Contraception Specialist

What are some available birth control options?

Women who see Dr. Thoppil or one of his colleagues at River Place OB/GYN have a wide variety of birth control options available to them. Women can choose from birth control pills, IUDs, and implants. Dr. Thoppil and his team also offer permanent birth control solutions such as tubal ligation or Essure. Although some tubal ligations can be reversed, the procedure should only be considered for women who are done having children. Multiple birth control options allow women to choose an option that best suits their needs, their lifestyle and their comfort levels. Women should discuss their needs frankly during their office visit to ensure they have all of the information necessary select the method that best suits them.

What is an IUD?

An intrauterine device, or IUD, is a long active reversible form of birth control where a small, flexible device which is inserted into the uterus to prevent pregnancy. The most popular IUD releases an extremely low dose of progesterone to the uterus (Mirena/Skyla). This primarily works by thickening cervical mucus. These IUDs usually make your periods much lighter. There is also a non-hormonal IUD for those who do not want any hormone at all (Paraguard). This form of birth control is becoming more popular as insertion is a quick procedure and is effective for between 3-10 years depending on the type of IUD selected. These are among the most effective forms of contraception and the non-hormonal option is an effective choice for those who do not react well to hormonal birth control methods.

What is Nexplanon®?

Nexplanon® is a small, flexible birth control implant which measures about 4 centimeters in length inserted discreetly on the inside of the patient’s upper arm under the skin. Nexplanon® provides up to 3 years of pregnancy prevention. This is beneficial for many women because they do not have to remember to take a pill every day. Once inserted, Nexplanon® is over 99% successful at preventing pregnancy. Nexplanon® can be removed at any time during the 3 years of effectiveness and must be removed by the end of the third year. At this time the patient can choose to have a new device inserted.

What is sterilization?

Female sterilization is a permanent way to avoid pregnancy by obstructing the fallopian tubes. Sterilization is performed during either a minimally invasive procedure or during a traditional open surgery, depending on the needs of the patient. Tubal ligation or “getting your tubes tied” is often performed with a laparoscopic procedure because of faster recovery times and less risk of scarring than traditional open surgery. The non-surgical form of sterilization, known as Essure, involves the placement of small coils in the fallopian tubes. This procedure is done manually, with the doctor accessing the tubes through the vagina. Tubal ligation is very effective with the surgical options being effective immediately. Essure takes about three months to be fully effective.