Contraception: Talk to Your Doctor First
By:
Juhie Bhatia

Talking to a health-care professional is an important step in figuring out which birth control method will be most effective for you based on your lifestyle and health profile. It's best to seek advice from a specialist in women's health issues, such as an obstetrician/gynecologist (OB/GYN), a nurse practitioner specializing in women's issues or a nurse midwife.
Do some research on your options before your visit and bring a list of questions. Lee Shulman, M.D., a professor of obstetrics and gynecology at Northwestern University, also has these suggestions to maximize the time with your health practitioner:
- Is it safe? Discuss any health problems you have, in case the birth control method you're considering can worsen the condition (known as a contraindication). For instance, certain oral contraceptives can be dangerous for women with breast cancer, lupus or migraines.
- Straight up: Be honest with your doctor about what you want and what you're willing to do. Are you looking for contraception until you are ready for your next pregnancy, or longer-term birth control? Are you willing and able to take a pill every day?
- Be prepared: Have realistic expectations of the birth control method you're considering. Find out how effective it is and about its potential side effects. For example, spotting or breakthrough bleeding commonly occurs when you begin a hormonal method of birth control like the pill, patch or ring.
- Ask questions: In addition to your list of questions, don't be shy or embarrassed to ask new questions, especially if something is unclear. Birth control works best only if you use it correctly, and it can take time and practice to learn how to use some forms of birth control.
If after your visit you want a second opinion, don't hesitate to find another health-care provider to discuss your concerns with. The best way to discover what contraceptive works for you is to work with someone you trust.