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Raleigh Gynecology & Wellness

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5 Ways to Take Control of Your Reproductive Health through Contraceptive Care

Routine Gynecologic Care

Raleigh Gynecology · March 25, 2024 ·

 NC woman hand holding crotch suffering from period painAlmost half of all pregnancies in the U.S. are accidental. This highlights the importance of contraceptive care in giving women the ability to manage their reproductive health.

Correct and consistent usage of contraception is key to reducing the risk of unplanned pregnancy. However, contraceptive care offers many more benefits beyond pregnancy prevention.

Here are five key ways that contraceptive care can empower you to take the reins of your reproductive health:

1. Prevent Unintended Pregnancy

Typically, the risk of pregnancy is high – around 85% over a one-year period – for women who use no contraceptive method. Access to contraceptive care significantly lowers your chances of having an accidental pregnancy.

The full range of contraceptive methods, when used properly and with consistency, work very well at preventing pregnancy.

Long-acting reversible contraceptives or LARCs, such as IUDs and implants, have failure rates of less than 1% with perfect use.

Even shorter-acting methods such as the pill, patch, ring, and shot are over 90% effective with perfect use. And permanent methods such as tubal ligation provide virtually foolproof protection.

Unintended pregnancy can have significant health, social, and economic consequences. It increases risks associated with delayed prenatal care, premature birth, low baby weight, maternal depression, and poor maternal bonding with the newborn.

Unintended pregnancies may prevent women from achieving their educational and career goals. Contraceptive care enables women to prevent unplanned pregnancies so they can avoid these adverse outcomes and have children when the time is right.

2. Space Pregnancies

Health experts recommend that women space their pregnancies at least 18 to 24 months apart. Short intervals between pregnancies negatively impact mom and baby.

For mothers, closely spaced pregnancies increase risks of preterm birth, low birth weight, preeclampsia, and prenatal depression.

For babies, short pregnancy spacing raises risks of preterm birth, low birth weight, and small gestational size – all associated with infant mortality and chronic disease later in life.

By planning pregnancy spacing, contraceptive care promotes optimal health. It empowers women to use birth control to plan the timing between pregnancies.

This enables the body to completely recover and return to pre-pregnancy health before conceiving again. Proper spacing also allows mothers to replenish important nutrients, such as folic acid, that are depleted during pregnancy.

3. Treat Medical Conditions

Raleigh, NC women holding birth control pillsIn addition to spacing births, contraceptive care offers non-contraceptive health benefits. Hormonal birth control methods can treat several conditions unrelated to pregnancy prevention.

For example, combined oral contraceptives (estrogen plus progestin pills) are often prescribed to alleviate menstrual disorders such as heavy or painful periods, irregular cycles, and endometriosis.

The hormones that birth control pills contain can help regulate your periods and reduce symptoms.

Other conditions that can be treated with hormonal contraceptives include polycystic ovarian syndrome (PCOS) and premenstrual dysphoric disorder (PMDD).

Contraceptives may also be used alongside other medications to treat acne, hirsutism, amenorrhea, menstrual migraines, and uterine fibroids.

This demonstrates the range of gynecological conditions that can be managed through contraceptive care when other treatment options prove ineffective.

4. Avoid Dangers of Pregnancy

For women with certain medical conditions, pregnancy can be risky or even life-threatening. Contraceptives allow women to avoid these dangers by preventing pregnancy altogether.

Conditions such as hypertension, diabetes, heart disease, and breast cancer can seriously endanger the health of the mother and baby during pregnancy.

The health risks may simply be too high for pregnancy to be advisable. Women with these conditions require highly effective contraceptive options.

Contraceptive methods such as sterilization, LARCs, pills, patches, rings, and shots provide the level of protection needed. This gives women control over protecting their health by avoiding pregnancy through contraceptive care.

5. Plan Pregnancies

Contraception enables women the time needed to plan and prepare for pregnancy mentally, physically, and financially. It allows women to achieve educational and career goals before having children.

They can plan to conceive when they have a supportive partner and feel emotionally ready. A planned pregnancy leads to improved nutrition and healthcare, such as folic acid intake and stopping smoking or alcohol use before conceiving.

Contraceptive care puts women in control of the timing of pregnancies so they align with personal circumstances.

Women can thoughtfully plan childbearing for when they have the resources and maturity needed for successful parenting. This leads to positive outcomes for both mother and baby.

Seek Expert Contraceptive Care at Raleigh Gynecology & Wellness

NC woman wearing white shirt sitting on bed have a bladder painContraceptive care offers women empowerment over their reproductive health. It enables women to prevent unintended pregnancies, space births appropriately, treat gynecological disorders, avoid pregnancy complications, and thoughtfully plan pregnancies.

Each contraceptive method has its benefits when it comes to improving women’s health and well-being. Raleigh Gynecology & Wellness offers patient-centered contraceptive counseling and care.

We work with you to select the contraceptive method that is in line with your goals for your reproductive health and medical needs.

Contact us today at (919) 636-6670 or schedule an online consultation to take control of your reproductive health through personalized contraceptive care.

Raleigh Gynecology · March 11, 2024 ·

 NC young woman holding a copper IUD in her handAs intrauterine devices (IUDs) grow increasingly popular for preventing pregnancy over extended periods of time, women considering this form of long-acting yet reversible birth control may still have pressing questions.

With new IUD varieties recently introduced and more options now available, it’s essential to understand the differences when weighing an IUD for your situation.

By knowing the right questions to ask before your gynecology appointment, you can gain the knowledge necessary to make an informed decision.

If you are considering an IUD but are unsure where to begin, this article covers some of the topics you’ll want to explore further with your gynecologist.

Clarifying Your Birth Control Needs and Preferences

Before diving into the specifics of each IUD variety, clarify your overall family planning needs and preferences to help determine if this method suits you. Key points to share upfront with your gynecologist include:

  • Do you hope to get pregnant within the next 5 to 10 years? Since IUDs provide long-acting yet reversible contraception, they may not be the best option if you’re looking to conceive sooner rather than later.
  • Do you have a preference between hormonal and non-hormonal options? There are pros and cons to both, so think through which you’d feel most comfortable trying first.
  • How important is eliminating your period to you? Some hormonal IUDs can eventually help make periods lighter and less frequent over time. If maintaining monthly menstruation is a priority, a non-hormonal IUD may be preferable.

By covering these basics early on, your gynecologist can better guide you toward the IUD varieties that suit your lifestyle and wellness needs.

Understanding the Various IUD Options

If an IUD seems suitable after discussing your family planning priorities, the next step is learning about the available options. Key questions to ask include:

  • What kinds of IUDs do you recommend and why? There is one copper IUD and four hormonal IUDs currently on the market, each with varying lifespans and dose delivery methods. An experienced gynecologist can break down the differences to help determine which may work best for your situation.
  • How exactly do copper and hormonal IUDs differ? Understanding how each type works to prevent pregnancy can clarify some of the pros and cons. For instance, copper IUDs prevent fertilization through inflammation and are non-hormonal. In contrast, hormonal IUDs thicken cervical mucus and thin the uterine lining to prevent sperm from reaching an egg.
  • What are the possible side effects of each IUD type? Side effects differ between copper and hormonal IUDs, with hormonal varieties more likely to cause intermittent spotting in the first 3-6 months and copper IUDs more associated with heavier cramps and periods, especially early on. Knowing the range of possible side effects can set reasonable expectations.

By getting the facts on how various IUDs function and their unique potential impacts, you’ll be well-equipped to select the variety that makes the most sense for your body.

Learning About Insertion Logistics and Considerations

Undergoing the insertion process may seem intimidating when getting an IUD initially. Arm yourself with knowledge ahead of time by asking:

  • Does my medical history indicate any contraindications? Certain health conditions may make IUD insertion riskier, such as a severely distorted uterine cavity or current pelvic infection. Asking this allows your gynecologist to consider potential precautions based on your medical background.
  • Should I take any medications beforehand? Anti-inflammatory meds such as ibuprofen before insertion can help minimize cramping discomfort. Depending on your pain tolerance, you may also ask your gynecologist about available local anesthetics to ease insertion.
  • What kind of pain or discomfort may I experience? Everyone has a different sensation tolerance during the relatively quick insertion procedure. Inquire about normal sensations, from mild cramping to several minutes of more acute discomfort. The more mental preparation, the better.
  • How long should side effects such as spotting last before following up? If you experience prolonged or severe bleeding after insertion, at what point should you touch base with your gynecologist to discuss potential solutions? Getting clarity around what’s considered abnormal can prevent unnecessary worry.

While insertion-related concerns shouldn’t deter you from choosing such an effective, low-maintenance contraceptive method, it’s reasonable to want to be fully in the know about the process and what to potentially expect afterward. Asking thoughtful insertion-related questions leads to greater peace of mind.

Addressing Long-term Use and Removal Considerations

Beyond the insertion itself, IUD use over months and years warrants its own list of questions, including:

  • How often should I schedule follow-up appointments? Understanding what cadence of check-ins your gynecologist recommends for examining IUD placement and ensuring its continued effectiveness provides helpful guidance for long-term use.
  • Can an IUD be removed at any time if I change my mind? The ability to reverse your contraception decision whenever needed may offer some reassurance about trying this method that remains inside your body for years. IUDs are designed for prompt removal.
  • How quickly could I get pregnant after it’s removed? Confirm whether using an IUD for prolonged contraception delays future conception attempts whenever you do decide the timing is right. Typically, normal fertility resumes almost immediately after IUD removal.

Navigate Your IUD Decision Locally with Help from Raleigh Gynecology & Wellness

IUD device in Raleigh, NC Gynecologist Office When determining if pursuing an IUD feels right for your needs, having an attentive ear to listen thoughtfully and a knowledgeable voice to answer all your questions is key.

Seek out a gynecology practice equipped with the experience to guide you through every consideration — from assessing your family planning priorities to long-term removal when the time comes.

Right here in Raleigh, the Raleigh Gynecology & Wellness team of health experts offers extensive knowledge of the full range of available IUDs and personalized guidance essential for this intimate decision process.

Whether you’re ready to move forward with insertion or simply wish to learn more about IUDs, contact us today at (919) 636-6670 or schedule an online consultation and let us provide you with the guidance you need to make the right choice for your health and wellbeing.

Raleigh Gynecology · May 22, 2023 ·

women applying birth control patchBirth 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

Hormonal Contraception in the form of the patch on a womenChronic 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.

Raleigh Gynecology · March 6, 2023 ·

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

Family planning with contraceptive care

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

A pregnant woman feeling dizziness is consulting her doctor

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

Birth control pills and condoms

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.

Raleigh Gynecology · February 27, 2023 ·

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

Packets of condoms, 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

Birth control pills and an IUD, 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

A couple using condoms to prevent STDs

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.

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Conditions & Management

  • Abnormal PAP Smears
  • Endometriosis
  • Initial Evaluation of Infertility
  • Menopause & Peri-Menopause Care
  • Menstrual Disorders
  • PCOS
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  • Sexual Health & Sexual Dysfunction
  • Urinary Problems
  • Vaginal Dryness & Painful Sex
  • Vaginitis Care

Procedures

  • Colposcopy
  • Endometrial Biopsy
  • IUD Insertion
  • LEEP
  • MonaLisa Touch
  • Nexplanon
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  • Pessary Fitting
  • Sonohysterography & Ultrasound

Routine Care

  • Breast Care
  • Contraceptive Care
  • Emergency Contraception
  • Gardasil Vaccination
  • GYN Wellness Screening
  • HPV Counseling
  • Mammography
  • PAP Test
  • STD Testing

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