GynoFiles

Women have had more and more choices when it comes to contraception, and the new news is that many women can successfully use their contraception even past the FDA approved duration with continued great success. We have found that both the Nexplanon implant, and the IUDs are both very effective, and a 2015 study published in OBSTETRICS and GYNECOLOGY  they have been shown to be effective for two extra years after their expiration date. The data is very good for longer effectiveness, but questions remain before actually recommending that our patients depart from standard recommendations! And... if the condom breaks, or you have not yet gotten effective longer term contraction and have had unprotected sex and want to prevent pregnancy it is important to know that you can use either of the approved medications for up to 5 days after having sex, and that a ParaGard IUD insertion is a viable method of emergency contraception as well.  But even the WHO  says that about 1/...

For women who have inadequate protection for contraception, they should remember that emergency contraception is available, and effective up to 5 days after your unprotected episode of intercourse. The newest guidelines remind women that ulipristal acetate is both more effective and continues to be effective for up to 5 days after the last episode of intercourse. Copper IUD devices are actually the most effective method of morning after contraception. Pregnancy testing, and examinations for pregnancy do not have to be done before using a method of emergency contraception if used within the guidelines discussed. Although effectiveness is up to 5 "mornings" after, the sooner you take your medication the more likely it is thought to be successful. There are very few medical contraindications to these morning after medications, but as with all medical care, it is ideal to discuss with your own provider to make sure you don't have any special considerations before using med...

When you have unprotected sex the next morning you should consider a number of important steps. Call your mom, call your  best friend , call your gyno,? Sure those are all potentially great ways to get yourself protected by the unintended consequences of that action. Firstly, pregnancy protection, secondly STI protection and lastly a plan to get follow up testing to see if you have acquired any infections. STI protection may mean using antibiotics to prevent infections and it may mean using antivirals to prevent HIV disease. For pregnancy protection, over the counter is Plan B, which has to be taken (ideally) within the 72 hours. We also can use the Copper intrauterine device (ParaGard) is actually the most effective with failures of only 1/1000, but do to cost most women do not use this alternative. we no longer have only 72 hours , but we actually do have up to 5 days to take hormonal protection.  But to get that treatment may require a all to your gyno for an Ella...

When you have unprotected sex the next morning you should consider a number of important steps. Call your mom, call your  best friend , call your gyno,? Sure those are all potentially great ways to get yourself protected by the unintended consequences of that action. Firstly, pregnancy protection, secondly STI protection and lastly a plan to get follow up testing to see if you have acquired any infections. STI protection may mean using antibiotics to prevent infections and it may mean using antivirals to prevent HIV disease. For pregnancy protection, we no longer have only 72 hours , but we actually do have up to 5 days to take hormonal protection.  But to get that treatment may require a all to your gyno for an Ella prescription.   The most common variety of morning after pill used is the Plan B, and virtually everyone is safe to take this medication. Even if you and your physician have decided not to put you on ongoing contraception, there are few contraindications to ...

Withdrawal can provide some protection against pregnancy and even some minimal protection against infections. Withdrawal technique for contraception is better than no contraception, and we've given those statistics in other posts, but it's not a new concept at all! In the Middle Ages a Persian physician Ismail Jurjani wrote that if a woman was suffering from pelvic organ disease (to paraphrase, if one thought you had a bladder infection or a condition of the uterus) that you should do something to temporarily prevent conception. He suggested that once you have sex, the couple should "come apart rapidly" and that he also thought the woman should have "a good shake" or have "provoked sneezing" to try to dislodge semen. His other suggestions were a bet less logical, such as having the couple "avoid simultaneous orgasm". He had a few dietary suggestions as well such as eating cabbage or drinking sweet basil " Around the same time a Je...

Morning After Pill Law Amended In Illinois Women can get morning after pills in the pharmacy, just not every pharmacy as it turns out. Being out of stock is not just the only reason you may not find these pills on the shelf. There are ways a local pharmacist can refuse to sell the Teva Phramaceutical pill Plan B, and that right was reinstated by Illinois law. This could make your morning after pill more difficult to find. At Women's Health Practice we try to keep tabs on where women can find their medication if they need it, and let our patients know. Alternatives are Ulipristal (Ella) by prescription, the use of other oral contraceptives, or an IUD insertion.

We used to have to rely on world wide contraceptive guidance, now we have a league of our own. CDC identifies criteria for safe contraceptive use for US individuals so that we no longer have to rely exclusively on criteria set up to cover the WHO Criteria. The WHO criteria covers a lot of methods that aren't even available in the US, so one just crafted specifically for methods only available in the US is less confusing. So if you are writing that contraceptive report, trying to give a patient some advice, or just digging around for that special piece of information on your individual case, look here first!

The approved American methods are designed to be given in the first 72 hours, specifically Plan B.   But even the WHO  says that about 1/10 women don't think of getting or taking Emergency Contraception or the so called Morning After pill until that time has already passed. If you want to make it easy, you can buy Plan B over the counter. But if you have forgotten to do this, and more than 72 hours passed, consider other alternatives such as an IUD or Ella.  HRA Pharma , a European pharmaceutical company that designs products, devices and supporting services in reproductive health and endocrinology, announced in 2009 that ellaOne(R) (ulipristal acetate), its next generation emergency contraceptive, has been granted marketing authorization by the European Commission. Sold as Ella in the USA it is effective for up to 5 days, but requires a prescription. This is the first medication that was specifically designed to be an emergency contraception. It is a PRM: a p...