Category: Contraception | Managing Contraception

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

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...

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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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