Best birth control methods are not birth control pills. But “the pill” is still the most popular contraception method. Leading reproductive medicine expert from California talks about most effective, safe, and cost-effective birth control methods in 21st century.
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Best birth control methods are intrauterine devices and hormonal implants. Dr. Anton Titov, MD. They are safe and most effective birth control methods. Dr. Philip Darney, MD. Hormonal implants are best contraception methods because they are very cheap and long-term use. Hormonal implants and intrauterine devices action is completely reversible. Woman can become pregnant after removing intrauterine device. Pregnancy is initiated after removing a hormonal implant. Dr. Anton Titov, MD. Best birth control methods. 1234 As you mentioned in our conversation a little earlier. The desired pregnancy is one of the most important indicators for the woman’s health and health for the future child. So access to safe and effective birth control methods is a very important topic in family planning. Oral contraceptives perhaps have been the one of the most popular methods of contraception. But you published extensively on the safety and efficacy of intrauterine devices and implantable contraception. Dr. Anton Titov, MD. So what are the most effective and safe ways of birth control (contraception) for a woman today? 1234 (Specialist in Obstetrics, Gynecology and Reproductive Science, UCSF). Dr. Philip Darney, MD. By far the most effective contraceptives are the long acting highly effective contraceptives you mentioned. It is contraceptive implants and intrauterine contraceptives. They are more effective than surgical sterilization. because of efficacy and safety their popularity is increasing all around the world. As you point out, the birth control pills have long been the principal method of safe and effective contraception, particularly in the United States. But oral contraceptives are simply not as effective as these long-acting methods. oral contraceptive pills for a small minority of the women who use them do carry the risk of venous thrombosis. (Deep venous thrombosis) risk from birth control pills exists particularly for women who are already at risk of venous thrombosis. that’s been particularly a controversial issue in Western Europe. Condoms can be very effective contraceptives. But condoms require a lot of effort every time from the couple who is using them. Dr. Philip Darney, MD. The same is true with any vaginal methods of contraception. So there are real advantages to these long-acting highly effective contraceptives. Intrauterine devices and hormonal implants. Several clinical trials have demonstrated their advantages. Contraceptive implants prevent teenage pregnancy. They encourage planned pregnancy. Remember that all around the world 40% to 50% of pregnancies are unintended. This is also true in the United States. But it’s not true in Western Europe. Some women who have complications in pregnancy or die as a result of pregnancy. Half of them didn’t want to be pregnant in the first place. Those women also have premature births. This is the main cause of neonatal mortality. These women didn’t want to be pregnant in the first place. So helping them to plan pregnancies is a critical determinant of women’s health and infant health. 1234. Intrauterine devices and hormonal implants probably remove so much of human factor. A necessity to remember to take a pill every day. You do not have to remember to use condoms every day. Therefore that increases practical efficacy of intrauterine devices and contraceptive implants. 1234 Dr. Philip Darney, MD. Yes. You have a contraceptive implant, it stays there for five years. You don’t need to do anything. You are completely protected from unintended pregnancy. Intrauterine contraceptives last even longer than the implants. They are highly effective because of their mechanisms of action. They don’t require you to remember to do anything to use them. You don’t have to remember to take a pill every day. No need to put a condom on every time before intercourse. Intrauterine devices are cheap. The upfront cost may be much greater. It is the cost when you have the intrauterine contraceptive inserted. But in the long term they are much cheaper than the daily methods of contraception. 1234. Dr. Philip Darney, MD. A woman decides to have a planned pregnancy. Dr. Anton Titov, MD. Are effects of intrauterine contraceptive devices and hormonal implants reversible? How safe are intrauterine devices for fertility? 1234. Their action is completely reversible. There’s no evidence that intrauterine contraceptives result in pelvic infections. Woman does not lose her fertility. So we’re happy to provide teenagers who want to avoid a pregnancy with an intrauterine contraceptive. If that’s what she’d like to use. 1234: Professor Darney, thank you very much for this fascinating and very important conversation.The topic of reproductive health and family planning is most important for women and families around the world. I’m very grateful for the opportunity to speak with you today. Thank you! 1234 Dr. Philip Darney, MD. It’s been my pleasure. Thanks for your good questions. Best birth control methods. Dr. Anton Titov, MD. Hormonal implants, intrauterine contraceptive devices – safety and efficacy. How to choose best and safest contraception method?