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Birth Control

Over half of all pregnancies are unplanned.  If you don’t want to have a baby right now, we can help you choose a birth control method that’s right for you.  Whether you are a young adult or almost in menopause, there are many safe reliable types of birth control, including oral contraceptives (birth control pills) intrauterine devices (IUDs) barriers like condoms, fertility awareness and permanent birth control.

McCaskill Gynecology offers the following birth control methods:

● A - Hormonal Contraceptives:

Hormonal Contraceptives

Hormonal contraceptives are a reliable form of birth control.  In addition to preventing unwanted pregnancy, they can be used to treat menstrual irregularity, acne, premenstrual syndrome (PMS), endometriosis and symptoms of perimenopause and menopause.  They do not protect you from sexually transmitted diseases (STDs).  There are different options for how hormonal contraceptives are taken.  McCaskill gynecology offers birth control pills, injectable birth control and NuvaRing, each of which is discussed below.

Oral Contraceptives (Birth control pills)

How do birth control pills work?

Birth control pills have hormones that prevent ovulation.  The hormones also cause other changes that help to prevent pregnancy.  The mucus in the cervix will thicken, which makes it difficult for sperm to enter the uterus and the lining of the uterus thins making it less likely a fertilized egg can attach to it.

How effective are birth control pills?

With common use about 8 in 100 women will become pregnant during the first year of using birth control pills.  When birth control pills are used perfectly (the pills are taken every day at the same time) 1 in 100 women will become pregnant during the first year.

What are the different types of birth control pills?

There are two main types of birth control pills.  The first type is known as a combination pill because it contains a combination of the hormones estrogen and progestin.  The second type is a progestin-only pill.  Our practitioners will help decide what type of pill is best for you.

What should I do if I miss a pill?

If you miss a pill you should be informed about what to do.  The strategy varies for different pills so it is important you read the directions that come with your pills thoroughly.  Depending on the type of pill and how many pills were missed, a backup method of birth control should be used.

What side effects are associated with taking oral contraceptives?

Most side effects caused by hormonal contraceptives are minor and often go away after the body adjusts to the change in hormone levels.  Side effects are reduced for women taking oral contraceptives if the pill is taken every day at the same time.  The most common side effects include:

- Breakthrough bleeding-normal and usually temporary
- Headache
- Breast tenderness
- Nausea
- Irregular bleeding
- Missed periods
- Weight gain
- Anxiety or depression
- Excessive body hair growth
- Acne

Injectable Birth Control (Depo-Provera)

Depo-Provera (medroxyprogesterone acetate or DMPA) is a long-lasting progestin hormone that is Injected deep into a muscle once every three months.

DMPA is very effective, reducing pregnancy to less than one Percent

Side effects - The most common side effects of DMPA are irregular or prolonged vaginal bleeding and spotting, particularly during the first three to six months.  Up to 50 percent of women completely stop having menstrual periods after using DMPA for one year.  Menstrual periods generally return within six months of the last DMPA injection.


NuvaRing is a flexible vaginal ring with a 2 inch diameter.  Nuvaring  is easy to insert and remove and is done so by the user.  NuvaRing is inserted into the vagina for 3 weeks, then it is taken out for 1 week.

Once NuvaRing is in your vagina it releases a continuous dose of hormones that helps to prevent pregnancy.  Like birth control pills, NuvaRing has been shown to be 98% effective when used correctly.  Unlike birth control pills, NuvaRing has the added convenience of not having to take it every day.

          ● B    Long acting reversible contraception

Intrauterine devices (IUDs)

Mirena - http://www.mirena-us.com
Skyla - http://www.skyla-us.com/index.php
ParaGard - http://www.paragard.com

○ Subdermal contraceptive implant

Nexplanon - http://www.nexplanon.com

● C   Permanent Birth Control

○ Tubal Ligation

Tubal Ligation

What is surgical sterilization?

Surgical sterilization is a safe, permanent and convenient form of contraception.  The most common surgical sterilization procedure for women is called a tubal ligation, also known as having the “tubes tied.”  For fertilization to occur, an egg must travel from the ovary through the fallopian tubes to the uterus.  An egg becomes fertilized by a sperm in the fallopian tubes before it travels to the uterus.  In tubal sterilization, the fallopian tubes are either cut and separated or they are sealed shut.  This prevents the egg and sperm from meeting and thus prevents pregnancy.

Laparoscopic sterilization

Laparoscopic sterilization is a surgical procedure done in an operating room.  A small incision is made near the belly button and in the lower abdomen and a laparoscope, a thin camera device is used to view the fallopian tubes.  The surgeon may use heat to seal the tubes or may use rings or clips to close the fallopian tubes.

Permanent Sterilization Outcomes

Complications - Laparoscopic procedure complications occur in approximately 1 of every 1000 procedures.  The most common complications are infection, bowel or bladder injury, internal bleeding and problems related to anesthesia.

Menstrual periods - There is no evidence that bleeding or uterine cramping will increase after sterilization.

Pregnancy - It is very uncommon for a woman to become pregnant after sterilization.  Approximately 1 percent of women became pregnant after a laparoscopic procedure.  The risk of pregnancy is higher for women who undergo sterilization before age 30.

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Address: 6580 S McCarran Blvd, #A, Reno, NV 89509
Phone: (775) 826-1285 - Fax: 775-284-4093

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