Other Contraception

polson-park-1

BIRTH CONTROL PILLS
(oral contraceptives)

You will take one pill every day. With perfect use: 98 – 99% effective. Typical use – 92% effective.

  • Estrogen (20 – 35 mcg) + progesterone (various)
  • Not safe for smokers over 30 or women with a strong family history of strokes and blood clots
  • May increase migraines and high blood pressure
  • You will have regular periods, usually lighter than normal
  • Cost about $25.00 per month depending on the brand
  • About 20/100 women get side effects like breast tenderness, nausea, heachaes, weight gain (usually no more than 5 pounds), mood swings, spotting
  • If you miss a pill, are more than 12 hours late taking your pill or have vomiting or diarrhea, use a back up method
    (like condoms or ECP)

PATCH (Evra)

Change patch one a week, worn on skin. With perfect use: 98 – 99% effective. Typical use – 92% effective.

  • Estrogen (20 mcg) + progesterone
  • Not safe for smokers over 30 or women with a strong family history of strokes and blood clots
  • May increase migraines and high blood pressure
  • Regular periods, usually lighter than normal
  • About $25.00 per month
  • About 20/100 women get side effects like breast tenderness, nausea, headaches, weight gain (usually no more than 5 pounds), mood swings, spotting. A few get skin irritation from the patches.
  • If you forget to change your patch, or are 2 days or more late changing your patch, use a back up method (like condoms
    or ECP)

DEPO PROVERA (shot)

You will get one injection every 3 months. With perfect use: 99.7% effective. Typical use – 97% effective.

  • Progesterone only – no estrogen
  • Safe for smokers over 30 and women with a strong
    family history of strokes and blood clots
  • No increase in migraines or high blood pressure
  • Irregular periods, usually disappear after one year
  • About $35.00 every 3 months
  • About 20/100 women get side effects like weight gain,
    mood swings, spotting, may decrease bone density
    by 4% – take calcium
  • If you miss your shot by more than one week,
    use a back up method (like condoms or ECP)
    (line space)

RING (NuvaRing)

Put one ring in your vagina for 3 weeks each month. With perfect use: 98 – 99% effective. Typical use – 92% effective.

  • Estrogen (15 mcg) + progesterone
  • Not safe for smokers over 30 or women with a strong family history of strokes and blood clots
  • May increase migraines and high blood pressure
  • Regular periods, usually lighter than normal
  • About $25.00 per month
  • About 5/100 get vaginal irritation and about 20/100 get side effects like breast tenderness, nausea, headaches, weight gain (usually no more than 5 pounds), mood swings, spotting.
  • If you forget to put in a new ring on the right day or took it out for more than 3 hours during the 3 weeks, use a back-up method (like condoms or ECP).

Barrier Methods of Birth Control

FEMCAPS:

What is a FemCap? It is a soft silicone cup to use each time you have sex. Spermicide jelly is placed inside and the cap is placed in the vagina to hold the spermicide next to the cervix.

How does it work? The cap is a physical barrier to the sperm and the spermicide stops the sperm chemically.

How effective is it? Similar to condoms, about 2% of patients will become pregnant in one year of correct use. Since they need to be used each time you have sex, about 25% of people who choose this as their method get pregnant (because they don’t use it every time).

How do I get a FemCap?
You will need to be fitted for a FemCap and taught how to put it in your vagina correctly.

What does it cost? Your medical plan pays for the fitting by the doctor and the FemCap costs $90 if you buy it at Willow Clinic. If you do not have a BC Care Card the cost of the fitting is $125.00.

Advantages: no hormones, no latex, controlled by the patient.

Disadvantages: must be used every time you have sex, not as effective as birth control pills or IUDs.

For an appointment to get a FemCap fitted, call 604-709-5611
and for more information, see: https://femcap.com/

femcap contraceptive
femcap contraceptive, willowclinic.ca

DIAPHRAGMS:

What is a diaphragm? It is a soft silicone cup to use each time you have sex. Spermicide jelly is placed inside and the cup is placed in the vagina to hold the spermicide next to the cervix.

How does it work? The cup is a physical barrier to the sperm and the spermicide stops the sperm chemically.

How effective is it? Similar to condoms, about 2% of patients will become pregnant in one year of correct use. Since they need to be used each time you have sex, about 25% of people who choose this as their method get pregnant (because they don’t use it every time).

How do I get a diaphragm? You will need to be fitted for a diaphragm and taught how to put it in your vagina correctly.

What does it cost? Your BC Care Card pays for the fitting by the doctor and the diaphragm costs $50-$75. If you do not have a BC Care Card the cost for the fitting will be 125.00

Advantages: no hormones, no latex, controlled by the patient.

Disadvantages: must be used every time you have sex, not as effective as birth control pills or IUDs.

For more information, see:

Wikipedia: Diaphragms
Caya Diaphragms – Website

diaphragms, willowclinic.ca
Caya (top) and Millex Diaphragms (bottom)