If you choose to be sexually active, our health care providers will help you understand your birth control options so you can pick one that works best for you. We will listen and work with you in a respectful, personalized approach so you understand your options and choose one that fits your personal situation. You can also meet with a trained student to talk about birth control options, safer sex strategies and pick up free condoms.
Sterilization is a procedure done by a health care provider outside Boynton that physically interferes with the egg travelling through the fallopian tube. This procedure is meant to be permanent and should only be considered by those who have definitely decided not to have children or are absolutely positive that they wouldn’t have any more children under any circumstance. People who have had sterilizations are still at risk for sexually transmitted infections and should still use condoms.
Nexplanon is the most effective birth control option available. It is a small rod that is inserted in your upper arm between the bicep and triceps muscles. It contains progesterone, a hormone that usually is produced in the ovary. It works by preventing ovulation. Many women have light bleeding and some women stop having a period all together. It lasts for three years but can easily be removed if there are any problems. Insertion and removal are performed in the office by a trained health care provider. A consultation visit with one of our providers is needed to determine if you are a candidate for an implant. The consultation is to help match your needs and to make certain the implant is a safe option for you. It does not protect against sexually transmitted infections.
Intrauterine devices (IUDs) are small T-shaped devices that are inserted into the uterus to prevent pregnancy. There are three types available at Boynton. All IUDs interfere with sperm and prevent sperm’s ability to fertilize an egg. The copper IUD (Paragard) prevents pregnancy for 10 years. There are two hormonal IUDs (Mirena and Skyla). Mirena prevents pregnancy for five years and Skyla prevents pregnancy for three years. An IUD needs to be inserted by a trained health care provider and can be removed at any time if pregnancy is desired or if there are any problems. A consultation visit with one of our providers is needed to determine if you are a candidate for an IUD. The consultation is to help match your needs and to make certain an IUD is a safe option for you. IUDs do not protect against sexually transmitted infections.
Depo-Provera shots contain progestin, a hormone that prevents ovulation. Once you get a shot, your birth control is covered for three months. But you have to come in every three months for the next shot - and it is important your come in on time. It can take nine to 12 months for fertility to resume after you stop the shot. Depo-Provera does not protect against sexually transmitted infections.
The Pill, Patch and Ring
These methods use estrogen and progesterone to prevent ovulation. You take the pill once a day, at the same time every day. The patch sticks on your skin and only needs to be changed once a week. You insert the ring into your vagina, leave it in place for three weeks, then take it out on the fourth week.
There are multiple doses of the pill, so if one doesn’t work, there is a good chance another will. Most women will ovulate four to six weeks after stopping any of these methods, assuming that they ovulated before starting. There are other non-contraceptive benefits as well. It is important to know that none of these methods protect you from sexually transmitted infections. Make an appointment with us to see if this is an option for you and to get a prescription.
Vaginal condoms, diaphragms and cervical caps
These methods are called “barrier” because they provide a physical barrier between the sperm and the uterus. An important thing to remember is you need to use them with spermicide. You need an appointment to get a diaphragm or cervical cap but vaginal condoms are available without a prescription at Boynton Pharmacy.
Emergency Contraception/Plan B
Emergency contraception can stop a pregnancy before it starts. It can be used up to five days after unprotected sex, but is most effective when used as soon as possible. Emergency contraception does not cause miscarriage or abortion, but it will prevent you from ovulating. Even if you are pregnant or become pregnant, it will not cause harm to a developing embryo. Keep in mind, emergency contraception does not prevent sexually transmitted infections.
Plan B is available by prescription, often covered by insurance (call the number on your insurance card to ask if you are covered). You may call the Nurse Line at 612-625-7900 or ask for it at Boynton Pharmacy.
Sterilization is a procedure done by a health care provider outside Boynton that physically interferes with the sperm from travelling through the vas deferens. This procedure is meant to be permanent and should only be considered by those who have definitely decided not to have children or are absolutely positive that they wouldn’t have any more children under any circumstance. People who have had sterilizations are still at risk for sexually transmitted infections and should still use condoms.
Male condoms provide a physical barrier between the sperm and the uterus. They are all more effective when used with a spermicide. The male condom is the best method to protect against sexually transmitted infections for anyone who is sexually active.
Abstinence is the decision to not have sex. It is the only way to prevent sexually transmitted infections and pregnancy. Remember that if semen gets near the vagina, pregnancy can still occur even without having penile-vaginal intercourse.
Fertility Awareness or Natural Family Planning
This involves tracking normal menstrual cycles, predicting possible days of ovulation, and avoiding intercourse on those days. It is best used by women with regular cycles. There are many books and websites that can help determine which days are best not to have sex. This is an inexpensive, hormone-free option. It does not protect against sexually transmitted infections.
Spermicides contain chemicals that immobilize or kill sperm. They come in a separate tube or can be found in a sponge that can be inserted in the vagina. They are not as effective when used alone and are best used in combination with condoms, diaphragms, and cervical caps. They are readily available without a prescription at Boynton’s pharmacy. Spermicides do not protect you from sexually transmitted infections.