Conditions and Management

Hormonal contraceptives are among the most effective options available for preventing pregnancy. The pill, patch, ring, shot, implant, and hormonal IUD methods work by using synthetic versions of the hormones progestin and estrogen to stop ovulation and thicken cervical mucus.

When used properly, combined hormonal contraceptives are 99% effective at preventing pregnancy. However, they do not defend against sexually transmitted infections.

Read on to learn how the various hormonal contraceptives work and their possible side effects.

How Hormonal Contraceptives Prevent Pregnancy

All hormonal contraceptives prevent pregnancy through one or more of the following mechanisms:

Suppressing Follicle Growth and Ovulation

In a natural menstrual cycle, a complex interplay of hormones from the brain’s pituitary gland stimulates the growth of ovarian follicles containing immature egg cells. The most mature follicle eventually ruptures to release an egg, a process called ovulation.

By keeping progesterone and estrogen levels artificially high, hormonal contraceptives suppress pituitary signals. This prevents ovarian follicles from maturing and releasing eggs.

Thickening Cervical Mucus

Progestins also thicken the mucus plug at the cervix’s opening. This creates a barrier that stops sperm from meeting and fertilizing any eggs that may be released.

Thinning the Uterine Lining

In addition, the hormones partially suppress the growth of the uterine lining (endometrium). This prevents the implantation of any fertilized eggs. However, this does not cause termination of existing pregnancies—it only stops fertilized eggs from continuing to develop.

Different Delivery Methods for Hormonal Contraceptives

While hormonal contraceptives all work through similar mechanisms, various methods deliver hormones to the body uniquely:

The Patch

The weekly contraceptive skin patch sticks onto the skin and continuously releases estrogen and progestins. These get absorbed into the bloodstream directly through the skin. A new patch must replace the old one weekly to maintain pregnancy prevention.

The Pill

A birth control pill is taken daily by mouth. The hormones get absorbed into the bloodstream through the digestive tract. Different brands contain varied mixtures and doses of synthetic estrogen and progestin. Taking a pill at the same time daily is essential for maximum effectiveness.

The Vaginal Ring

A flexible ring inserted into the vagina also steadily releases a combo of estrogen and progestin. The vaginal walls absorb the hormones so they can enter the bloodstream. The ring stays in place for three weeks and gets replaced with a new one after removal for one week to allow for a monthly period.

The Shot

The contraceptive injection contains only synthetic progestin. The shot gets administered into the arm or buttocks muscle every three months by a healthcare provider. The progestin then slowly enters the circulatory system from the injection site.

The Implant

A thin rod containing progestin gets inserted just under the skin, typically on the inner upper arm. It steadily releases hormones for up to five years. Removal and replacement require a minor office procedure.

The IUD

Intrauterine devices (IUDs) are devices that are shaped similarly to the letter T and positioned inside the uterus. Hormonal IUDs contain synthetic progestin that gets absorbed into the uterine lining. Less commonly, IUDs slowly release copper ions that are deadly to sperm and prevent fertilization.

Potential Side Effects of Hormonal Contraception

For most women, hormonal contraceptives are extremely well tolerated with few issues. However, some possible short-term side effects include:

• Headaches
• Nausea
• Breast tenderness
• Mood changes
• Spotting between periods
• Weight changes

These often resolve within three months as the body adjusts. If not, changing to a different delivery method or adjusting hormone doses can help.

There is also a small increased risk of serious issues such as blood clots or high blood pressure in some women. This tends to occur more frequently among women over age 35 who also smoke or have additional risk factors.

Because of these concerns, those with a history of issues such as liver disease, blood clots, cardiac disease, stroke, or breast cancer may not be able to use hormonal contraception safely.

Effectiveness Depends on Proper Use

When used exactly as prescribed, hormonal contraceptives effectively prevent pregnancy over 99% of the time. However, typical real-world usage lowers effectiveness since women may occasionally forget to properly take pills, replace patches or rings, or make appointments to get new shots or implants.

With the pill, a 12-hour window is allowed after a missed daily dose. But missing more than one pill per cycle or delaying the replacement of other hormonal methods by more than 24 hours eliminates protection for the remainder of that month. Additional backup contraception, such as condoms, becomes necessary in such instances.

Choosing the Right Method for You

There are many hormonal contraceptive options to suit diverse needs and preferences. The pill offers flexibility but requires strict adherence. Methods such as the IUD and implant don’t require ongoing effort after placement but need in-office removal procedures.

When weighing choices, consider your health history, tolerance for side effects, and ability to utilize different delivery mechanisms properly. Tracking menstruation may also influence decisions. Discuss all these factors with a knowledgeable gynecologist when selecting the ideal contraception for your situation.

Turn to Raleigh Gynecology & Wellness for Trusted Contraceptive Care

The Raleigh Gynecology & Wellness team has extensive experience helping women select appropriate, effective, and well-tolerated contraception. We take time to understand medical history, lifestyles, reproductive goals, and preferences to offer customized recommendations.

For expert guidance identifying the ideal hormonal or non-hormonal contraception for your needs, contact us today at (919) 636-6670 or online to schedule a consultation. Our team looks forward to helping you make informed, empowered contraceptive choices for health and well-being.

Getting an IUD inserted can be an uncomfortable experience. Many people feel cramping and pain during and after the insertion procedure as their bodies adjust. This discomfort is common and expected, though the severity and duration vary from person to person.

The good news is that many effective remedies help relieve IUD cramping while your body heals.

What to Expect After IUD Insertion

Cramping and discomfort after getting your IUD are normal. During the insertion, your doctor opens your cervix so the IUD can be placed into your uterus. The cervical manipulation and the presence of a foreign object can cause temporary irritation.

You may feel moderate cramping when the IUD is inserted, which may last a few minutes to a few hours afterward. Many find over-the-counter pain medications provide sufficient relief once they leave the doctor’s office.

However, don’t be surprised if you continue having intermittent cramping that feels similar to menstrual cramps over the next few days or weeks. Spotting is also common during this time frame. Discomfort usually decreases day by day but can potentially persist at a low level for 3-6 months after insertion.

While inconvenient, remember that this is your body’s natural reaction, and it will fade. Pay attention to any worsening of symptoms, though, which may signal a problem requiring medical attention.

Methods to Help Ease Discomfort

When trying to find relief from post-IUD cramping, over-the-counter (OTC) medication is often the first line of defense:

• Ibuprofen (Motrin, Advil) – This anti-inflammatory drug works well for relieving cramping and inflammation. Take 600-800 mg every 6-8 hours as needed.
• Acetaminophen (Tylenol) – While not technically an anti-inflammatory, acetaminophen can reduce IUD cramping by blocking pain signals to the brain. Take 325-650 mg every 4-6 hours as necessary.
• Naproxen (Aleve) – Naproxen is another anti-inflammatory option similar to ibuprofen you can alternate with for pain relief. Start with 220-500 mg initially, and then 110-275 mg every 8-12 hours.

In addition to oral medication, you may find comfort using topical options such as heating pads and hot packs over your lower abdomen and back. The heat will help relax the tense muscles, easing discomfort.

Be sure to take it very easy for the first 1-2 days following your IUD insertion. This gives your body adequate rest and recuperation to heal. Light exercise is fine, but avoid anything strenuous. Wear loose, comfy clothing and permit yourself to lounge if needed.

It’s also essential to continue focusing on healthful nutrition and proper hydration during your recovery. Concentrate on eating fresh, nutrient-dense foods while limiting inflammatory triggers such as sugar, fried items, and alcohol, which can worsen cramping.

Lifestyle Adjustments to Aid Healing

Making certain lifestyle tweaks during your initial recovery from an IUD insertion can optimize your progress and comfort.

Give your body about 3-5 days before resuming vigorous workouts, and wait 1 week before having intercourse. This allows inflammation to resolve and lowers the risk of infection.

Be attentive to getting plenty of downtime, too. Nurture yourself by turning in early, reducing obligations, and finding healthy stress outlets such as light yoga, mindfulness, or music. Think of it as granting your body the grace period to bounce back.

Warning Signs to Watch For

While post-insertion cramping and minor bleeding/spotting are very standard, there are some red flag symptoms to watch out for indicating a potential complication:

• Severe pain that suddenly worsens and does not respond to medication
• Bleeding heavily enough to soak through a pad or tampon hourly
• Bleeding that contains large clots
• Foul-smelling vaginal discharge
• Fevers over 100.4°F

If you experience any of these warning signs, promptly contact your healthcare provider to rule out problems such as infection, perforation, or expulsion. They can also examine and ensure that your IUD remains properly positioned. If these worrisome symptoms arise, take them seriously and do not wait.

When to Contact Your Doctor

You should touch base with your gynecologist about persistent cramping under the following circumstances:

• Cramping worsens instead of improving over the first 1-2 weeks
• Discomfort continues severely impacting daily function after 4-6 weeks
• Menstrual flow becomes extremely heavy with clots
• You suspect pregnancy due to signs such as nausea/vomiting and missed period

While most devices settle in without incident after about three months, every woman’s response is unique. Abnormal pain levels, sudden changes in bleeding patterns, or confirming that the IUD did not stay in the correct position all warrant medical assessment.

Seeking Long-Term Relief

Suppose your IUD cramps linger longer than the typical 3-6 month window. In that case, there are some supplemental options your doctor may recommend trying:

• Vitamin B1 – Also called thiamine, vitamin B1 helps regulate nerve signals and muscle contractions, which can ease persistent cramping. Typical dosing is 50-100 mg daily.
• Omega-3 Fatty Acids – Anti-inflammatory omega-3s found in fish and flax oils can gradually help calm an irritated uterus when taken regularly in high enough amounts. Aim for a minimum of 2000 mg a day.
• Magnesium – This essential mineral is depleted during stress, contributing to tense uterine muscles and cramping. Restoring healthy magnesium levels by taking 300-400 mg daily rectifies muscle tightness.

For patients needing significant cramp relief, a doctor may prescribe muscle relaxants, nerve pain agents, or hormonal treatments. Alternative medicine approaches such as acupuncture also help some women find lasting alleviation of stubborn discomfort.

Work with Raleigh Gynecology & Wellness for the Ultimate in Post-IUD Care

If troubling side effects arise with your IUD or questions emerge about ideal management for your situation, Raleigh Gynecology & Wellness has knowledgeable clinicians who offer personalized guidance. We have extensive training in all types of birth control along with expertise in treating post-insertion difficulties.

Contact us today at (919) 636-6670 or online to find out how we can assist you in easing discomfort or deciding if a different contraceptive method better fits your needs.

To avoid getting pregnant, an increasing number of women are turning to intrauterine devices (IUDs) for several reasons, including convenience, effectiveness, and duration of use.

However, considering that two main types of IUDs are available on the market—hormonal and non-hormonal copper—it can be confusing to determine which is best for your needs.

When considering an IUD, you’ll want to weigh a few key factors: effectiveness rates, potential side effects, duration of use, upfront and long-term costs, desired effects on your menstrual cycle, and your comfort level with the method and available brands.

Doing homework on these aspects will help you find the right solution tailored to your body, lifestyle, and family planning goals.

A Look at Effectiveness

The first significant difference between copper and hormonal IUDs is their failure—or pregnancy rates. Copper IUDs, such as ParaGard, offer near-perfect protection against pregnancy with a failure rate of just 0.8%%. That means approximately eight out of a thousand women will become pregnant over the course of a year with typical copper IUD use.

Hormonal IUDs, such as Mirena, Kyleena, or Liletta, have even lower failure rates, typically less than 0.2%%—or two out of a thousand women getting pregnant per year. This extremely high efficacy means hormonal IUDs offer nearly fail-safe protection.

It is important to keep in mind that the effectiveness of an IUD can change at different points over its lifespan. For example, hormonal IUDs only reach peak performance about a week after being inserted.

In contrast, copper IUDs start working immediately after placement. However, the latter may have slightly higher failure rates toward the end of their approved usage window.

Evaluating Potential Side Effects

Copper and hormonal IUDs also differ in their potential effects on the body. Copper IUDs frequently lead to more significant changes in menstrual bleeding.

For example, many women report their periods getting substantially heavier and more painful with a copper device. Cramps, longer periods, spotting, and mid-cycle bleeding are also common complaints.

In contrast, women using hormonal IUDs commonly report lighter, shorter periods, and may even achieve amenorrhea (absence of menstruation periods) over time.

After the first 3-6 months, users usually see dramatic improvements in flow amount and enjoy shorter cycle lengths. Mood changes, headaches, acne, and breast tenderness are reported; however, most symptoms resolve within the first 90 days for most patients.

Checking Duration of Use

When considering the duration of contraceptive coverage, copper wins out over hormonal IUDs. A single copper IUD can protect from pregnancy for up to 10 years.

Given that the device costs up to $1,500 upfront, its longevity makes it much less expensive than other birth control options based on the usage cost per year.

Meanwhile, hormonal IUDs last 3-7 years, depending on the brand. While replacing the devices more often involves a repeat insertion procedure and purchase cost, some women prefer shorter-acting contraception in case their needs change and many women choose the hormonal IUDs for the favorable effects on their menstrual cycles.

Assessing Upfront and Long-Term Costs

Both copper and hormonal options range from $500 to $1,500 before insurance steps in. However, most providers cover all or some insertion device fees, making IUDs surprisingly affordable. Depending on your specific health plan—and deductible status—you may pay little to nothing out-of-pocket.

When considering how long you’ll be able to use it, a hormonal IUD often works out to be less expensive in light of frequent insurance benefits and lower upfront costs. Just be sure to keep in mind that you’ll have to remove or replace it every three to seven years.

Controlling Your Menstrual Cycle

If regulating your monthly flow is a top priority, then a hormonal IUD offers superior relief. The steady release of progestin thins the uterine lining and often stops ovulation altogether. This leads many users to shorter, lighter, or absent periods after the first 90 days.

For heavy or painful menstrual cycles, Mirena, Kyleena, Liletta, or Skyla can provide marked improvement. This is a significant difference over the copper IUD which is reported to frequently make cycles heavier and crampier for most women.

Reviewing Your Comfort Level

Another factor to consider is how comfortable you are with the idea of an IUD. If having a foreign device implanted in your body seems unpleasant, then additional hormones from an IUD may sound equally unappealing.

However, the low systemic absorption of hormone and steady-release dosing reduces the risk of side effects compared with other hormonal options.

Doing your homework on brands, dimensions, hormone levels, duration of use, and insertion procedures will shed light on the best selection for your comfort.

Don’t hesitate to ask your OBGYN, too. Every patient has unique needs and perspectives, so open conversations are essential in making an informed decision.

Turn to Raleigh Gynecology & Wellness for Assistance with Choosing the Right IUD for You

Deciding between copper and hormonal IUDs is a matter of determining what is most important for your lifestyle and where you see your choices heading in the near future. If you are still undecided about IUD options, consult an experienced OBGYN at Raleigh Gynecology & Wellness for guidance.

With a comprehensive review of your history and an open discussion around your goals and tolerances, an expert can help you identify the ideal IUD.

Raleigh Gynecology & Wellness offers exceptional insight into all contraception choices while supporting your journey toward confident family planning. Contact us today at (919) 636-6670 or online to schedule a consultation.

Barrier methods such as condoms, diaphragms, cervical caps, and spermicides can provide effective protection against pregnancy when used properly.

Follow these tips and tricks to select the best barrier methods for your needs, use them correctly every time you have sex, and know what to do if mistakes happen.

Understand All the Barrier Options Available

The first step to using barrier contraceptives effectively is understanding exactly what they are and the various options to choose from.

Barrier methods work by physically blocking sperm from entering the uterus and reaching an egg. Some also protect against sexually transmitted infections.

Types of barrier methods include:

• External or “male” condoms fit over the erect penis to catch semen, preventing sperm from entering the vagina.
• Internal or “female” condoms are pouches inserted in the vagina before sex. The inner ring anchors the condom behind the pubic bone, while the outer ring stays outside the vaginal opening.
• Cervical barriers, such as a diaphragm, cervical cap, or contraceptive sponge, block the cervix, so sperm can’t pass through.
• Spermicidal gels, foams, creams, films, and suppositories kill sperm trying to make their way past the vagina.

Find the Method that Fits Your Anatomy

Getting the right size is essential for cervical barriers such as diaphragms and caps that block the cervix. See a healthcare provider for a fitting to determine the product with the best anatomical match.

One-size diaphragms may work for those who haven’t given birth. The vagina changes shape during arousal, so you might try different sizes of internal condoms to see what feels most secure during sex.

External condom brands vary in shape and width, so explore to find the best fit for you and your partner.

Trying a few kinds helps ensure you have condoms that feel good and stay put. Check the package before unrolling on the penis.

Learn to Insert and Use Barriers Correctly

Following the exact usage instructions every time you have sex ensures your barrier method works effectively. Common mistakes make pregnancy or infection more likely.

For condoms, pinch the tip while rolling onto the erect penis to leave extra space at the end to collect semen. Smooth out any air bubbles.

Apply water- or silicone-based lube to prevent breakage. After ejaculation, grip the base of the condom as you withdraw to keep it from slipping off.

Always apply spermicidal gel before inserting a diaphragm, cervical cap, or sponge. Check that the barrier method completely covers your cervix before and after sex by feeling with your finger.

Leave barriers in place for the recommended time after sex before removal. First, wash your hands when using spermicidal film, suppositories, or tablets.

Insert the spermicide close to your cervix several minutes before intercourse. Apply additional doses if needed per the product instructions.

Discuss Barrier Use with Your Partner(s)

Having an open, honest conversation with your partner makes it more likely you’ll both use the barriers correctly and consistently.

Discuss the reasons barrier methods matter for preventing pregnancy or sexually transmitted infections.

Agree that you’ll always use the barriers during sex and foreplay. Talk about how you’ll put them into place for times of intimacy.

Troubleshoot any awkwardness or discomfort. Address what you would do in case of problems such as slipping, breakage, or other mistakes. This builds trust and accountability.

Consider Using a Backup Method

No single birth control method is 100% reliable with real-world use. Using a second, non-hormonal barrier method provides extra pregnancy prevention and STI protection.

Try pairing condoms with a diaphragm, cervical cap, or spermicidal gel. The condoms protect against infections, while the other method provides backup contraception.

Dual barrier use lowers the risk of user error, slippage, or breakage. If one fails, you still have pregnancy protection.

Get Tested for STIs Regularly

While barriers reduce STI risk, they can’t prevent transmission in every scenario. Use condoms properly every time you have sex, and go for regular STI testing even if neither you nor your partner(s) have symptoms.

Let partners know about positive test results immediately so you can both get treated before infecting others.

Testing every three to six months is wise if having multiple partners or casual sex. An annual screening lets those in longer-term, mutually monogamous relationships confirm everything is in order.

Make testing part of your regular health routine.

Keep Emergency Contraception as a Backup

Even individuals diligent about the proper use of barrier methods may experience mistakes such as condom breaking, cap dislodging, or forgotten spermicide doses.

Having emergency contraceptive pills on hand provides reassurance. Emergency contraception works best the sooner you take it after a barrier mistake. Both over-the-counter options and prescription pills can prevent pregnancy if started within five days of sex.

They’re safe to use more than once. A healthcare provider can insert an IUD for emergency contraception up to 5 days after unprotected intercourse.

Raleigh Gynecology & Wellness: Barrier Method Specialists

Raleigh Gynecology & Wellness’ team of experts has extensive experience helping patients choose the best barrier methods for safe, enjoyable intimacy.

We take the time to understand your relationships, activities, and preferences to recommend appropriate solutions and teach optimal usage techniques.

To explore the range of barrier options and get answers to all your questions, contact us today at (919) 636-6670 or schedule an online consultation and let our team offer you the judgment-free support you need so you can experience worry-free intimacy.

Hormonal contraceptives go beyond just preventing pregnancy. When chosen correctly, these methods offer women multiple health benefits that lead to an improved quality of life.

From lighter, predictable periods to protection against certain cancers, hormonal contraception has a lot to offer.

Lighter, More Regular Periods

One of the most appreciated benefits of hormonal contraception is its ability to tame periods. The hormones stabilize the uterine lining, leading to lighter bleeding every month.

For many, this leads to a significant reduction in the amount of blood they lose during menstruation.

Lighter periods mean less chance of iron deficiency anemia, which causes unpleasant symptoms such as weakness, dizziness, and shortness of breath.

Additionally, hormonal contraceptives promote a more regular menstrual cycle. While some experience unpredictable bleeding when first starting hormonal birth control, periods typically become much more predictable within 2-3 months of consistent use.

Less Menstrual Pain

At some point, a large proportion of menstruating women deal with painful cramps, a condition called dysmenorrhea.

For some, the pain is mild, but for others, it is severe enough to significantly negatively affect their day-to-day activities for a few days every month. The prostaglandins released when the uterus contracts are to blame for those crippling cramps and lower back pain.

The hormones in birth control quiet prostaglandin production. This prevents the severe uterine contractions that trigger intense cramping and pain. As a result, most women experience less painful periods within three months of starting hormonal contraceptives.

Fewer Premenstrual Symptoms

In addition to period problems, hormonal contraceptives can improve other issues tied to the menstrual cycle. The fluctuations in estrogen and progesterone do not only affect the uterus.

For many, these swings cause premenstrual syndrome (PMS). Days to weeks before your period, you may feel bloated, weary, and emotionally sensitive.

By regulating hormones throughout the cycle, birth control pills, patches, rings, and more can smooth out those surges and plunges. This keeps hormones at more consistent levels and alleviates PMS symptoms.

Those with moderate to severe premenstrual dysphoric disorder (PMDD) may find hormonal contraception particularly helpful for controlling mood swings and irritability.

The Option to Skip Periods

While hormonal contraceptives regulate the menstrual cycle for most users, taking it a step further is also an option. It is safe to skip the placebo pills or hormonal-free week built into most hormonal birth control regimens.

This allows you to avoid periods altogether. Without breaks or placeholders, extended use or continuous dosing works by taking active hormone pills, changing patches, or inserting new rings consecutively.

After making it through the initial months of unpredictable bleeding, you can determine your ideal frequency of withdrawal bleeding.

Reduced Cancer Risk

An important yet lesser-known benefit of hormonal contraception is its protective effect against certain cancers. By keeping estrogen levels low and steady, it may help prevent the development of cancer-causing cells.

Those who use hormonal contraceptives cut their risk of developing ovarian and endometrial cancers significantly compared to women who have never touched them.

This protective benefit strengthens the longer you use hormonal birth control. However, it may take up to 10 years of use to realize the full cancer risk reduction.

Less Pelvic Inflammatory Disease

Pelvic inflammatory disease, or PID, is an infection that occurs in female reproductive organs, often resulting from untreated sexually transmitted infections, including gonorrhea and chlamydia. In addition to pain and fever, PID can do permanent damage.

Scarring and blocked fallopian tubes increase the risk of infertility, chronic pain, and ectopic pregnancy. By thickening cervical mucus, hormonal contraceptives help prevent infectious bacteria from ascending into the uterus and pelvis.

Clearer Skin

For those plagued with pimples, oily skin, and persistent acne, hormonal birth control may offer some relief. Some people notice an improvement in their complexion within six months of starting contraceptives.

How exactly it works is not fully understood, but it is believed to help by decreasing oil production and reducing inflammation.

While contraceptives alone usually will not clear up severe nodular acne, they can be helpful alongside acne treatments. Patience is required, though, as it could take a few months.

Stronger Bones

Estrogen helps build and maintain healthy bones during youth and adolescence. During adulthood, it helps keep bone mineral density at a healthy level.

It enables the body to use calcium, a key mineral for bone health, effectively. Most hormonal contraceptives contain estrogen.

This small daily dose is just enough to maintain bone density in adults up to menopause. Therefore, hormonal contraception helps prevent bone loss and osteoporosis risk of low estrogen levels in aging women.

Relief from Endometriosis

Endometriosis, a condition causing tissue similar to the endometrium to grow outside the uterus, affects over 6 million women. Along with severe menstrual cramps, it also causes pain in between periods.

Suppressing estrogen production and preventing ovulation helps restrict endometrial tissue growth. For this reason, hormonal contraceptives often provide relief from endometriosis symptoms.

Return of Fertility

An important consideration before committing to longer-term hormonal contraceptives is understanding how they affect future fertility after stopping.

While every woman responds differently, most return to fertility within 1-3 months after discontinuing shorter-acting methods such as the pill, patch, or ring.

With the shot or implant, it may take up to 6 months for fertility to fully return. It is essential to plan accordingly if pregnancy is desired soon after stopping.

Have an open conversation with your gynecologist regarding your fertility plans and get personalized guidance.

Choose the Best Birth Control for You with Help from Raleigh Gynecology & Wellness

With all the health benefits hormonal contraceptives offer beyond pregnancy prevention, it is worth exploring if it may be a good option for you.

Every woman has unique needs, risks, and priorities. Discussing the benefits and drawbacks with your gynecologist is important to determine if hormonal birth control aligns with your health and wellness plan.

When it comes to understanding a multifaceted issue such as hormonal contraception, rely on the expertise of Raleigh Gynecology & Wellness.

Our team of healthcare experts takes time to understand your health history, goals, and preferences to ensure you make the right choice for your needs. Contact us today at (919) 636-6670 or make an appointment online.