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My patient, who is 11 years old and is developmentally delayed, fears needles and devices. What contraceptive would you recommend? #501/15

Contraception

Q:        I am a clinician and my patient today asked a question regarding her 11 year-old developmentally delayed daughter.  She has decision making skills at a 4 or 5 year level and is very interested in boys.  The mother wants to place her on birth control once she...

Considering all side-effects of hormonal and non-hormonal contraceptives, what method would you recommend for long-term protection? #411/15

Contraception

Q:        Good afternoon! I am a 23 year old female in graduate school who has recently entered into a monogamous, sexually active relationship, both of us negative for STDs/STIs. In the past, I never had sex enough to feel I needed to utilize birth control other than...

Are there other ways to treat a hyperechoic lesion within the andometrium other than hysterectomy? #406/15

Contraception

Q:        DEAR MAYO CLINIC: I am 40 years old. After having a period that lasted nearly two months, I had tests done that showed a small, hyperechoic lesion within the endometrium. What exactly does this mean? My primary care doctor suggested a hysterectomy as...

Is my patient a good candidate for combined pills, a ring or a patch? #409/15

Contraception, IUD

Q:        Hello, I have a question about postpartum birth control.  My patient is a 29 year old who just had her first baby (vaginal birth).  She is exclusively breastfeeding.  Her pre-pregnant BMI was 45.  Because of her weight, one of my partners thought it would be...

Should I worry about a late period if I use condoms and I also always take my pills correctly? #312/15

Barrier Methods, Contraception

Q         I have been on YAZ for about 6 months since stopping Ortho Tri-Cyclen Lo.  I usually start my period around the day or day after I start a new pack of pills.  My periods last for a day or two.  This month I am 12 days late so far.  I am assuming I won’t be...

Why would the cervix be left in place during a partial hysterectomy? #306/15

Contraception, Sterilization

Q         Can you please educate me abut why a cervix would be left in place during a partial hysterectomy?  Is there a medical benefit?  Why not just do a total hysterectomy? Great website!  Keep up the good work. Women’s health NP A:        I have asked Dr. Miriam...

What is endometriosis and how can it be treated? #1007/14

Contraception

  Endometriosis is a common cause of secondary dysmenorrhea.  It consists of endometrial glands and stroma outside the uterus. CONTRACEPTION: Treatments that eliminate menses often successfully reduce symptoms of dys­menorrhea caused by endometriosis. The LNG IUD...

What are the 4 most important benefits a woman receives above and beyond contraception? #203/15

Contraception

Q         Please provide me with an outline of the 4 most important benefits a woman on contraceptives receives ABOVE AND BEYOND CONTRACEPTION. A:        Message: Women receiving contraceptives receives SO MUCH MORE!!!I have almost heard it one time too often: “I...

Ask Dr. Z!

Board-certified as an OB/GYN with a fellowship in contraceptive research and education, I aim to help people make informed decisions about their health.

I’ve co-authored sixteen editions of Managing Contraception* with over one million copies in circulation. I’m here to answer your questions about birth control.

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DISCLAIMER

Suggestions, recommendations, questions, comments, data from the literature, interpretation of laboratory tests and other information provided on this site are for informational purposes only and are not intended to be relied upon as advice from or implied to be a substitute for the professional advice of a physician, nurse practitioner, nurse midwife, counselor or other healthcare professional. Always seek the advice of your clinician or other professional for any questions you may have regarding your health, medical condition, method of birth control and other family planning or personal/social issues. Periodic references to costs of birth control methods on this website are estimates only and your actual cost for any specific method of birth control may be more or less than the stated amount. Emory University School of Medicine, Bridging the Gap Foundation, and Bridging the Gap Communications Inc are not responsible for any damage or loss you may incur as a result of your use of or reliance on any material or information provided through this website.

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