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Dr. Kate, I'm 32 and last year ended a 10-year relationship with a guy, and when I did so, ended a 14-year relationship with hormonal birth control. It's been pretty cool watching and feeling my body seek out its own natural rhythms after all these years of pills and patches and rings telling it what to do when! However, I'm now in another monogamous relationship and have been reminded and reminded and reminded that I am really not a fan of condoms, and am thinking about other means of birth control again. My partner has great control in terms of withdrawing in time, but I still don't like the general odds of that method and don't want to rely on that alone...several of my friends have gotten IUDs inserted, but I understand they're intended to be in place for 5 years or so, and I think I might want to start trying the baby thing before 5 years is up. I don't really want to deal with diaphragms or sponges because they're super-inconvenient and require messy spermicide. So...is it back to hormonal birth control for me?
Good call on not relying on withdrawal. While it's better than crossing your fingers, there are much better methods out there. I agree with you too on the sponges/diaphragms messy factor. I have a bias toward birth control you can use and forget about...hard to forget about it when you're in the bathroom filling up your diaphragm with spermicide while he's waiting for you in bed! There's no downside of long-term use of hormonal birth control. In fact, by using the pill/patch/ring for over 10 years, you've reduced your chances of ovarian cancer by 80 percent, and your chances of endometrial cancer by 50 percent. But if you don't want to go back to the hormone hotel, I think an IUD is just the thing. Even though an IUD can last for 5-10 years, it doesn't have to. I tell my patients that if they want to wait at least a year to try for pregnancy, an IUD is worth it, in terms of cost, fuss, and worry. So unless you're looking at trying to conceive in 2009, I'd go for an IUD--it will make both your uterus and your inner moon-goddess happy. Best of luck, Dr. Kate 5 CommentsLeave a comment |
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Dr. Kate,
This is more of a question than a comment.
I was wondering, given your experience in the field, how long it took a patient of yours to eventually clear a low-risk HPV/Genital Warts infections, and after how many treatments? I have been dealing with them for the past two years and it has been a draining, seemingly endless process, too annoying to describe.
This is more of a question than a comment also: I was wondering, is it an absolute, positive 100% MUST that one must have had a child before having an IUD "installed"? I don't have kids, and I want the IUD because I don't want kids, at least not anytime in the near future. Also, does one still have to use condoms once an IUD is "installed"
Krystina, many of my friends have had IUDs inserted in recent years, and only one of them has ever had a kid before.
I think they used to say that you should have had a kid already about the old IUDs, or b/c there is an increased risk of uterine tearing (Dr. Kate, please correct me if I'm misinformed & misinforming!) which could result in sterility, but I think the current thinking is that that risk is really, really low.
Check w/ your gyno or local clinic for more info-- but the women I know w/ IUDs are so far very happy.
There's always a tiny risk of uterine perforation (poking a hole in the uterus) at the time of insertion, whether you've had a baby or not. But yes, the risk is really tiny in the hands of an experienced doc, and never affects your fertility.
I am 35 & I do not have children or plan on having children, ever. I got really tired of the Depo shots so I got the IUD & I love it. It is a little uncomfortable for a few days after insertion, but now,...WOW! I really like it. Also, if I do change my mind to have children in the next five years, I can!!