Effective Birth Control Options for Couples Planning to Delay Parenthood - Obstetrics and Gynecology

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Contraceptive concerns


Hello, doctor.
I am getting married next year, and my girlfriend and I hope to enjoy our life together for three years before considering having children.
We want to ensure effective contraception, but my girlfriend does not want to take birth control pills due to potential side effects from long-term use.
Using condoms often affects our intimacy and can be inconvenient.
I've also heard that intrauterine devices (IUDs) are only suitable for women who have given birth.

1.
Are there any other contraceptive methods that would be suitable for us?
2.
I've heard about using saliva crystal observation to determine safe periods; is this effective?
3.
Can a vasectomy be considered as a temporary form of contraception?

ray, 20~29 year old female. Ask Date: 2002/11/25

Dr. Lin Manying reply Obstetrics and Gynecology


Methods of temporary contraception after marriage include: 1.
Condoms.
2.
Fertility awareness (safe period).
3.
Contraceptive medications, including birth control pills, emergency contraceptive pills, subdermal contraceptive implants, and transdermal contraceptive patches.
4.
Intrauterine devices (IUDs).
The effectiveness rates of these methods range from low to high, with the first two methods having an effectiveness rate of about 80%, while the latter two methods range from approximately 92% to 99%.

1.
As for which method is more suitable, it is best to try different options to find out.
For those who have not given birth, condoms and contraceptive pills are generally recommended.

2.
Fertility awareness is more suitable for women with regular menstrual cycles, with an effectiveness rate of about 80%.

3.
Sterilization is a permanent contraception method and is not suitable for everyone.

Reply Date: 2002/11/25

More Info


When it comes to effective birth control options for couples planning to delay parenthood, there are several methods available that can suit your needs and preferences. It's great to hear that you and your girlfriend are considering your options carefully before starting a family. Here’s a comprehensive overview of various birth control methods, along with answers to your specific questions.


1. Alternative Birth Control Methods
Since your girlfriend is not keen on taking hormonal birth control pills due to potential side effects, there are several non-hormonal options you can consider:
- Copper Intrauterine Device (IUD): The copper IUD is a highly effective form of long-term contraception that can be used by women who have not given birth. It works by creating an environment in the uterus that is toxic to sperm, preventing fertilization. It can remain effective for up to 10 years and can be removed at any time if you decide to conceive.

- Contraceptive Implants: Although these are hormonal, they are a long-term solution that can be effective for up to three years. The implant is a small rod placed under the skin of the arm, releasing hormones to prevent ovulation.

- Barrier Methods: While you mentioned that condoms can sometimes affect intimacy, they are still one of the most accessible and effective methods when used correctly. Additionally, there are female condoms that can be an alternative.

- Fertility Awareness Methods (FAM): This involves tracking the menstrual cycle to determine fertile days. This can be done through various methods, including monitoring basal body temperature, cervical mucus, and calendar tracking. However, it requires diligence and may not be as reliable as other methods unless done meticulously.


2. Observing Saliva Crystallization
The method of observing saliva crystallization to determine fertile days is based on the idea that hormonal changes during the menstrual cycle affect the appearance of saliva. While some women find this method helpful, it is not widely endorsed by medical professionals as a reliable form of birth control. The effectiveness can vary significantly from person to person, and it requires consistent and accurate observation. Therefore, it is generally recommended to combine this method with other forms of contraception for better reliability.


3. Vasectomy as Temporary Birth Control
A vasectomy is a surgical procedure for male sterilization, and while it is considered a permanent form of birth control, it can be reversed in some cases. However, it is not typically recommended as a temporary solution. If you are looking for a temporary method, it would be better to explore the options mentioned above. Vasectomy should be considered only when you are certain that you do not want to have children in the future.


Conclusion
In summary, there are several effective birth control methods available that can help you and your girlfriend delay parenthood while maintaining your lifestyle. The copper IUD and barrier methods like condoms are excellent options to consider. Fertility awareness methods can also be used, but they require careful tracking and may not be as reliable on their own. It's essential to have an open discussion with your girlfriend about these options and perhaps consult with a healthcare provider to find the best method that suits both of your needs and preferences. This way, you can enjoy your time together without the worry of unintended pregnancy.

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