Routine Gynecologic Care

Birth control patches containing the same hormones as birth control pills release a daily dose of estrogen and progestogen to the bloodstream via the skin. Proper application of birth control patch treatment prevents pregnancy in women by preventing ovulation, much like a birth control pill.

In addition to providing birth control, there are some of the health advantages associated with patch use including the reduced incidence of risk for cancer of the bowels, ovaries, and womb.

For maximum benefits, the patch must be placed correctly on the body. Read on for more about birth control patch administration and physician recommendations for use.

5 Areas to Avoid When Placing a Patch

The patch is intended for dermal use only and should be placed onto an area of your skin that is clean and dry. One disadvantage of birth control patch application is that visibility may occur unless placed properly in a discrete area; however, placement of a birth control patch under tight clothing may rub it off. The three main places to avoid when placing a patch are:

1. Cranium

The most obvious part of the body to avoid when placing a patch is the head or cranial area. Some users complain of mild or temporary migraine side effects at the outset of treatment. Place the patch somewhere below the cranial area to limit headaches and nausea during use.

2. Neck

The neck supports the cranium and carries synopsis to the spinal cord for motor function, holds the esophagus for swallowing transmission of food, drink, and medication ingestion, and serves as a secondary corridor for breathing.

In addition, hair growth and maintenance at the back of the neck makes it a poor location for adhesive application. Placement of a patch on the neck is not advised.

3. Chest

Do not place a birth control contraceptive patch on the chest. Not only will the patch be unsightly while wearing a blouse or top that is open at the neck, release of extra hormones to the chest can lead to heart attack or other arterial health problems.

4. Breasts

The hormonally sensitive breast area of the body should also not be subject to birth control patch administration. Do not place a patch under a bra or other undergarment touching the breasts.

5. Sore Skin Areas

Any area of the body experiencing temporary or long-term irritation or injury soreness is a poor location for patch placement. Do not apply a patch to sensitive skin or where hair can be pulled or interfere with its transmission.

Proper Birth Control Patch Placement

Placement of a birth control patch should be based on comfort, discretion, and adhesive resilience. When using a patch for the first time, select a location on the body that will not be abraded by clothing, visible to others while dressed, or fall off from perspiration or sexual activity. The most common areas for birth control patch placement are the lower abdomen, hips, buttocks, side of the torso, and upper arms.

Changing the location of a birth control patch once it has been placed is not recommended, unless causing a health issue or soreness of skin. If a patch is causing discomfort, or becomes exposed while wearing clothing, or requires replacement during the cycle of use, select a new placement location so that the new patch will be less noticeable, likely to rub off, or cause discomfort.

Physician recommended prescription for use of birth control patches is a new patch each week for a 3-week period following menstruation, and 1-week without patch administration. A new birth control patch should be applied at the beginning of the subsequent 4-week cycle regardless of menstrual cycle.

Medical Risks of Patch Use

Chronic or recent illnesses, an operation, or other pharmaceutical prescriptions taken simultaneously, are all issues that should be discussed with a physician in advance. Patch use is not advisable if pregnant or breastfeeding an infant under the age of 6 weeks old or if you have been diagnosed as being obese.

Uncontrolled hypertension, heart disease and a personal or family history of blood clotting disorders are also contraindications to use of the patch. If you are 35 years of age or older and are smoking or ceased smoking less than 1-year ago, birth control patch use is also not recommended.

Raleigh Contraceptive Care Options

Contraceptive care specialists acknowledge birth control patch use may not be a suitable method of pregnancy prevention for you depending on your own and family member’s medical histories.

If weekly patch replacement is an obstacle for preventive treatment, other contraceptive options such as birth control implant or intrauterine device (IUD) insertion may be an option. Other drawbacks are that birth control patches do not protect against STIs. Condoms are recommended for use with a patch for enhanced contraceptive protection.

Raleigh Gynecology & Wellness is Raleigh, North Carolina’s women’s health practice specializing in contraceptive care. Speak to a physician about birth control patch prescription and other contraceptive care options by scheduling an appointment with Raleigh Gynecology & Wellness.

Family planning can help couples to have the number of children they desire at times that work for them, and contraceptive care plays a crucial role in avoiding unwanted pregnancies. According to the US Department of Health & Human Services Office of Population Affairs, 45 percent of all pregnancies that occur in the nation are unintended.

Access to contraception is cited by the agency as playing a crucial role in both reducing the number of unwanted pregnancies and helping people achieve healthy spacing between births. Therefore, they recommend for women to have access to a variety of contraception methods.

Here is a look at the top reasons that contraceptive care is beneficial.

Contraceptive Care Gives People Control Over When to Start a Family

Contraceptive care is essential for planning when couples have children and how many they wish to have. It also helps them avoid pregnancy when they have decided that they wish to stop having children. This is a basic human right under the United Nations Declaration of Human Rights.

There are many reasons that partners may wish to delay or space apart births, including being able to follow career or educational goals that could otherwise be interrupted by having babies, which can increase their earnings ability. For some families, having fewer children means they are able to invest more time and money in the children they do have.

It Can Reduce the Incidence of Teenage Pregnancies

Another benefit of contraceptive care is its ability to reduce the number of teenage pregnancies that occur. Having a baby can negatively impact their ambitions and relationships, particularly for younger teenagers who lack the maturity and financial means to support a family.

Moreover, pregnancy in young people can lead to health problems for the baby and the mother, with babies born to teenagers having a greater likelihood of being underweight or succumbing to neonatal mortality.

It Can Decrease Pregnancy-Related Risks

Women with certain health conditions or other circumstances may be at serious risk should they become pregnant or give birth. Contraceptive care allows these women to avoid pregnancy until their bodies are able to support it. Contraceptive care can also help older people who would face high-risk pregnancies to avoid becoming pregnant.

It May Reduce the Need for Abortion

Abortion may be a controversial subject, but contraceptive care can reduce the need for abortions by preventing unwanted pregnancies from occurring. This also reduces the number of unsafe abortions that are performed, a leading cause of maternal death around the world.

What Does Proper Contraceptive Care Entail?

Here is a look at the components of effective contraceptive care.

Education and Counseling

Knowing which options are available is important when planning a family. There are many different approaches to birth control, and each comes with its own considerations. For example, certain types of hormonal birth control pills are not suitable for women who smoke and those with high blood pressure due to the risk of blood clots, while some women may not be able to afford more expensive options such as intrauterine devices.

Therefore, women should talk with their physician to find the right solution for their medical and financial situations. Another important consideration is future family planning goals. Some birth control measures are easily reversible, while others may require a doctor’s visit and a waiting period before the woman’s normal level of fertility is restored.

The main factors that should be considered when selecting a birth control method include how it is taken and how often, its efficacy, the potential for human error, side effects, impact on future fertility, and effects on menstrual regularity and flow.

Distribution and Follow-ups

Another important aspect of proper contraceptive care is the distribution of birth control. While condoms may be easy to dispense, men and women should learn how to use them first to avoid an unexpected pregnancy.

Birth control pills generally require a prescription, and many physicians will want to monitor patients’s blood pressure at follow-up appointments. Intrauterine devices and birth control implants, meanwhile, require a doctor’s visit for insertion as well as follow-ups.

For some women, there may be trial and error involved. If the first chosen method proves to be problematic or unsustainable, they may need to try different approaches until they find something that works for them.

Reach Out to the Contraceptive Care Team at Raleigh Gynecology & Wellness

If you are sexually active and wish to avoid pregnancy, effective birth control methods and/or devices are available and can help. Reach out to the experienced contraceptive care team at Raleigh Gynecology & Wellness today to discuss your options or schedule an appointment.

Sexually active individuals who do not wish to start a family have numerous choices when it comes to preventing pregnancy. Contraception gives women the ability to control when they want to have children. From condoms and spermicides to intrauterine devices and pills, there are many different ways of preventing pregnancy. Each option comes with its own advantages and disadvantages.

All contraception methods fall into one of two categories: barrier or hormonal. Here is a look at what sets these two methods apart and some of the benefits and drawbacks of each category.

Barrier Contraception Methods

As the name implies, barrier methods work by stopping sperm from physically entering your uterus and impregnating you. These methods do not use drugs or hormones to stop pregnancy from occurring. They are based on a simple premise: if sperm do not reach an egg, they cannot fertilize it and lead to pregnancy.

The most recognizable example of a barrier contraception method is a condom. These are usually made from a very thin piece of latex and are designed to stop semen from coming into contact with a woman’s reproductive tract.

When condoms are used correctly every time a couple has sex, they are considered 98 percent effective. However, there is a small possibility that they could slip off or break during sexual activity, in which case you could be at risk of a sexually transmitted infection or pregnancy.

Female condoms are also available. These are worn inside the vagina and work in the same way as male condoms, stopping semen from entering the vagina.

Diaphragms, or cervical caps, are another type of barrier contraception. These circular domes are made of silicone and inserted into the vagina prior to having sex. They cover the cervix, blocking sperm from entering. However, their reliability is not as effective as that of condoms; when used correctly and in conjunction with spermicide, they have an efficacy rate of 92 to 96 percent.

Hormonal Contraception

Hormonal contraception uses hormones to stop ovulation from occurring, which is another way of preventing pregnancy. There are many different types of hormonal birth control available.

The birth control pill is the best-known type of hormonal contraception. It is taken orally and contains artificial versions of female hormones that work to stop the release of an egg from occurring so sperm cannot fertilize it. It is more than 99 percent effective when taken correctly, but it is important to remember to take it each day at the same time. Some types of medication and illnesses with vomiting or diarrhea may make it less effective, however, and it has a low risk of serious side effects like blood clots.

Another popular hormonal form of birth control is a hormonal intrauterine device, or IUD. These T-shaped devices are inserted by a doctor into your uterus. They remain there and release a small amount of the hormone progestin into the body for a period of several years. This makes cervical mucus thicker, which means sperm can’t get through to an egg, and also stops eggs from leaving the ovaries in the first place so they cannot be fertilized. This prevents pregnancy and can sometimes reduce bleeding during periods as well.

Hormonal IUDs are easily reversible and do not affect fertility. There also a nonhormonal copper IUD option.

Other forms of hormonal contraception include skin patches and implants. The birth control patch is worn on the body and typically needs to be changed weekly. It delivers the hormones estrogen and progestin to the body to prevent pregnancy. This method is not suitable for women who have a body mass index of 30 or higher, however, due to the risk of blood clots.

The implant, meanwhile, is a small rod containing the hormone progestin that is inserted under the skin, usually in the upper arm, and can offer protection from pregnancy for around three years. It may cause irregular or unpredictable bleeding but is a highly effective method of birth control.

Preventing the Spread of Sexually Transmitted Infections

One of the most important differences between barrier methods of birth control and hormonal options is the fact that hormonal contraceptives do not offer any degree of protection from sexually transmitted infections.

Male condoms are the only form of contraception that can stop the transmission of sexually transmitted infections as they provide a barrier not only to semen but also to pathogens. However, this does not mean that those who wish to avoid STIs must choose condoms for contraception as well; you can use a dependable hormonal birth control method like the pill or implant to avoid pregnancy in conjunction with condoms when you are concerned about the risk of STIs.

Contact the Women’s Health-care Professionals

To learn more about the different types of birth control available and find a solution that meets your needs, get in touch with Raleigh Gynecology & Wellness today to schedule an appointment.

When the topic of sexually transmitted diseases (STD) comes up, many people focus on the types of infections that are passed through sexual intercourse. In fact, some people believe that they cannot get a sexually transmitted infection (STI) if they are not having penetrative sex. However, it is important to keep in mind that some sexually transmitted diseases can also be transmitted orally.

About Oral Sexually Transmitted Diseases

An oral sexually transmitted disease is a type of disease that is passed through oral sex. This refers to any type of sexual activity in which another person’s lips, tongue or mouth will come into contact with their partner’s genitals or their anus. Although you cannot get pregnant from this type of sex, it is still important to use protection given the possibility of transmitting or contracting an infection.

Sexually transmitted infections are passed through both sexual fluids and skin-to-skin contact. This means that if infected genital tissue comes into contact with tissues in the throat or mouth, an STI can be passed. Fluids do not need to be involved; any type of sexual contact does come with a risk of passing an infection. It is also important to note that some STIs, such as gonorrhea, can spread within the body, meaning that a disease that mostly affects the genitals could be transmitted through oral contact with the genitals of your partner.

Although the risk of contracting an infection in this manner is lower than the risk of getting one through vaginal or anal sex, several serious STIs can be transmitted orally. These include herpes, chlamydia, syphilis, HPV, and gonorrhea.

Chlamydia

Chlamydia is caused by a type of bacteria and is the most frequently reported type of bacterial sexually transmitted infection in the US. It often causes no symptoms, although people may experience a sore throat, and it can be cured using the right antibiotics.

Gonorrhea

Gonorrhea is another common type of sexually transmitted disease caused by bacteria, and it can be passed through oral sex. Although there may not be any symptoms, those that do appear often show up around a week after exposure. Antibiotics can often cure gonorrhea, but there are increasing reports of drug-resistant strains.

Syphilis

Syphilis is another sexually transmitted infection caused by bacteria that can be transmitted orally, but it is less common than the other infections. Although antibiotics can cure it, those who do not detect it and receive treatment could experience serious health complications such as neurological and organ damage.

Oral Herpes

Herpes simplex (HSV1) is also known as oral herpes, and cold sores are one of the most obvious symptoms. However, it can be contracted or transmitted even when a person is not showing any symptoms. It is a lifelong condition that cannot be cured, although antiviral medication can help ease discomfort and keep outbreaks under control.

HPV

Human papillomavirus, or HPV, is the most common sexually transmitted infection in America.

It does not always have symptoms, although there may be warts in the throat or difficulty speaking in those who have contracted it orally. HPV is concerning because it can lead to mouth or throat cancer. However, many HPV transmissions will be cleared by the body on its own.

Protecting Yourself From Oral Sexually Transmitted Diseases

Barrier methods such as condoms and dental dams are two good options for protecting everyone involved in oral sex. Condoms must be placed in a manner that completely covers the penis and must be thrown away after each use. It is also important to change a condom between oral sex and penetrative sex.

A dental dam, meanwhile, can cover the vulva and the vagina or anus. These can be purchased in most places that sell condoms, and they can only be used once before they must be thrown away. It is also possible to make your own by cutting a regular condom into the appropriate shape.

It is important to avoid having oral sex if you or your partner are experiencing any sores or cuts in or around the mouth, a sore throat, or an infection of the throat or mouth. You should avoid sex with a partner who has a visible lump, ulcer, or sore on their genitals, mouth, or anal area, even if you use a condom. Ask men not to ejaculate inside of your mouth, and you can also reduce the risk of infection by avoiding brushing your teeth or flossing immediately before oral sex.

Reach Out to Raleigh Gynecology & Wellness

If you believe that you may have contracted a sexually transmitted infection via oral sex or have any symptoms, contact Raleigh Gynecology & Wellness to schedule an appointment for a sexual health check. Beginning treatment as soon as possible can make a big difference.

Choosing a regular method of birth control is a big decision. The most effective methods often come with drawbacks that must be considered, so it is important to understand the pros and cons of each approach before making a decision. Here is a look at the advantages and disadvantages of some of the most popular birth control methods available.

The Pill

The birth control pill is one of the most popular forms of hormonal birth control. When it is used correctly, it boasts an effectiveness rate of 99 percent. Keep in mind that there is a wide variety of birth control pills on the market, and some have their own specific considerations. However, this also means that if one does not work for you, you may be able to find a different one that works better for your body chemistry.

Pros

• It is noninvasive in the sense that there is nothing to insert or implant.
• Many types can help reduce hormonal acne.
• Women can take it in a manner that enables them to skip their period every month, if desired.
• It can reduce the severity of symptoms associated with PMS.
• You can stop taking it whenever you wish and start trying for a family.

Cons

• Depending on your age, health, and other factors, it may raise your risk of blood clots and stroke.
• To enjoy its full effectiveness, it must be taken at the same time every day without fail.
• Some women may experience mood swings.

Hormonal IUD

A hormonal IUD is a device that your gynecologist inserts into your uterus that releases a small amount of progesterone into the system. This hormone can prevent pregnancy from occurring. Hormonal IUDs offer protection from pregnancy for several years.

Pros

• This is considered a set-it-and-forget-it method because you only have to have the device inserted once and can enjoy up to eight years of protection.
• It can make your period lighter or cause your periods to stop altogether.
• It has lower doses of hormones than the birth control pill.
• It offers the highest efficacy rate of all hormonal types of birth control.

Cons

• A gynecologist must insert and remove the device.
• It can be expensive for those whose insurance does not cover it.
• It can stop your period from coming altogether, which some women may find distressing despite being considered safe.

Copper IUD

A copper IUD is a type of intrauterine device that does not release hormones to prevent pregnancy. Instead, the copper that is used to make the device can deter sperm by killing them or pushing them to swim away from your egg.

Pros

• They are more than 99.9 percent effective, which is as close to perfect as you will find.
• They can last for as long as 10 years, making them a great choice for women who are certain they do not wish to start a family any time soon.
• Unlike hormonal IUDs, you will still have your period every month, which many women find reassuring.

Cons

• In some women, a copper IUD may cause their periods to be heavier or their premenstrual cramps to be more intense.
• Some women will experience irregular spotting during the first few months following insertion.

Condoms

For women who would rather not interfere with the natural hormones in their body or those who have had negative side effects while using hormonal birth control, barrier methods such as condoms form an impenetrable barrier between sperm and the cervix.

Pros

• There is no need to remember to take a birth control pill every day. Instead, you just need to ensure you have condoms on hand when you wish to have sex.
• It makes cleanup after sex easier.
• They offer protection not only from pregnancy but also from sexually transmitted infections, some of which can put your health at serious risk.
• Female internal condoms can be placed as much as eight hours prior to sex, which means foreplay does not have to be paused for insertion.

Cons

• Condoms can rip or come off accidentally, potentially rendering them ineffective.
• For some people, they may reduce sensation to some degree.
• You have to remember to use one and place it properly every time you have sex to prevent sexually transmitted infections and pregnancy.

The Patch

A birth control patch is stuck onto the skin, where it releases a controlled dose of hormones that can prevent pregnancy into the bloodstream.

Pros

• The patch only needs to be replaced one time per week, which means there is less to remember than there is with methods such as contraceptive pills and condoms.
• It is easy to remove if you wish to become pregnant.
• It can be 99 percent effective when it is used correctly.
• Side effects tend to be very mild.

Cons

• You must remember to replace the patch every week at the same time. This means there could be a chance of human error if you do not set automatic reminders.
• Although it is 99 percent effective when used correctly, its efficacy rate with typical use is only 91 percent.
• Although side effects are often mild, they do occur and may include breast tenderness, skin irritation, nausea, and headaches.

Discuss Your Options With the Experienced Raleigh Gynecologists

Every woman is unique, and there is no universally perfect choice of birth control. To explore the right options for your age, health status, and family planning concerns, schedule an appointment with the experienced North Carolina gynecologists at Raleigh Gynecology & Wellness today.