Difference between revisions of "Buy the Morning After Pill"

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If you’ve had unprotected sex or are worried that your contraceptive method failed, you may be concerned about an unwanted pregnancy. Emergency contraception, including the “morning after” pill, can prevent conception and give you peace of mind. Buy a morning after pill at a pharmacy or health  clinic, or get a prescription from your doctor.<ref>http://www.ncsl.org/research/health/emergency-contraception-state-laws.aspx</ref>  
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If you’ve had unprotected sex or are worried that your contraceptive method failed, you may be concerned about an unwanted pregnancy. Emergency contraception, including the “morning after” pill, can prevent conception and give you peace of mind. Buy a morning after pill at a pharmacy or health  clinic, or get a prescription from your doctor.<ref name="rf1">http://www.ncsl.org/research/health/emergency-contraception-state-laws.aspx</ref>  
  
 
[[Category:Birth Control and Contraceptives]]
 
[[Category:Birth Control and Contraceptives]]
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===Getting the Pills===
 
===Getting the Pills===
 
#Visit your local pharmacy or grocery store. You can purchase over the counter morning after pills at most pharmacies and some grocery or large retail stores. Most morning after pills, if you're paying full-price, cost around $35-50.
 
#Visit your local pharmacy or grocery store. You can purchase over the counter morning after pills at most pharmacies and some grocery or large retail stores. Most morning after pills, if you're paying full-price, cost around $35-50.
#*Morning after pills will likely be among other family planning methods such as condoms.<ref>http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>
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#*Morning after pills will likely be among other family planning methods such as condoms.<ref name="rf2">http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>
#*If you don't see the morning after pill on the shelves, visit the pharmaceuticals counter and ask there.<ref> http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>
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#*If you don't see the morning after pill on the shelves, visit the pharmaceuticals counter and ask there.<ref name="rf3"> http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>
#*There may be generic and brand name options. Both are equally effective and you can decide based on budget and if you’re sensitive to any of the active ingredients.<ref>http://ec.princeton.edu/info/ecp.html</ref>  
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#*There may be generic and brand name options. Both are equally effective and you can decide based on budget and if you’re sensitive to any of the active ingredients.<ref name="rf4">http://ec.princeton.edu/info/ecp.html</ref>  
 
#*Be aware that some stores may not sell the morning after pill because of the company’s moral code. Consider calling ahead of time if you have reason to suspect the store's owners might be opposed to family planning.
 
#*Be aware that some stores may not sell the morning after pill because of the company’s moral code. Consider calling ahead of time if you have reason to suspect the store's owners might be opposed to family planning.
#Go to a sexual health clinic or walk-in clinic. You may be able to get the morning after pill from your nearest sexual health clinic or walk-in health center.<ref>http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref> If you're within business hours, this may be easier and more discreet than a retail outlet.
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#Go to a sexual health clinic or walk-in clinic. You may be able to get the morning after pill from your nearest sexual health clinic or walk-in health center.<ref name="rf2" /> If you're within business hours, this may be easier and more discreet than a retail outlet.
#*The morning after pill may not have any cost, or a clinic may price it on a sliding scale for those that can't afford full price.<ref>http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref> You will be asked about your income and insurance to determine your fee.
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#*The morning after pill may not have any cost, or a clinic may price it on a sliding scale for those that can't afford full price.<ref name="rf2" /> You will be asked about your income and insurance to determine your fee.
 
#*If you live in the United States, see if there's a Planned Parenthood Health Center near you: https://www.plannedparenthood.org/health-center
 
#*If you live in the United States, see if there's a Planned Parenthood Health Center near you: https://www.plannedparenthood.org/health-center
 
#*Most universities have a health center that may offer emergency contraception. If you are not sure how or when it is available, ask a member of staff or talk to the nurse.
 
#*Most universities have a health center that may offer emergency contraception. If you are not sure how or when it is available, ask a member of staff or talk to the nurse.
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#*You will have to explain the situation to your doctor and she may then prescribe emergency contraception for you. She may also suggest using a regular form of birth control.
 
#*You will have to explain the situation to your doctor and she may then prescribe emergency contraception for you. She may also suggest using a regular form of birth control.
 
#*The most common prescription pill is Plan B.  
 
#*The most common prescription pill is Plan B.  
#*NorLevo is not as effective in women with a BMI over 35; the case may be the same with other brands of the morning after pill.<ref>http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>
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#*NorLevo is not as effective in women with a BMI over 35; the case may be the same with other brands of the morning after pill.<ref name="rf2" />
 
#*Bear in mind that you should get the pill as soon as possible, as the effectiveness decreases over time.
 
#*Bear in mind that you should get the pill as soon as possible, as the effectiveness decreases over time.
  
 
===Using Contraceptive Pills===
 
===Using Contraceptive Pills===
#Take emergency contraception as soon as possible. If you’ve had unprotected sex and are concerned that you could get pregnant, take the morning after pill, which is also called emergency contraception, as soon as you can. In most cases, you can take the morning after pill up to five days following unprotected sex.<ref>http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception </ref>
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#Take emergency contraception as soon as possible. If you’ve had unprotected sex and are concerned that you could get pregnant, take the morning after pill, which is also called emergency contraception, as soon as you can. In most cases, you can take the morning after pill up to five days following unprotected sex.<ref name="rf5">http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception </ref>
#*Be aware that many states require women under the age of 17 to get a prescription for morning after pills.<ref> http://www.ncsl.org/research/health/emergency-contraception-state-laws.aspx</ref>
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#*Be aware that many states require women under the age of 17 to get a prescription for morning after pills.<ref name="rf6"> http://www.ncsl.org/research/health/emergency-contraception-state-laws.aspx</ref>
#*You can take the pill anytime during your menstrual cycle.<ref>http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/how-you-prepare/prc-20012891</ref>
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#*You can take the pill anytime during your menstrual cycle.<ref name="rf7">http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/how-you-prepare/prc-20012891</ref>
#*The morning after pill is a safe and effective way to prevent pregnancy.<ref>http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception </ref> However, you shouldn’t use this as a regular form of birth control.<ref> http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>  
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#*The morning after pill is a safe and effective way to prevent pregnancy.<ref name="rf5" /> However, you shouldn’t use this as a regular form of birth control.<ref name="rf3" />  
#Talk to your pharmacist about indications. While everyone can use over the counter emergency contraception, it may not be as effective for every woman and some may be allergic to it. Make sure to read and understand any indications or contraindications that come along with emergency contraception.<ref>http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>
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#Talk to your pharmacist about indications. While everyone can use over the counter emergency contraception, it may not be as effective for every woman and some may be allergic to it. Make sure to read and understand any indications or contraindications that come along with emergency contraception.<ref name="rf2" />
#*The morning after pill may be less effective for women with a Body Mass Index (BMI) over 25.<ref>http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>
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#*The morning after pill may be less effective for women with a Body Mass Index (BMI) over 25.<ref name="rf2" />
#*Certain medications such as barbiturates, or other supplements such as St. John’s Wort may decrease the effectiveness of the morning after pill.<ref>http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/risks/prc-20012891</ref>
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#*Certain medications such as barbiturates, or other supplements such as St. John’s Wort may decrease the effectiveness of the morning after pill.<ref name="rf8">http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/risks/prc-20012891</ref>
#*If you are allergic to any component of the morning after pill, it may be less effective.<ref>http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/risks/prc-20012891</ref>
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#*If you are allergic to any component of the morning after pill, it may be less effective.<ref name="rf8" />
#Watch for side effects. If you use any kind of morning after pill, you may experience some side effects. These usually subside after a few days.<ref> http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/risks/prc-20012891</ref>
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#Watch for side effects. If you use any kind of morning after pill, you may experience some side effects. These usually subside after a few days.<ref name="rf9"> http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/risks/prc-20012891</ref>
#*You may experience nausea or vomiting after taking the morning after pill.<ref> http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/risks/prc-20012891</ref>
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#*You may experience nausea or vomiting after taking the morning after pill.<ref name="rf9" />
#*You may feel tired, dizzy, or have a headache after taking the morning after pill.<ref> http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/risks/prc-20012891</ref>
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#*You may feel tired, dizzy, or have a headache after taking the morning after pill.<ref name="rf9" />
#*You may have breast tenderness, and lower abdominal pain or cramping after taking the morning after pill.<ref> http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/risks/prc-20012891</ref>
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#*You may have breast tenderness, and lower abdominal pain or cramping after taking the morning after pill.<ref name="rf9" />
#*You may experience bleeding between periods or heavier menstrual cramps after taking the morning after pill.<ref> http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/risks/prc-20012891</ref>
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#*You may experience bleeding between periods or heavier menstrual cramps after taking the morning after pill.<ref name="rf9" />
#*Contact your doctor immediately if you experience bleeding or spotting that lasts longer than a week or if you have severe abdominal pain 3-5 weeks after taking the morning after pill. This can help rule out an ectopic pregnancy.<ref> http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/what-you-can-expect/prc-20012891</ref>
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#*Contact your doctor immediately if you experience bleeding or spotting that lasts longer than a week or if you have severe abdominal pain 3-5 weeks after taking the morning after pill. This can help rule out an ectopic pregnancy.<ref name="rf10"> http://www.mayoclinic.org/tests-procedures/morning-after-pill/basics/what-you-can-expect/prc-20012891</ref>
#Repeat the dosage if you throw up. One of the most common side effects of using emergency contraception is nausea. If you vomit within an hour of taking the pills, repeat the dosage.<ref>http://ec.princeton.edu/questions/dose.html</ref>
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#Repeat the dosage if you throw up. One of the most common side effects of using emergency contraception is nausea. If you vomit within an hour of taking the pills, repeat the dosage.<ref name="rf11">http://ec.princeton.edu/questions/dose.html</ref>
#*Don’t repeat the entire process, just the dosage you threw up.<ref>http://ec.princeton.edu/questions/dose.html</ref>
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#*Don’t repeat the entire process, just the dosage you threw up.<ref name="rf11" />
#*You may need to take an anti-nausea medication to help your stomach.<ref>http://ec.princeton.edu/questions/dose.html</ref>
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#*You may need to take an anti-nausea medication to help your stomach.<ref name="rf11" />
#Avoid using multiple forms of emergency contraception. Only use one form of emergency contraception. Not only is using two forms of emergency contraception not more effective at preventing pregnancy, but the different types of morning after pill may actually make the other less effective.<ref>http://ec.princeton.edu/questions/dose.html</ref>
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#Avoid using multiple forms of emergency contraception. Only use one form of emergency contraception. Not only is using two forms of emergency contraception not more effective at preventing pregnancy, but the different types of morning after pill may actually make the other less effective.<ref name="rf11" />
#*You’re much more likely to have nausea, vomiting, and other side effects from using multiple forms of emergency contraception.<ref>http://ec.princeton.edu/questions/dose.html</ref>
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#*You’re much more likely to have nausea, vomiting, and other side effects from using multiple forms of emergency contraception.<ref name="rf11" />
#Use backup contraception. If you’ve taken the morning after pill and don’t have a regular form of birth control, use a backup form of contraception. This can help prevent unwanted pregnancy.<ref> http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>
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#Use backup contraception. If you’ve taken the morning after pill and don’t have a regular form of birth control, use a backup form of contraception. This can help prevent unwanted pregnancy.<ref name="rf3" />
#*Consider using condoms as your backup form of contraception.<ref> http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>
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#*Consider using condoms as your backup form of contraception.<ref name="rf3" />
#*Use backup contraception for 14 days after taking the morning after pill.<ref> http://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception</ref>  
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#*Use backup contraception for 14 days after taking the morning after pill.<ref name="rf3" />  
  
 
===Using Regular Birth Control Pills for Emergency Contraception===
 
===Using Regular Birth Control Pills for Emergency Contraception===
#Determine your dosage. If you take regular birth control pills, and have simply missed a dose, you may be able to increase your dose as a form of emergency contraception. However, you should talk to your doctor or a pharmacist about the number of pills you should take.<ref>http://ec.princeton.edu/questions/dose.html</ref>
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#Determine your dosage. If you take regular birth control pills, and have simply missed a dose, you may be able to increase your dose as a form of emergency contraception. However, you should talk to your doctor or a pharmacist about the number of pills you should take.<ref name="rf11" />
 
#*You can also call 1-800-PLAN to discuss your options with a Planned Parenthood representative.
 
#*You can also call 1-800-PLAN to discuss your options with a Planned Parenthood representative.
 
#*Depending on the kind of oral contraceptive, one dose may be 4 or 5 pills.  
 
#*Depending on the kind of oral contraceptive, one dose may be 4 or 5 pills.  
#Take two doses. After establishing how many pills you need, take two doses within 12 hours of one another. This is considered a safe and effective pregnancy prevention method.<ref>http://ec.princeton.edu/questions/dose.html</ref>  
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#Take two doses. After establishing how many pills you need, take two doses within 12 hours of one another. This is considered a safe and effective pregnancy prevention method.<ref name="rf11" />  
 
#*Take your first dose up to 5 days or up to 120 hours after unprotected sex.
 
#*Take your first dose up to 5 days or up to 120 hours after unprotected sex.
 
#*Take the second dose 12 hours after the first dose. An hour more or less won't make a difference.
 
#*Take the second dose 12 hours after the first dose. An hour more or less won't make a difference.
#Don’t take extra pills. You may be tempted to take more than 4-5 pills to make sure it works, but this will not actually reduce your risk. The only thing it will do is raise your chances of an upset stomach.<ref>http://ec.princeton.edu/questions/dose.html</ref>
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#Don’t take extra pills. You may be tempted to take more than 4-5 pills to make sure it works, but this will not actually reduce your risk. The only thing it will do is raise your chances of an upset stomach.<ref name="rf11" />
 
#*If you experience severe stomach pain, seek medical attention.
 
#*If you experience severe stomach pain, seek medical attention.
  
 
===Starting Regular Birth Control===
 
===Starting Regular Birth Control===
#Consider your family wishes and lifestyle. When you decide to use birth control, there are many factors you should consider such as if and when you want children, if you want to take pills or not worry about taking daily medication, and your lifestyle, including if you travel frequently. Thinking about these questions can help you determine the most appropriate form of birth control for you.<ref>http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/birth-control-basics/hlv-20049454</ref>
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#Consider your family wishes and lifestyle. When you decide to use birth control, there are many factors you should consider such as if and when you want children, if you want to take pills or not worry about taking daily medication, and your lifestyle, including if you travel frequently. Thinking about these questions can help you determine the most appropriate form of birth control for you.<ref name="rf12">http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/birth-control-basics/hlv-20049454</ref>
 
#*For example, if you are in a long term relationship and want to wait a few years to have children, you might opt for a long term birth control method such as an intrauterine device (IUD).
 
#*For example, if you are in a long term relationship and want to wait a few years to have children, you might opt for a long term birth control method such as an intrauterine device (IUD).
#*If you have multiple partners, you may opt for birth control pills and condoms to protect from pregnancy and sexually transmitted diseases.<ref>http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/birth-control-basics/hlv-20049454</ref>
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#*If you have multiple partners, you may opt for birth control pills and condoms to protect from pregnancy and sexually transmitted diseases.<ref name="rf12" />
#*Consider questions such as “do I want to plan every time I have sex?,” “do I want to remember to take a pill every day?,” “do I want to end my fertility permanently?”.<ref>http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/birth-control-basics/hlv-20049454</ref>
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#*Consider questions such as “do I want to plan every time I have sex?,” “do I want to remember to take a pill every day?,” “do I want to end my fertility permanently?”.<ref name="rf12" />
 
#*You’ll also want to think about your health. For example, if you suffer from migraines, birth control pills may not be a good choice for you.
 
#*You’ll also want to think about your health. For example, if you suffer from migraines, birth control pills may not be a good choice for you.
#Check out barrier methods. You can choose barrier methods that are put on or inserted right before sex including male and female condoms, a diaphragm, a cervical cap, and spermicide.<ref>http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/birth-control-basics/hlv-20049454</ref>
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#Check out barrier methods. You can choose barrier methods that are put on or inserted right before sex including male and female condoms, a diaphragm, a cervical cap, and spermicide.<ref name="rf12" />
#*If used properly, these methods can help protect against pregnancy, but you may want to use a secondary method to help ensure that you don’t get pregnant. For example, if you’re using condoms, which have a failure rate of 2-18%, you may want to also use a spermicide.<ref>http://www.plannedparenthood.org/learn/birth-control/condom</ref>
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#*If used properly, these methods can help protect against pregnancy, but you may want to use a secondary method to help ensure that you don’t get pregnant. For example, if you’re using condoms, which have a failure rate of 2-18%, you may want to also use a spermicide.<ref name="rf13">http://www.plannedparenthood.org/learn/birth-control/condom</ref>
 
#*The advantage to barrier methods is that they also protect against STIs.
 
#*The advantage to barrier methods is that they also protect against STIs.
#Try hormonal birth control. Hormonal birth control, which has a low failure rate of less than 1% to 9%, is a good option if you want to avoid pregnancy and are in a long-term relationship.<ref>http://www.plannedparenthood.org/learn/birth-control/birth-control-pill</ref> The different types of hormonal birth control are the Pill, a patch, or a vaginal ring.<ref>http://www.acog.org/Patients/FAQs/Combined-Hormonal-Birth-Control-Pill-Patch-and-Ring</ref> Birth control pills can have the added benefit that they can help regulate your menstrual cycle.<ref>http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/birth-control-pills/hlv-20049454</ref>
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#Try hormonal birth control. Hormonal birth control, which has a low failure rate of less than 1% to 9%, is a good option if you want to avoid pregnancy and are in a long-term relationship.<ref name="rf14">http://www.plannedparenthood.org/learn/birth-control/birth-control-pill</ref> The different types of hormonal birth control are the Pill, a patch, or a vaginal ring.<ref name="rf15">http://www.acog.org/Patients/FAQs/Combined-Hormonal-Birth-Control-Pill-Patch-and-Ring</ref> Birth control pills can have the added benefit that they can help regulate your menstrual cycle.<ref name="rf16">http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/birth-control-pills/hlv-20049454</ref>
#Consider an IUD or implant. You can choose a long-acting reversible contraception (LARC) method such as an IUD, hormonal shots, or a contraceptive implant if you want to wait to have children. It can take some time to return to fertility after using these methods, but they will not affect your ability to conceive in the long-term.<ref>http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/seo/hlv-20049454</ref>
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#Consider an IUD or implant. You can choose a long-acting reversible contraception (LARC) method such as an IUD, hormonal shots, or a contraceptive implant if you want to wait to have children. It can take some time to return to fertility after using these methods, but they will not affect your ability to conceive in the long-term.<ref name="rf17">http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/seo/hlv-20049454</ref>
#Look into sterilization if you don't want children. Sterilization is a birth control option if you are sure you never want children. Vasectomies and tubal ligations are generally irreversible procedures and must be seriously considered before making a final decision to go through with them.<ref>http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/sterilization/hlv-20049454</ref>
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#Look into sterilization if you don't want children. Sterilization is a birth control option if you are sure you never want children. Vasectomies and tubal ligations are generally irreversible procedures and must be seriously considered before making a final decision to go through with them.<ref name="rf18">http://www.mayoclinic.org/healthy-lifestyle/birth-control/basics/sterilization/hlv-20049454</ref>
 
#Be aware of potential risks of different birth control methods. Every birth control method comes with potential risks, including unwanted pregnancy. Being aware of potential risks and side effects of the different birth control methods can help you choose the best method for you.
 
#Be aware of potential risks of different birth control methods. Every birth control method comes with potential risks, including unwanted pregnancy. Being aware of potential risks and side effects of the different birth control methods can help you choose the best method for you.
#*Hormonal birth control, such as pills, patches, and vaginal rings may increase your blood pressure and affect your cholesterol.<ref>http://www.mayoclinic.org/healthy-lifestyle/birth-control/in-depth/birth-control-pill/art-20045136?pg=2</ref>
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#*Hormonal birth control, such as pills, patches, and vaginal rings may increase your blood pressure and affect your cholesterol.<ref name="rf19">http://www.mayoclinic.org/healthy-lifestyle/birth-control/in-depth/birth-control-pill/art-20045136?pg=2</ref>
#*Barrier methods such as condoms, spermicides, and caps can cause allergic reactions and may increase your risk for urinary tract infections or STDs.<ref>http://www.acog.org/Patients/FAQs/Barrier-Methods-of-Birth-Control-Diaphragm-Sponge-Cervical-Cap-and-Condom</ref>
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#*Barrier methods such as condoms, spermicides, and caps can cause allergic reactions and may increase your risk for urinary tract infections or STDs.<ref name="rf20">http://www.acog.org/Patients/FAQs/Barrier-Methods-of-Birth-Control-Diaphragm-Sponge-Cervical-Cap-and-Condom</ref>
#*The risks for long-acting reversible contraception (LARC) methods include perforation of the uterus, increased risk of pelvic inflammatory disease and ectopic pregnancy, and pain and heavy menstrual bleeding.<ref>http://www.acog.org/Patients/FAQs/Long-Acting-Reversible-Contraception-LARC-IUD-and-Implant</ref>
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#*The risks for long-acting reversible contraception (LARC) methods include perforation of the uterus, increased risk of pelvic inflammatory disease and ectopic pregnancy, and pain and heavy menstrual bleeding.<ref name="rf21">http://www.acog.org/Patients/FAQs/Long-Acting-Reversible-Contraception-LARC-IUD-and-Implant</ref>
  
 
== Tips ==
 
== Tips ==