What Are My Contraceptive Choices??

 

 

Woman Researching on LaptopHormonal Contraception Options

 

                                Oral Contraceptives 

  • Birth control pills taken daily.
  • Combination estrogen/progesterone pills and progestin-only pills are the two types available.
  • The combination pills prevent ovulation; the progestin-only pills work to thicken uterine lining and cervical mucus.

 

                            Some of the more popular combinations include:  21 and 28 day pills

  • Monophasic: Regimen contains one combination of estrogen and progestin for all 21 active days.

    • Loestrin                                                 
    • Alesse
    • Norinyl
    • Brevicon
    • Ortho-Cyclen
    • Demulen
    • Ortho-Novum
    • Desogen
    • Yasmin
    • Ortho-Cept
    • Yaz
    • Beyaz
  •              Lo Loestrin fe   24 day regimen with lowest dose of estrogen available at 10mcg.

  • Biphasic: Regimen contains two different levels of estrogen and progestin for the 21 active days.

    • Jenest-28
    • Mircette
    • Necon  10/11
    • Ortho-Novum 10/11
  • Triphasic: Regimen contains three different hormone and progestin combinations for 21 days of active pills.

    • Ortho-Novum 7/7/7
    • Ortho Tri-Cyclen
    • Tri-Levlen
    • Tri-Norinyl
    • Triphasil

 

  • Quadraphasic:  28 day regimen contains four different hormone and progestin combinations for 26 days of active pills

    • Natazia  estradiol valerate and estradiol valerate/dienogest

 

  • “Mini-Pills,” or progestin-only pills:

    • Ortho Micronor
    • Nor-QD
    • Ovrette

 

                          Extended Cycle Combination (Estrogen/Progestin) Pills

                               Each regimen results in about four periods a year.

  • Seasonale: 81 days of active tablets, 0.15 mg levonorgestrel/0.03 mg ethinyl estradiol followed by 7 days of inactive pills with no hormones.

  • Seasonique: 84 days of active tablets, 0.15 mg levonorgestrel/0.03 mg ethinyl estradiol  followed by 7 days of 0.01 mg of ethinyl estradiol tablets.

  • Lo Seasonique: 84 days of active tablets, 0.10 mg levonorgestrel/0.02 mg of ethinyl estradiol, followed by 7 days of 0.01 mg of ethinyl estradiol tablets.

 

                                Continuous Cycle Combination Pills:

                                                          This program results in a cessation of periods.

  • Lybrel, which is a 365-day active pill regimen. 

 

                       Alternate Methods of Hormonal Contraception

  • NuvaRing: This monthly vaginal ring releases a low-dose combination of estrogen and progestin. NuvaRing is inserted into the vagina and removed after three weeks; seven days later, a new NuvaRing is inserted. www.nuvaring.com
  • Ortho Evra: This combination estrogen and progestin patch is put on for a three-week duration and then removed for a hormone-free week until a new patch is applied. www.orthoevra.com
  • Mirena: This progestin-only regimen consists of an intrauterine device (IUD) that is inserted to remain effective for up to five years. One benefit is that it is immediately effective upon implantation. www.mirena-us.com
  • Depo-Provera: This birth control method involves an injection of medroxyprogesterone, a synthetic form of progesterone, and lasts up to 13 weeks. It works by preventing ovulation and thickening cervical mucus to deter sperm from entering the uterus. www.depoprovera.com
  • Implanon: This progestin hormone rod is inserted under the skin and lasts up to three years. www.Implanon-usa.com
  • Paragard: The only hormone free intrauterine contraceptive device that requires no daily or weekly dosing and is completely reversible.   Can be used for 2, 5, or 10 years.www.paragard.com