 3:01 am

    This is not fair

  • Reply Andrew Lupercio June 18, 2019 at 10:32 pm

    I fucked a bitch raw and she aint pregnant she even took a pregnancy test PULL OUT GAME STRONG💪

  • Reply Samuel Amonoo Neizer July 2, 2019 at 10:39 pm

    Is there any pill that work for only 1year?

  • Reply mahi shah July 10, 2019 at 1:18 am

    I like the UDI but I want it short term and ten years

  • Reply Dr Rahmat Ali July 13, 2019 at 7:58 pm

    There is alot of family planing methods but cause infertility,menses irregularity
    The best and safe method condom

  • Reply do br July 16, 2019 at 8:14 pm

    For women who aren't planning on having children I have a foolproof method that involves no pain, no cost and might possibly change your life in positive ways you never thought possible. Don't have sex with men. Might sound like a crass thing to say but I read so many comments from young women who are not in relationships with men in physical pain & worry, is casual sex with men worth all that if you're not trying to conceive? Think about it, do men need to go through what you go through? Masturbation is the answer.

  • Reply Lindsay Hunter July 22, 2019 at 3:16 am

    Lindsay hunter implant

  • Reply Sherlin Grace July 26, 2019 at 5:46 pm

    What is family planning?

  • Reply Nalam Virumbi July 29, 2019 at 9:33 am

    I think my friend "St. Joseph" don't know there are 1000 of easy ways for anti-pregnency. Why he required to select most difficult way?

  • Reply Talha Hashmi July 29, 2019 at 4:27 pm

    I Think I'll Go With Masturbation,DAT Has D Lowest Failure Rate😂😂😂

  • Reply Tips For Be Healthy August 1, 2019 at 4:46 pm

    Family planning is the use of a specific technique or device to prevent or delay pregnancy. This technique has been used by humans for thousands of years. There are also instances where some people use more than one method. As an example, some use condoms while using tablets. Anyone in the community can use any method. But should choose a method under the advice of a doctor. However, a considerable proportion of fertile people in society doesn't have knowledge about this. This leed to have problems in some families.

    https://www.tipsforbehealthy.com/

  • Reply Jayla Brown August 7, 2019 at 12:18 am

    I love condoms just fine they work and I have yet to get pregnant it’s been 5 years. I don’t like the feeling of being pressured to use a HBC because you can still be safe with just condoms and yes they can rip that’s where a plan B comes in at!

  • Reply Diane Wiegel August 15, 2019 at 10:12 pm

    Amazing in 2019 that there are 11 options with differing side effects. Only one for men ~ a condom. I just took my daughter who is on Epilepsy medicine that taking the pill would interfere with, make sure girls you tell your Dr. That information. One reason women's health care may be the most important.

  • Reply shivani balram August 21, 2019 at 5:59 am

    https://www.vamatoday.in/love-life/natural-birth-control/

  • Reply Jasmine Graciano September 9, 2019 at 2:35 am

    What are the side effects of of depo shot

  • Reply StickFiguresMaster September 27, 2019 at 2:03 pm

    All the woman needs to do is close her doors, no not the bed room doors, her legs. And say your only going on the face or breasts, not the pussy. And lastly she needs to know where the nuts are so she can give the man a good kicking.

  • Reply Belle H Pham September 30, 2019 at 7:30 pm

    What if a woman has latex allergy? Does any of these methods contain latex?

  • Reply Lilibeth Danias October 2, 2019 at 7:24 am

    How to use a calendar method?

  • Reply Niels Lindeburg October 29, 2019 at 4:30 pm

    VasDeBlock might be an alternative for men in the future: https://www.youtube.com/watch?v=NnOlAebOP7k  no hormones, no surgery and reversible

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