Ive heard there are new contraceptive options available. What are they?
A weekly patch is available called Ortho Evra. The patch is worn for one week and then changed. It is left off for the week of your period. The main side effect associated with patches is usually skin irritation. They have found to be as effective as any other type of oral contraceptive.There is a plastic ring available which is self-inserted in the vagina and left in for 3 weeks. It has a lower dose of estrogen and progesterone so fewer hormones should be absorbed to the rest of the body. The company reports 89% acceptance by sexual partners. A new IUD called Mirena can be inserted by one of the medical providers at our office. This is a significant improvement over previous IUDs. This has a low dose of progesterone which is absorbed by the genital tract and significantly decreases the lining of the uterus. Therefore, periods are significantly lighter. We feel that this could easily be used in the perimenopausal period, providing both contraception and protection to the endometrium in
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