Finding a birth control method that works for you and your body can be difficult. However, there are several birth control options on the market. Here at Seattle Medical and Wellness Clinic we will work with you to find a method that you can live with. It doesn't work if you don't use it, so it's important that you like what you have picked. We offer the following:

• Birth Control Pills (BCPs): BCPs are a combination of the hormones estrogen and progestin. They come in packs of 28 pills. One pill taken at approximately the same time every day has over a 99% effectiveness rate. BCPs work by preventing your body from ovulating. Some side effects include headaches, weight gain, and nausea. These are not recommended for smokers, due to increased risk of blood clots.
   
• Depo Provera: Depo is made up of the hormone progesterone. The shot is given every 3 months (4 times / year) so you don't have to deal with birth control on a day-to-day basis. However, it is extremely important to be on time for your next scheduled shot (every 12-14 weeks). Depo works by preventing ovulation and is 99% effective. Some side effects include weight gain and irregular menstruation.
   
• Diaphragm: A diaphragm is a small rubber concave disc that covers the cervix. The diaphragm is most effective when used in combination with spermicidal cream and/or condoms. Diaphragms work to block sperm from entering the cervix and the spermicide kills any sperm that get past the diaphragm. Diaphragms must be removed 8 hours after sex and spermicide cream reapplied after each act of intercourse. Diaphragms must be "fitted" by the doctor for each individual and refitted if a 10-20 pound weight gain or loss occurs.
   
• Intrauterine Device (IUD): An IUD is a small plastic device in the shape of the letter T either containing copper or the hormone Progesterone. Copper IUDs last ten years and Mirena IUDs (those with progesterone) last for five years. IUDs are 99% effective. Many women and couples who are not ready for a vasectomy or tubal ligation (permanent sterilization) are very satisfied with this form of birth control. Some side effects include cramping during the menstrual cycle, and spotting off and on during the first few months after insertion.
   
• Emergency Contraception EC): It is also called "Morning After Therapy" or the "Morning After Pill".  EC was developed to help prevent pregnancy after having sex in situations such as a condom breaking, realizing you missed a birth control pill, your diaphragm or cervical cap slipped or you just didn't use birth control at all.  It consists of two doses of hormones taken twelve hours apart.  EC is most effective if taken within 72 hours of unprotected sex.  If you are already pregnant, it will not stop the pregnancy.  If it fails and you do become pregnant, it will not harm the fetus should you choose to continue the pregnancy. The slogan for EC is "It won't hurt, and it might help." It is 75-95% effective in preventing pregnancy, depending on which brand is taken and how quickly it can be taken (it is most effective in the first 24 hours after unprotected sex). The most common side effect is nausea and/or vomiting.

• Ortho Evra (the "Patch"): Ortho Evra is a hormonal patch that is worn on the body to prevent pregnancy. It is changed once a week for three weeks and then left off for the fourth week to allow menstruation. It continuously delivers hormones through the skin and into the bloodstream. This contraceptive patch contains hormones similiar to those found in birth controls pills and can have similar side effects.
   
• Nuvaring: The Nuvaring is a small, flexible ring that rests in the vagina, like a tampon, delivering a steady, low dose of hormones around the clock to help prevent pregnancy. The ring is changed once a month and you get your period monthly. It is easy to insert and remove. Most women and partners do not feel it. The Nuvaring contains hormones similar to BC pills and can have similar side effects.
   
• Implanon: A single plastic rod containing progestin placed under the skin in the upper arm. The progestin is released slowly and will last up to three years. Common side effects are spotting and over time periods may get lighter or stop.
   
• Vasectomy or Tubal Ligation: A vasectomy is a 12-minute permanent sterilization procedure, performed on a man, with local anesthesia, in the doctor's office. The man will be sore for 1-2 days. Vasectomy does not alter the man's sexual drive, the ability or duration of erections, or having ejaculate (only sperm is missing afterwards). It is relatively inexpensive.  Many couples state that the spontaneity it affords is one of the most positive side effects.
  
  Tubal Ligations (or "getting ones tubes tied") are a permanent procedure performed on a woman in a surgical operating room. It requires much more anesthesia and recovery than a vasectomy, but is usually done as an "outpatient procedure" so the patient does not have to spend the night in the hospital. It does not affect a woman's sexual drive, she will still menstruate regularly, and go through menopause (the ovaries are not involved in the procedure). Sperm is prevented from reaching the egg via the interrupted fallopian tube. After the procedure and healing are complete, spontaneity with sex can be a positive side effect.
   
• Other Tests: Seattle Medical and Wellness Clinic also offers STD testing and pap smears upon request.
   
• Referrals: We recognize that your decision may not be an easy one.  We have a list of experienced professionals who deal with the psychological and emotional aspects surrounding an abortion. We also offer referrals for vasectomies and tubal ligations.