My name is Dabasmita Chakrabarti.

I work with Signature OB/GYN as an obstetric and a gynecologist,

Long Term Permanent Birth Control Options

so I take care of pregnant women and all of their obstetric needs including delivery.

and Permanent Sterilization Options for Women

• I take care of women,
• teenage girls,
• and women who need hysterectomies in any stage of life.

Permanent birth control is birth control that is not meant to be reversed.

and Permanent Sterilization Options for Women

There are two types–one is a tubal ligation and the other is vasectomy.

The tubal ligation can be done after delivery or

it can be done laparoscopically removed from delivery.

what happens in birth control an ectopic pregnancy?

When this is done,

a segment of the fallopian tube is removed.

Now,

because of the ovarian cancer risk that is associated

with fallopian tubes and the reduced risk with the removal,

there is a trend towards removing the entire fallopian tube.

If this is done, there is no reversal of sterility.

The other form of permanent sterility is vasectomy.

This is a very low-risk procedure for female patients

and is my favorite form of birth control.

• If someone should choose to get a permanent form of birth control such as tubal ligation,
• and they did not get a salpingectomy,
• there is something called a tubal reversal.

This would be a procedure done by a reproductive endocrinologist or

a specialist in this type of microsurgery

where the tubes would be brought back together again.

natural contraceptive methods of Birth Control

The ability to get pregnant after this will vary on the length of the tube that remains and

whether or not it’s actually able to remain open

after the procedure and not scar back down.

The next type of birth control is a progesterone birth control.

This comes in various different delivery systems.

There is an IUD that is coated with progesterone that is solely secreted.

It works as well,

if not better than tubal ligation.

It works by creating an inhospitable environment in the uterus

so that sperm can’t travel.

It creates a thickening of the cervical mucus

so that it can’t get into the uterus and

then it creates also an inhospitable environment for an implant if that should even happen.

It’s very,

very effective and it also has some really good side effects that are associated with it that help us treat women

who have very heavy periods and in certain cases are not good for surgery

and actually treat endometrial cancer.

There are a couple of other forms of birth control that are progesterone base only.

One of them is the Depo Provera shot.

This can be given every three months

and also creates a decreased bleeding cycle

and may actually suppress bleeding altogether.

This is very effective for people who have bleeding disorders like sickle cell.

1. And finally,
2. Nexplanon is a very pliable silicone rod that goes into the skin under the upper arm
3. and can be in place for three years,
4. but it does have to be removed as well.

It is effective in the same way as a depo provera is effective.

The negative side effects of both of those are that you can get unpredictable bleeding.

Female Birth Control Options and  Family Planning

care for women facing either abnormal or unplanned pregnancies.

Or there can be women that having pregnancies might actually be detrimental to theirs.

So a woman who’s had an of a blood clot,

for example,

it would be really important for her to avoid pregnancy until she’s ready to plan it and can do so safely.

So that makes the choice of a safe and effective birth control method a little bit more complex.

This is a chart that we often use when talking to patients about what their contraceptive options are.

And it lays out all the different available contraceptive methods by efficacy.

So the methods that you see at the very top are the most effective ones.

• So they have the lowest risk of failure,
• the lowest risk of an unplanned pregnancy.
• So things like the Depo Provera shot,
• the birth control pill,
• the contraceptive patch,
• the vaginal ring,
• or the diaphragm
• , which is a barrier method.
• So those are methods such as male and female condoms,
• spermicide,
• withdrawal, or periodic abstinence.
• So this is an example of one of the intrauterine devices,
• which is a long-acting reversible birth control method.
• This is the copper IUD,
• which is approved for use for up to ten years.

So it’s a nice option for women who want a long-acting birth control method,

but don’t wanna take away the option of having children in the future.

It’s also a really nice method for women who want to avoid hormones since there’s no hormone that’s part of this IUD.

The way it prevents pregnancy is the copper actually interferes with how sperm are able to fertilize an.

So it doesn’t change a woman’s menstrual cycle and there are no hormones in it whatsoever.

So if a woman has a medical reason why it would be unsafe for her to use hormones,

this might be a nice option for her.

So other options within the family of intrauterine devices are the hormonal IUD.

And there’s currently two that are available.

One was designed for use for up to five years

and the other is designed for use for up to three years.

The major difference is the dose of hormone that’s present in the IUD.

So the one that lasts for five years has a higher dose.

And the one that lasts only for three years, is a little bit smaller.

So it’s been specifically designed for women who’ve never been pregnant before.

And the benefit of the hormone in the IUD is it tends to make periods both shorter and

lighter and less crampy.

So,

not only do they provide really excellent pregnancy prevention,

but they can also treat conditions like heavy periods or painful periods.

It’s designed for use for up to three years.

And this is just a little flexible plastic rod that releases hormones slowly.

The rod is placed under the skin of the upper arm.

So it’s not visible,

but it should be palpable.

It’s another example of forgettable birth control.

Once it’s placed,

you don’t have to do anything else.

It’s just there doing its job.

cause a person’s periods to become irregular.

So it’s a nice option, again,

for someone who’s looking for a long-acting but reversible birth control option.

This is an example of the contraceptive vaginal ring.

So it falls in the same category as the birth control

But instead of a pill that you have to take every day,

the ring is placed in the vagina just once a month.

So it’s a little bit easier to manage

if somebody is having a hard time remembering a daily pill.

So the hormones get released into the vagina,

it’s a very effective way of avoiding pregnancy and has the same kinds of effects on periods as the pill does.

So it tends to make periods very predictable,

and also tends to reduce bleeding. And it’s really flexible.

I mean,

some people get a little nervous about the idea of placing and then removing the ring themselves, which is how it’s designed to be used.

But it’s actually very easy to place and then take out.

So in the past, when women wanted to use the diaphragm it usually meant coming into the for a pelvic exam and been fitted with a diaphragm of the appropriate size.

This version has been redesigned

so that one size will fit most women whether or not they have had a baby.

So it makes the act of getting the diaphragm a little bit easier. And basically,

it’s designed to be used with a spermicidal gel.

So you place the spermicidal gel on the inside of the diaphragm,

and then the diaphragm gets placed in the vagina

so that it creates a physical barrier between the cervix and the uterus,

and the vagina.

So that sperm are blocked from being able to get inside the upper part of the female reproductive tract.

• So in our clinic,
• we do accept most insurance plans including Maryland Medicaid.
• And most insurance plans do cover all of these contraceptive options,
• including the long-acting reversible devices like the IUD and the implant.
• Some insurances,
• in the past,
• have required prior authorizations.
• So patients would have to fill out an additional form before being able to get the IUD.
• But we’ve been able to streamline the process,
• a lot of times,
• so that people can come in,
• have a visit with one of us,
• if they select to use an implant or an IUD,
• very often we can place it on the same day.

So it makes things a little bit more convenient.

It doesn’t require people to come back at a later date.

Permanent Sterilization Options for Women

a gynecologist with mid-Michigan Centre for women’s let’s talk about permanent options

for preventing pregnancy permanent sterilization may be a good option for preventing pregnancy

if you have reached the point in life where you are sure

you don’t want more children it may also be your best option

if you have a medical condition that makes it risky for you to become pregnant permanent sterilization is one of the most common forms of permanent birth control

used by 47% of married couples it is available for both men and women permanent sterilization for women involves cutting or blocking the fallopian tubes

so that sperm cannot reach the eggs these methods often are not reversible

if you change your mind and later

want children for women permanent sterilization is generally safe

and more than 99% effective once the procedure is complete

it is convenient because you don’t have to remember to

take action every day week or month and it can reduce the risk of

ovarian cancer

and pelvic inflammatory disease the disadvantage is increased risk for ectopic pregnancy or

a pregnancy that occurs outside the uterus some procedures also require anesthesia which makes introduced additional risk sterilization does not protect you against sexually transmitted diseases or HIV/aids

if you have multiple sexual partners

you should continue to use condoms to protect yourself during

all forms of sex one type of female sterilization is mini-laparotomy it is

usually done right after a woman gives birth while the fallopian tubes are close to the abdominal

wall an incision is made and

the tubes are cut or sealed with stitches clips or

bands female sterilization can also be done laparoscopically for smaller incisions less pain and

shorter recovery a long thin tube called a laparoscope allows the surgeon to see into

the admin through small incisions long thin instruments are used to cut the fallopian tubes and

to them with cautery clips or bands a third type of female sterilization

can be done in the using a long flexible tube called a scope

the tube is used to feed a tiny set of coils through the vagina and

cervix into the fallopian tubes the coils remain in place in scar tissue eventually forms

around them blocking the tubes

you will need to use a backup form of permanent birth control

for a minimum of three months while

the scar tissue is forming and

until an x-ray confirms that the blockage is complete

My all Article all show complete

1. Effortless Long Term Permanent Birth Control Options 
2. Female Birth Control Options and 
3. Family Planning and Permanent Sterilization Options for Women 

if you are considering these procedures you should consult a gynecologist

who will fully inform you of the risks and

benefits plus what to expect before during and

after the procedure,

permanent sterilization is also available for men this is called a vasectomy

you may want to discuss with your partner and

your care provider whether a vasectomy for your partner is the right option for the

two of you for help identifying a gynecologist

who performs these procedures

called mid-Michigan line toll-free at 899 nine three one nine nine

Very rare photograph