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    • 19 DEC 17
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    Done Having Children (Or Don’t Want Them)? Here Are Your Options.

    Done Having Children (Or Don’t Want Them)? Here Are Your Options.

    After your first or even fifth child, there may come a time when you feel your family is complete. While you can continue to be on the pill, the patch, the shot, or whatever temporary birth control you may be on, there are more permanent and effective options to keep your family the exact number it needs to be for you.


    ParaGuard – The Copper IUD

    Effectiveness: >99%
    Of all the options, the ParaGuard is the least invasive. This is a non-hormonal, intrauterine device is placed in the uterus and is one of the most effective and reversible birth controls on the market. Wrapped in just a tiny bit of copper, it will protect you from pregnancy from 10-12 years. The ParaGuard IUD is the perfect option if you aren’t sure you want to have (more) children, but want to reserve the option to change your mind in the future. Some women experience cramping or backaches for the first few days following insertion, spotting between periods, and/or heavier or worse periods and menstrual cramps. In very rare cases, the IUD may become dislodged, or may even expel from the uterus. If that happens, contact your doctor and discuss your options.


    Essure – Hormone-Free Permanent Sterilization

    Effectiveness: 99.8%
    Essure is a small spring-like device that is inserted into both fallopian tubes. Your doctor will use a thin tube of thread to push the device through the vagina, into the uterus, and then into each fallopian tube. In the device is a mesh-like substance that irritates the lining of the tubes, which will cause scarring over time that will permanently block them. This procedure can be done in your doctor’s office, without the need for general anesthesia.

    Because scarring will take place over time, women should take another form of birth control for three months following the procedure. After that time, you doctor will take an X-ray to verify your fallopian tubes are blocked. Women may experience changes in their periods and some discomfort in their lower belly.


    Tubal Ligation

    Effectiveness: >99%
    In a hospital, or a surgical clinic, you’ll be placed under general anesthesia, and one or two small incisions are made in your abdomen, where the fallopian tubes are cut, tied, clamped, banded, or sealed shut. A Tubal Ligation can also be performed right after childbirth near the navel, or during a cesarean delivery. Patients are usually allowed to return home within a few hours of the procedure.

    Surprisingly, it is estimated that 700,000 American women have a tubal ligation each year, which makes it the most common form of birth control in the US.It is important to know that there in very rare cases where pregnancy can occur after a tubal ligation. If you think you might be pregnant, contact your doctor and discuss your risks and options.


    As always, while these are the most effective forms of birth control, none will help to prevent the spread of sexually transmitted infections. Have any more questions about your birth control options? Contact the medical professionals at Miami OBGYN for an unbiased, non-judgmental overview of your options.

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