Lakeview Health System
Finding the Right Birth Control for You
What is the right birth control for you?  -Abby Heller

Do you have migraine headaches, family or personal history of stroke/ blood clots in legs/lungs, High blood pressure, uncontrolled diabetes, liver dysfunction, alcoholism or personal breast cancer history?  
If yes to any: Use progesterone only methods (Micronor pill, Depo-provera shot, Mirena IUD, Skyla IUD, Nexplanon)
If No:  You can have estrogen, and any type of birth control is suitable for you.          


How long until you want a child?  
< 2 years: Consider a pill v. nuvaring v. patch v. depo. 
If > 2 years: Consider a LARC (long acting reversible contraception) such as the Mirena, Paragard, Skyla or Nexplanon.          


Are you a good daily pill taker?  
If so OCP’s (Alesse, Sprintec, Desogen, Orthotricyclen, Yaz, Mircette, Lo- Ovral) work fine.
If not, look into LARC’s v. nuvaring, depo, patch.          


Do you have heavy, painful periods?  
The mirena IUD or combination pill will likely help your symptoms.  
The paragard IUD will likely make your periods worse.          


Are you on a pill already and having break through bleeding , acne, breast tenderness or headaches?  
These symptoms are generally due to the dose of estrogen and the type of progesterone. Often changing one of these factors can stop the symptoms. 


*Non- Hormonal methods- paragard iud ( excellent efficacy) diaphragm, cervical cap, condoms (have poor efficacy).

In summary, I have yet to find someone that I cannot find a birth control that works well for them.   While each birth control can have side effects, often with a little patience we can find a birth control that maximizes the benefits and minimizes the risks/ side effects for the patient.