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Millions of women make the decision to prevent pregnancy until they are ready to take on the responsibilities of parenting.  Today, women have many effective options available to chose from based on your individual needs. 

Birth Control Pills

A common choice for most women in the United States.  Birth control pills work very well and must be taken daily.  When used correctly, less than 1 in 100 women will get pregnant.  However, typical use of the pill results in about 3 in 100 women getting pregnant.  All pills contain hormones, most being a combination of estrogen and progesterone.  Current doses of hormones in pills are much lower than what they used to be years ago.  Common side effects can be spotting or irregular bleeding, hormonal changes, headaches, skin changes, mild weight gain


The NuvaRing is the only contraceptive device of it's kind on the market.  It combines estrogen and progesterone in a plastic ring delivered through the vaginal tissue to provide effective birth control.  This option is ideal for women who may be unable to take a pill every day due to a busy schedule or inability to remember.

Depo Provera

The Depo Provera injection is a progesterone only option delivered in the form of an injection every 3 months to provide birth control.  This is an option for women who want reliable birth control but can't take estrogen due to health reasons.  It also is useful in women who have more success if they don't have to remember to take birth control every day.  After 2 years of use, Depo Provera has been shown to cause some levels of irreversible bone loss in some women.  All women of reproductive age should take proper calcium and vitamin D daily, but especially those women taking Depo Provera.   


Nexplanon is a small rod placed under the skin, contains progesterone, and lasts for 3 years.  Side effects are minimal and insertion is done in the office.    

Intrauterine Devices

NAOG currently offers two IUD's to patients.  The Mirena and the Paraguard.   Both are placed in the office and require precertification from the insurance company.  Mirena is a 5 year option that contains progesterone and offers a light menstrual cycle.  Paraguard is a 10 year option that contains no hormones and allows women to maintain normal menstrual cycle each month. 


For women who have completed childbearing and desire no future children, sterilization offers a permanent solution.  ESSURE can be done safely through the vagina without any incision.  Traditional sterilization through laparoscopic surgery is available as well.  Additionally, many men are now handling sterilization on their end through vasectomy.  Talk to your provider for more information. 

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