What Should I do Before Starting a New Contraceptive?

Starting a new contraceptive is an important decision that requires careful consideration. There are several factors to take into account before starting a new method of contraception to ensure that it is safe, effective, and well-suited to your individual needs. In this article, we will discuss the important steps you should take and the information you should gather before starting a new contraceptive method.

1. Educate Yourself:

Before starting a new contraceptive, it is crucial to educate yourself about the various options available to you. Contraception methods can vary in terms of their effectiveness, side effects, convenience, and reversibility. Learning about the different methods will help you make an informed decision that aligns with your preferences and lifestyle. Some common contraceptive methods include hormonal methods (such as birth control pills, patches, injections, and implants), barrier methods (such as condoms and diaphragms), intrauterine devices (IUDs), and fertility awareness methods.

2. Consult with a Healthcare Provider:

It is essential to consult with a qualified healthcare provider, such as a gynecologist or family planning specialist, before starting a new contraceptive method. They can provide expert guidance and recommend the most suitable option based on your unique circumstances. Your healthcare provider will consider factors such as your medical history, age, sexual activity, future plans for pregnancy, and any underlying health conditions. They may also discuss the potential risks, benefits, and side effects associated with each contraceptive method to help you make an informed decision.

3. Medical Evaluation:

Before initiating a new contraceptive method, your healthcare provider may conduct a thorough medical evaluation to ensure that it is safe for you. This may involve reviewing your medical history, performing a physical examination, and ordering relevant laboratory tests. For instance, if you are considering hormonal methods, your provider may check your blood pressure and inquire about any history of blood clots, stroke, or breast cancer, as these conditions can impact the safety of hormonal contraceptives.

4. Discuss Side Effects:

Each contraceptive method carries its own set of potential side effects. Before starting a new contraceptive, it is important to discuss these side effects with your healthcare provider. Common side effects of hormonal contraceptives may include nausea, breast tenderness, irregular bleeding, mood changes, and headache. Barrier methods, such as condoms, may cause allergic reactions in some individuals. Understanding the potential side effects will help you prepare and manage any discomfort that may arise.

5. Consider Lifestyle Factors:

Your lifestyle can greatly influence the choice of contraceptive method that is most suitable for you. For example, if you lead a busy life with irregular schedules, a method that requires daily administration, such as birth control pills, may not be the most practical choice. In such cases, long-acting reversible contraceptives (LARCs) like IUDs or implants may be more suitable since they provide continuous contraception without requiring regular upkeep. Similarly, if you have a monogamous relationship and are concerned about sexually transmitted infections (STIs), using condoms in addition to another contraceptive method is recommended.

6. Evaluate Effectiveness:

The effectiveness of contraceptive methods can vary, and it is important to evaluate the efficacy of your chosen method. Each method has its own Pearl Index, which measures the number of pregnancies that occur out of 100 women using the method for one year. Highly effective methods have a lower Pearl Index, indicating a lower risk of unintended pregnancies. For instance, hormonal implants and IUDs have a Pearl Index of less than 1, while condoms have a Pearl Index ranging from 2 to 18. Discussing the effectiveness of different methods with your healthcare provider will help you select a method that aligns with your desired level of protection against pregnancy.

7. Consider Long-Term Goals:

When deciding on a new contraceptive method, it is important to consider your long-term goals. If you are planning to start a family in the near future, a reversible method such as hormonal birth control pills may be more appropriate, as they can be stopped at any time. On the other hand, if you desire long-term contraception for a few years, LARCs like IUDs or implants may be more suitable as they are highly effective and require minimal upkeep. Discussing your future plans with your healthcare provider will help you select a method that aligns with your reproductive goals.

8. Address Concerns or Misconceptions:

It is common to have concerns or misconceptions about certain contraceptive methods. Before starting a new method, it is important to address these concerns with your healthcare provider. They can provide you with accurate information, clarify any misconceptions, and alleviate any fears or anxieties you may have. Remember, open and honest communication with your healthcare provider is key to ensuring that you are well-informed and confident in your decision.

9. Discuss Interactions with Medications:

If you are taking any medications or have any underlying health conditions, it is essential to discuss potential interactions with your contraceptive method. Some medications, such as certain antibiotics or anticonvulsants, can reduce the effectiveness of hormonal contraceptives. Your healthcare provider can provide guidance on how to manage these interactions and suggest alternative methods if necessary.

10. Determine Affordability and Accessibility:

The cost and accessibility of contraceptive methods can vary depending on factors such as insurance coverage, location, and availability. Before starting a new contraceptive, consider the financial implications and ensure that you have access to the method of your choice. Many clinics, family planning centers, and pharmacies offer affordable or free contraceptive options. Discussing this aspect with your healthcare provider can help you navigate any potential barriers to accessing your preferred method.

Before starting a new contraceptive, it is crucial to educate yourself about the available options, consult with a healthcare provider, evaluate the potential side effects, consider your lifestyle, and address any concerns or misconceptions you may have. Taking these steps will help you make an informed decision and select a contraceptive method that is safe, effective, and well-suited to your individual needs. Remember, choosing a contraceptive is a personal decision, and what works for one person may not work for another. It is important to regularly evaluate your chosen method and reassess your contraceptive needs as they may change over time.