Contraceptives

Contraceptives

UHealth Reproductive Health Services offers routine contraception and contraception for patients with complex medical conditions like hypertension, diabetes, heart or kidney disease, and organ failure.

Contraception services include:

IUD (Intrauterine Device) – A device containing copper or a medication which is inserted into the uterus to prevent pregnancy. There are two types of IUDs: hormonal or copper. The copper device can be left in the uterus for up to 12 years and the hormonal device (Mirena) can be left in for up to seven years. IUDs can be removed at any time and a woman can become pregnant very soon afterwards, usually within a few months.

Implants – Contraceptive implants consist of hormone-filled capsules that are inserted under the skin in a woman’s upper arm. Implants are a safe and effective method of reversible, long-term contraception for most women. They do not interfere with intercourse and are effective within 24 hours after insertion. They can last as long as three years.

Hysteroscopic tubal ligation (Essure) – This procedure is performed in the office using local anesthesia in the cervix. Moderate intravenous (IV) sedation may also be used to make the procedure more comfortable if the patient requests it. In this procedure a hysteroscope (a long, thin fiber-optic telescope) is used to help the surgeon insert two very small titanium coils in the opening of the fallopian tubes. You have to use birth control for three months. After three to four months, a dye test (Hysterosalpingogram) is done to confirm occlusion of the fallopian tubes. After confirmation, patients can have unprotected sex. In rare cases when the tubes are still open, patients will continue to use birth control and repeat the hysterosalpingogram in two to three months.

Hormonal contraception – Includes pills, patches, rings and injections. They are safe and easy to use. A doctor will discuss all of these options with a patient to select which one is most appropriate for her.