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Raleigh Gynecology & Wellness

North Carolina GYN Care & Treatment

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Contraception and Your Health: Discussing Long-Term Implications with Your Gynecologist

Routine Gynecologic Care

Raleigh Gynecology · April 15, 2024 ·

contraceptive care doctor protects the uterusWhen it comes to contraceptive care, the choice of birth control method extends far beyond just preventing pregnancy. The impact of different contraceptives on your overall well-being and long-term health should also be considered.

That’s why open communication with your gynecologist is so important when making contraceptive decisions.

By discussing all aspects of various contraceptive options — weighing the potential benefits against possible side effects and risks — you can find the best solution tailored to your lifestyle and medical history.

Getting the complete picture empowers you to take charge of your sexual and reproductive health.

Hormonal vs Non-Hormonal: Understanding the Differences

Hormonal birth control, such as the pill, patch, ring, shot, and implant, all contain some level of artificial estrogen or progesterone. By regulating hormones in your body, these methods prevent ovulation so you cannot get pregnant.

Potential benefits beyond pregnancy prevention include lighter, more regular periods, reduced menstrual cramps and PMS symptoms, clearer skin, and protection against certain cancers later in life.

However, added hormones also come with potential side effects, including nausea, headaches, weight gain, and mood changes in some women.

In some cases, more severe risks, such as blood clots or high blood pressure, may occur. Certain medical conditions, age factors, smoking, and family history can all impact these risks.

Non-hormonal options such as the copper IUD, condoms, diaphragm, and fertility awareness methods avoid artificial hormones altogether.

For women unable or unwilling to expose themselves to added hormones, these alternatives provide birth control without that risk.

The trade-off is that non-hormonal choices typically require more effort on your part for consistent use or come with other side effects, including heavier, more painful periods with the copper IUD. Understanding all the options lets you determine what will work best for your needs.

Permanent Contraception: Is it Right for You?

Tubal ligations and vasectomies represent permanent contraception choices, so counseling about long-term implications is especially important. You must feel confident that you do not desire pregnancy in the future when opting for sterilization procedures.

Even though some sterilization methods may be reversible, they can be complicated, expensive, and unsuccessful. To avoid regret, go into the decision-making process with full awareness.

Your Gynecologist Needs Your Complete Medical Profile

Genetics, personal health conditions, medication usage, and lifestyle factors all weigh heavily when identifying the ideal contraceptive solutions. Be ready to share details on:

  • gynecologist talking with young female patient during medical consultation in modern clinicFamily history of blood clots, strokes, cancers, or other hereditary conditions
  • Your full medical history—especially related to migraines, hypertension, heart/vascular health
  • Current prescriptions or over-the-counter medications
  • Tobacco usage and alcohol consumption
  • Major life events such as childbirth

As circumstances evolve over months or years, update your gynecologist on any changes that could impact contraceptive method safety or effectiveness.

Finding the Right Fit: Lifestyle, Side Effects and Beyond

Ideally, your contraception should align with your day-to-day lifestyle and habits. Factors such as sexual frequency, number of partners, and family plans for the future play a role.

If you frequently travel and do not want to deal with refilling prescriptions, getting shots, or inserting devices while out of town, options can be narrowed.

Or if you work long shifts and tend to forget to take daily medications, methods that do not require consistent action, such as the IUD or implant, may be better.

Be ready to discuss common or expected side effects—both short and long-term—to determine your tolerance levels. Do not hesitate to report any worrisome or severe reactions you experience so adjustments can be made as needed.

Establishing an ongoing contraceptive care plan with check-ins at routine well-woman exams allows you to periodically assess if your birth control selection remains the most appropriate choice as life circumstances evolve.

What’s the Impact on Future Fertility?

A significant consideration for contraception is how soon fertility may return after you discontinue that method. With options such as the birth control pill, patch, ring, and condoms, normal ovulation typically resumes within 1-3 regular cycles after stopping.

The Depo shot can take longer—around six to nine months or more for fertility to reestablish for some women. Coming off longer-acting solutions such as IUDs or implants leads to a quicker return to fertility for most.

However, age factors also come into play as egg quantity and quality decline naturally over time. Older age may be associated with longer delays to return of menses and reduced fertility potential.

Discuss your desired family planning timeline with your gynecologist when making contraceptive decisions.

STD Protection, Sexual Satisfaction, and Other Intimate Considerations

Pregnancy prevention aside, contraceptive options have other intimate impacts worth discussing openly with your gynecologist, too.

Certain barrier methods, such as male/female condoms, protect against sexually transmitted diseases (STDs)—a consideration if you have multiple partners.

std testingHormonal changes from birth control could negatively (or positively) affect your libido and sexual satisfaction as well. Conditions including endometriosis or polycystic ovarian syndrome also influence contraceptive method selection.

If you eventually hope to get pregnant, preconception planning becomes important, too. Identifying when contraceptive use should cease and prenatal vitamin supplementation should begin can enhance fertility outcomes down the road.

Empower Yourself Through Contraceptive Care from Raleigh Gynecology & Wellness

Fundamentally, establishing open lines of communication with a trusted gynecologist provides immense value when navigating all aspects of sexual health and contraception. No question you have is off-limits.

The Raleigh Gynecology & Wellness team has years of experience empowering women to take charge of contraception. We take a holistic approach—getting to know all aspects of your health and lifestyle to recommend solutions tailored to your unique needs.

Contact us today at (919) 636-6670 or online to become a patient or schedule your annual visit to discuss contraceptive care.

Raleigh Gynecology · April 8, 2024 ·

pack of oral hormonal contraceptive pills with instructionsHormonal contraceptioncan both positively and negatively affect your menstrual health. As such, it is essential to have an open discussion with your gynecologist when considering hormonal birth control options.

This will allow you to make an informed decision based on your medical history, preferences, and goals.

Types of Hormonal Contraception

Several categories of hormonal contraception are available, and the type you choose will depend on a wide range of factors, including your lifestyle preferences, reproductive health goals, and your medical history.

It is a topic you should certainly discuss with your gynecologists, but it’s good to be aware of what is available in advance. Therefore, the different types of hormonal contraception include:

  • Combined oral contraceptives or COCs: Also referred to as “the pill,” COCs include estrogen and progestin. They are taken in pill form on a daily or continuous basis.
  • Progestin-only pills (POPs): Unlike COCs, POPs only feature progestin with no estrogen. They may be an option if estrogen is contraindicated.
  • Intrauterine devices (IUDs): IUDs are small devices that are inserted into the uterus and release either progestin or copper. The Mirena IUD releases progestin, while the Paragard IUD releases copper without hormones.
  • Contraceptive implants: These are small plastic rods placed under the skin of the upper arm. They release progestin slowly over several years. The Nexplanon implant lasts up to 3 years.
  • Contraceptive injections: Also known as depot medroxyprogesterone acetate (DMPA) or Depo-Provera, these injections contain progestin and are administered every 12 weeks.
  • Vaginal rings: The NuvaRing is a flexible ring placed in the vagina for three weeks per month. It discharges estrogen and progestin, similar to COCs.
  • Transdermal patches: Patches such as Xulane stick to the skin and release estrogen and progestin transdermally. A new patch is applied weekly for three weeks out of the month.

Discussing Your Medical History

Hormonal contraception may have some risks, depending on what your medical history is, which is why you should tell your OB/GYN about any of the following:

Personal or Family History of Blood Clots

Estrogen found in COCs, patches, and vaginal rings may slightly increase clotting risk. If you have a blood clot history or if it runs in the family, you should use progestin-only methods instead.

History of Migraines with Aura

Migraines with neurological aura symptoms can increase your risk of stroke on combination hormonal birth control. Progestin-only options are considered safer.

Smoking Habits

Smokers over the age of 35 face higher clotting and heart disease risks on COCs; they should avoid estrogen-containing contraception.

Obesity

People with a BMI over 30 kg/m2 may experience lower efficacy and higher health risks on some forms of hormonal birth control.

Other Medications and Supplements

Some medications can interact with hormonal contraception, reducing its effectiveness. Always disclose any medications or supplements you take.

Addressing Menstrual Health Concerns

Hormonal contraception often leads to changes in menstruation. You should inform your gynecologist about any bothersome symptoms. Common concerns include:

  • young woman in red period panties suffering from menstrual cramps at homeChanges in menstrual flow and duration: It is common to experience lighter, predictable periods on hormonal birth control. Heavier or prolonged bleeding may indicate an underlying problem.
  • Irregular bleeding or spotting: Breakthrough bleeding and spotting are common when first starting hormonal contraception. If it lasts longer than three months or is heavy, consult your gynecologist.
  • Amenorrhea (absence of periods): Missing periods can occur as a side effect of contraceptive shots, implants, IUDs, and sometimes pills. Rule out pregnancy and inform your doctor of any amenorrhea.
  • Dysmenorrhea (painful cramps): Hormonal birth control often reduces menstrual cramps but may worsen pain in some cases. Pelvic exams help identify the causes of persistent cramping.
  • Premenstrual syndrome (PMS): Mood swings, breast tenderness, bloating, and other PMS symptoms may improve or persist on hormonal birth control. Track your symptoms.

Potential Menstrual Health Benefits

When used properly, hormonal contraception can:

  • Regulate irregular menstrual cycles
  • Lessen heavy bleeding and cramping
  • Treat gynecological conditions such as endometriosis and polycystic ovary syndrome (PCOS)
  • Improve symptoms of premenstrual syndrome (PMS)

For those with painful, heavy periods or irregular cycles, the menstrual regulation from hormonal birth control can vastly improve their quality of life.

Possible Side Effects and Risks

While many tolerate hormonal contraception well, potential side effects include:

  • Nausea, headaches, breast tenderness
  • Increased or decreased libido
  • Weight gain or loss
  • Mood changes
  • Breakthrough bleeding

In rare cases, serious complications may occur, such as blood clots, stroke, or liver tumors. Cigarette smoking combined with estrogen use significantly increases these major health risks.

Long-Term Considerations

When used over many years, hormonal contraception may impact:

  • Bone mineral density: Some evidence suggests DMPA injections may decrease bone mineral density or BMD, leading to osteoporosis risk. Estrogen-containing contraceptive methods maintain BMD.
  • Return to fertility: Most people regain normal fertility within months after discontinuing hormonal birth control. It may take longer with DMPA injections.
  • Cancer risks and benefits: There is mixed evidence regarding breast cancer risk, which appears slightly elevated on COCs. However, hormonal contraception reduces endometrial, ovarian, and colorectal cancer risks.

Monitoring and Follow-Up

gynecological cytology Pap smear test and cytobrush in hands of gynecologist

While using hormonal birth control, it is essential to:

  • Get regular pelvic exams, Pap tests, and blood pressure checks
  • Report any persistent side effects or warning signs
  • Discuss alternative options if problems arise

Get Personalized Hormonal Contraceptive Care from Raleigh Gynecology & Wellness

With many hormonal contraception options available, the best choice is dependent on your specific health profile and preferences.

Raleigh Gynecology & Wellness’ caring providers offer personalized consultations to find the right solution for your needs and lifestyle.

Contact us today at (919) 636-6670 or schedule an online consultation for individualized care and compassionate understanding as you navigate contraception options and menstrual wellness.

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.

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Raleigh Gynecology

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Conditions & Management

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

Procedures

  • Colposcopy
  • Endometrial Biopsy
  • IUD Insertion
  • LEEP
  • MonaLisa Touch
  • Nexplanon
  • Pelvic Floor Therapy
  • 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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