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contraception

This tag is associated with 43 posts

Does the Mirena IUD increase the risk of breast cancer? New data

A new study has been published suggesting a link between breast cancer and the Mirena IUS (intrauterine system). The Mirena IUS is used commonly in many European countries and is increasing in use in the United States (with good reason, it is highly effective and has a very high satisfaction), so I think a review … Continue reading

An OB/GYN’s opinion on the Supreme Court, Hobby Lobby, and contraception

The Supreme Court, in a 5-4 decision, sided with Hobby Lobby (and much of the religious right in the United States) and ruled that a closely held private corporation does not have to provide insurance coverage for certain birth control methods. Justice Alito, speaking for the majority wrote: “The owners of the businesses have religious objections … Continue reading

10 changes to health care that could happen if Supreme Court retracts contraception mandate

The Supreme Court has taken up the contraception mandate. Despite the fact that the World Health Organization calls contraception a human right and the fact that every dollar spent here on contraception saves $4, in the United States freedom of religion means to some, “If you work for me and get insurance through my company … Continue reading

The morning after pill is less effective for obese women, which isn’t new information

Several news agencies are reporting that the levonorgestrel morning after pill (marketed both as Plan B and as a generic in the United States) is ineffective for women who weigh more than 176 lbs. The news reports are based on the fact that HRA Pharma, the French manufacturer of an identical levonorgestrel morning after pill … Continue reading

IUD mythbusting: no increased risk of pelvic inflammatory disease

This week is LARC Awareness Week, which is devoted to raising the awareness about the safety and efficacy of long acting reversible contraception. LARC includes IUDs and the etonogestrel implant marketed under the name Implanon in the United States. Why promote LARC? Well… LARC is underused in the United States versus other countries The United … Continue reading

IUDs and the implant should be 1st line contraceptives – new study

The Contraceptive CHOICE study, which provides women with free and accessible contraception of choice, has now provided us with great longer term data on contraception continuation. A new study using this data (O’Neil-Callahan Obstet Gynecol November 2013) tells us what women are likely to be using for birth control two years later. This information is … Continue reading

Is my birth control safe for me? There’s an app for that

In 2010 the Centers for Disease Control and Prevention (CDC) overhauled their safety recommendations for the all the various methods of birth control, both prescription and non prescription. It’s a great document because there are a variety of recommendations depending on the medical condition, the age of the patient, and other variables. For example, with … Continue reading

Does depo-provera cause depression? Or why we need real medical journalists.

Recently, I’ve been contacted by a few journalists inquiring about the link between hormonal contraception, specifically depo-provera, and mood. Some have asked excellent questions about medical evidence, position statements, and my experience as an OB/GYN. However, the line of questioning from some seemed designed to support a specific narrative regarding mood with leading questions such as, … Continue reading

Is an IUD painful? If so, how can I reduce the pain?

I hear from many women that they want an IUD (intrauterine device), but are worried about the pain of insertion. They report horror stories from friends and the thought of the potential pain can even become a barrier to getting an IUD, which is a shame as IUDs are the highest rated for satisfaction when … Continue reading

Bleeding after a Mirena IUD insertion, what to expect

The levonorgestrel intrauterine system (Mirena IUS) is a popular IUD. It contains the hormone levonorgestrel and over time many women gets lighter periods or even lose their periods altogether. This is a desirable side effect. The only problem is the promise of very light or no periods and combined with long acting reversible contraception comes … Continue reading

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