Effective Birth Control: Your Questions Answered on Safety and Options - Obstetrics and Gynecology

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How to effectively prevent pregnancy?


Hello, doctor.
I have three questions I would like to ask you.
First, if my boyfriend uses a condom throughout and does not ejaculate inside, but I am not taking oral contraceptives, what is the likelihood of becoming pregnant? Second, if I take oral contraceptives, will it make it harder for me to conceive in the future? Third, do I need to visit a gynecologist to get a prescription for oral contraceptives? Thank you for your help with these questions.

Pa Huaiyun Que Xiangshou Zai Qizhong De Ren, 10~19 year old female. Ask Date: 2016/04/26

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, taking birth control pills on time is effective for contraception, and the chances of getting pregnant are very low.
Oral contraceptives do not negatively affect fertility.
Generally, a prescription from a doctor is required.
Wishing you good health.

Reply Date: 2016/04/26

More Info


When it comes to effective birth control, understanding the various methods and their safety is crucial for making informed decisions. Let’s address your questions one by one.

1. Condom Use and Pregnancy Risk: If your boyfriend uses a condom throughout intercourse and does not ejaculate inside you, the risk of pregnancy is significantly reduced. Condoms are about 98% effective when used correctly, meaning that only about 2 out of 100 women will become pregnant in a year of perfect use. However, typical use, which accounts for human error, has an effectiveness rate of about 85%. This means that if you are not using any other form of birth control, there is still a small chance of pregnancy, primarily due to potential condom breakage or slippage. It’s also important to ensure that the condom is put on correctly and is not expired.

2. Impact of Oral Contraceptives on Future Fertility: There is a common misconception that taking oral contraceptives can lead to long-term fertility issues. However, research indicates that most women will return to their normal fertility levels shortly after discontinuing the pill. In fact, some studies suggest that women may even experience a temporary boost in fertility after stopping the pill, as their bodies adjust back to their natural hormonal cycles. It is important to note that individual experiences may vary, and factors such as age and overall health can also play a role in fertility.

3. Obtaining Oral Contraceptives: Yes, in most cases, you will need to visit a healthcare provider, such as a gynecologist or family physician, to obtain a prescription for oral contraceptives. During this visit, the doctor will assess your health history, discuss your contraceptive options, and help you choose the best method for your needs. Some clinics and telehealth services may also offer prescriptions for birth control pills without an in-person visit, but this varies by location and provider.

In addition to these answers, it’s essential to consider other birth control options available to you. Besides condoms and oral contraceptives, there are various methods such as intrauterine devices (IUDs), implants, patches, and injections, each with its own effectiveness rates and side effects. Discussing these options with a healthcare provider can help you find the most suitable method for your lifestyle and health needs.

Moreover, it’s crucial to understand that no contraceptive method is 100% effective, except for abstinence. Therefore, if you are concerned about pregnancy, consider using a combination of methods, such as condoms along with hormonal birth control, to enhance protection.

Lastly, always feel free to ask your healthcare provider any questions you may have about birth control methods, their side effects, and how they fit into your overall health plan. Open communication with your provider can help ensure that you make the best choices for your reproductive health.

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