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Best Birth Control For Smokers Over 40 – There are 19 types of birth control methods approved by the FDA in the US, but there may be more than one option that is right for you.
According to the Centers for Disease Control and Prevention (CDC), almost every woman will use birth control at some point in her life, and some will use more than one type in a month. Over the years, some forms of birth control have grown in popularity while others have declined.
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For example, while the pill is still the most common form of contraception used by women in the US, intrauterine devices (IUDs) are also on the rise, according to a 2018 report from the National Center for Health Statistics, part of the Centers for Disease Control and Prevention. Centers for Disease Control and Prevention (CDC). And after part of the Affordable Care Act, health insurance covered more birth control options than ever before, at no cost.
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1. Most American women between the ages of 15 and 44 use birth control. Nearly two-thirds of women this generation currently use some form of birth control, according to the CDC. Their first non-surgical option is the pill, followed by long-acting contraceptives, such as IUDs or implants.
2. Adolescent girls use birth control pills less than older women. About 62 percent of women ages 20 to 29 currently use birth control. Compare this to 72 percent of women ages 30 to 39 who report using birth control pills and nearly 74 percent of women ages 40 and older are currently on birth control, according to the CDC.
That trend concerns Lindsey Longerot, MD, an ob/gyn at the Texas Children’s Pavilion for Women in Houston, because young women, she says — including those in their 20s — will be affected by an unplanned pregnancy.
3. Although female sterilization is permanent, it is popular. Tubal ligation is actually the most popular form of birth control among American women, according to the CDC, with 18.6 percent of them currently using it. Use increases with age, from about 1 in 20 women aged 20 to 29 to almost two in five women over 40. The method prevents pregnancy from being permanent by closing or blocking the fallopian tubes so that the eggs cannot be fertilized by sperm. Despite this, there is a small risk of ectopic pregnancy after the contraceptive injection, says Dr. Longerot warned.
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4. Music is popular, but not for everyone. Although the pill remains the most popular form of birth control, CDC data found that use declines with age: 19.5 percent of women in their 20s use it, 11 percent of women in their 30s, and 5.1 percent of women who use them. 40s The advantage, says Longerot, is that it can be stopped quickly if a woman wants to get pregnant. Taking the pill can also reduce symptoms of menstrual cramps, PMS and acne, says Linda Rice, a nurse practitioner at Boston Medical Center.
But combined birth control pills, which contain the hormones estrogen and progestin, are not the best choice for every woman. Not only do these oral contraceptives have to be taken every day, preferably at the same time, but they can also increase the risk of blood clots, according to the National Blood Clot Alliance. Smokers over age 35 and women with a history of blood clots or breast cancer should choose another vaccine, the CDC said.
5. Small pills may be the best option for some women. Because the pill contains only progestin, Rice says, it’s a good choice for women who need to avoid estrogen, such as those who are at risk for blood clots or who are breastfeeding. Possible side effects include irregular or missed periods, mood swings, nausea and headaches. But progestin-only pills are not for women with breast cancer, advises the American College of Obstetricians and Gynecologists (ACOG).
6. Easier to stick to a barrier or ring than a pill. They contain the same hormones found in most birth control pills (estrogen and progestin) and carry the same risks to the body, Longerot says, but have a better therapeutic regimen. Generally speaking, “the patch is changed every week and the ring is changed every week,” says Sally Rafie, PharmD, a pharmacist at the California Health System in San Diego and a birth control specialist. month, which is less memorable than the daily pill.” Another type of ring is available that only needs to be replaced once a year.
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7. Progestin pills are another form of contraception for women. These injections are given in the ankle or arm four times a year, according to the CDC, but because the injection can reduce bone density, it’s not recommended. If you don’t have a birth control plan, it’s important to get enough calcium and vitamin D, says Dr. Rafie said.
In addition, the injection may increase the risk of heart disease, especially in women with a pre-existing risk or history of stroke, vascular disease, or well-controlled high blood pressure. Some women also experience bleeding after the injection, ACOG said.
8. IUD use has tripled in recent years. Among women ages 15 to 44, 2.4 percent reported using an IUD in 2002. That rate rose to 7.9 percent between 2015 and 2017, according to the most recent data from the National Survey of Family Growth.
IUDs have been around for decades, but failed in the 1970s and 80s. That’s because older devices have structural defects that attract bacteria to the uterus, causing pelvic infections that can lead to infertility and even death, according to the National Network for Women’s Health.
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These modern devices are very safe and 20 times more effective than the pill, although they still carry a small risk of uterine perforation and infection. “It’s really ‘take it and forget it’ at least for a few years,” Rafie said. “They are the perfect choice for women who haven’t planned a pregnancy in years.” and ACOG now recommends IUDs for sexually active teens.
9. Male latex condoms are the only way to protect against some sexually transmitted diseases. Latex and polyurethane condoms are the only forms of contraception that have been shown to protect against certain sexually transmitted diseases, including HIV. “The advantage of condoms is that they can protect against sexually transmitted diseases and are available over the counter,” says Rice. But condoms alone have a failure rate of about 13 percent, the CDC says. And they don’t provide 100 percent protection against sexually transmitted diseases, especially human papillomavirus (HPV).
10. The best thing about having a baby is the one that suits you. Before starting a birth control regimen, consider your ability to take your medication regularly, whether (and when) you plan to have children, and your existing health, Longerot says. Then talk openly with your doctor about your needs and options.
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