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Birth control option sheet for website

Birth Control Choices: All the currently available options for birth control (excluding vasectomy for men) are office at OB/GYN Associates. These include: The birth control pill and alternatives (including Implanon)
We are glad to discuss your options with you, and we will provide you with the information you need to make an informed decision
regarding your birth control choices. With the volume of advertising and wide variety of sources for information available, OB/GYN
Associates is here to provide you with medically-sound information.
The Pill & Alternatives
Hormonal contraception is available in different forms, including a pill, mini-pill, vaginal ring, injection, and implantable rod. The birth
control pill, patch, and ring contain two hormones-estrogen and progesterone. The birth control pill is taken daily and depending on
the pill used, your period may come monthly, once every three months, or can be skipped completely. There are many different
brands of birth control pills including generic.
The NuvaRing (http://www.nuvaring.com) delivers the same hormones as the birth control pill through the vaginal skin and is left in
place for three weeks straight. It is taken out the fourth week during which you get your period.
Progesterone only forms of birth control include the Depo-Provera injection, the Implanon rod and the mini-pill.
Depo-Provera is an injection that is given every thee months. Implanon (http://implanon-usa.com) is a single rod that is placed under the skin of the upper arm. It provides birth control for three years. The mini-pill is similar to the birth control pill except that it doesn’t contain estrogen. It can be given to breastfeeding mothers and those who can’t take estrogen.
All of these forms of birth control have different risks and benefits. It is important to choose a birth control based on your medical
history. Please contact your provider to discuss if any of these hormonal options are right for you. Additional information on birth
control methods can be found at http://www.plannedparenthood.org.
Mirena IUD
The Mirena Intrauterine Device (IUD) is available through our office. The IUD is plastic and has the hormone progesterone
embedded within it which creates shorter and lighter periods. The IUD is inserted into the uterus in the office at the time of your
period. Once placed, the Mirena IUD is good for up to five years. Not all treatments are right for everyone and the risks and benefits
need to be reviewed in the context of your medical history. Please contact your provider to see if the Mirena IUD is a good option for
you. For further information you can visit http://www.mirena.com.
Paragard IUD
The Paragard Intrauterine Device (IUD) is available through our office. This is a non-hormonal form of birth control. Once placed, the
Paragard is good for ten years. This IUD is made of copper and is inserted into the uterus in the office at the time of your period. Not
all treatments are right for everyone and the risks and benefits need to be reviewed in the context of your medical history. Please
contact your provider to see if the Paragard IUD is a good option for you. For further information, please visit
http://www.paragard.com.
Barrier methods
Barrier methods block sperm from reaching the uterus decreasing the risk of pregnancy. Types of barriers are the diaphragm, the
cervical cap, the contraceptive sponge, the male condom and the female condom. The addition of spermicide helps prevent
pregnancy by killing off the sperm. Barrier methods are the best defense against sexually transmitted infections, with the male
condom being the most effective. For more information please visit Planned Parenthood at http://www.plannedparenthood.org.
Sterilization
Permanent sterilization includes tubal ligation, tubal occlusion and vasectomy. We commonly call this “having your tubes tied.”
These methods are for women that are sure that they do not want any more children. OB/GYN Associates offers sterilization for
women including laparoscopic tubal ligation, post-partum ligation and Essure tubal occlusion.
A laparoscopic tubal ligation is done in the operating room under anesthesia. The tubes are blocked by bands placed through small incisions in your abdomen. This is typically a same-day surgery. For further information please visit http://www.birth-control-comparison.info/tubalig.htm. A postpartum tubal is typically done the day after a regular delivery through an incision beneath the bell button. This is done under spinal anesthesia. Tubes can also be tied during a C-section. An Essure tubal occlusion is done in the operating room, or in the office, under anesthesia. It is done without incisions by placing a camera through the cervical opening and blocking each tube with a coil. Like a vasectomy, the procedure requires confirmation of occlusion by doing an x-ray procedure 3 months later. Essure tubal occlusions are typically same-day surgeries. For more information please visit http://www.essure.com. We are happy to provide referrals for male partners who are interested in vasectomy. For more information please visit http://www.vasectomy.com. If you think permanent sterilization is right for you, please contact your provide to discuss the risks and benefits and to review your medical history.

Source: http://www.kerrvilleobgyn.com/downloads/birthcontroloptions.pdf

Ready for revalidation: supporting information for appraisal and revalidation

During their annual appraisals, doctors will use supporting information to demonstrate that they are continuing to meet the principles and values set out in Good Medical Practice . This guidance sets out the supporting information that you will need to provide at your annual appraisal and the frequency with which it should be provided. It also gives further details on how the information can be

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