Questions that narrow it down fast
- Do you want pregnancy within the next year, or definitely not for several years?
- Would a daily pill realistically get taken every day?
- Do you get migraines with aura, or have a history of clots or high blood pressure?
- Do you want lighter periods, or would no period at all be a benefit?
- Do you smoke and are you over 35?
How the methods compare
IUDs and the implant are among the most effective reversible options because they remove user error entirely. Hormonal IUDs typically lighten or stop periods; the copper IUD is hormone-free but can make periods heavier for the first several months.
Pills, patch, and ring are effective when used consistently and give you cycle control and a fast return to fertility. The shot is convenient every twelve weeks but can delay return to fertility by several months after stopping.
Safety history that changes the recommendation
Estrogen-containing methods aren't appropriate if you have migraines with aura, a history of blood clots or stroke, uncontrolled hypertension, or if you smoke and are over 35. Progestin-only pills, the implant, the shot, and hormonal IUDs remain options in those cases.
We check blood pressure at every visit and can run any relevant labs on site before starting or switching a method.
IUD checks and reassurance visits
If you can't feel your strings, they feel longer or shorter than usual, or you had cramping and bleeding after insertion, come in. We examine and confirm the strings are where they belong, and arrange imaging if they aren't. It's a short visit and worth doing rather than wondering.
We also handle refills, method switches, emergency contraception, and STI screening at the same appointment, since barrier-free methods don't protect against infection.
Starts, switches, refills, and IUD checks are part of our women’s health services; if you are planning ahead instead, read preconception planning.
Come to urgent care for:
- You can't feel your IUD strings, or they feel different
- You need a refill, a method switch, or emergency contraception
- New severe headaches, leg pain, or shortness of breath on estrogen — stop and be seen
- Persistent breakthrough bleeding on your current method
Go to the ER (or call 911) for:
- Sudden severe chest pain or shortness of breath
- Sudden one-sided weakness, numbness, or vision loss
- Severe one-sided pelvic pain with a positive pregnancy test
Frequently asked
Can I get birth control without a pelvic exam?
For pills, patch, ring, or the shot, yes — a blood pressure check and history are usually all that's required.
Do you insert IUDs here?
We counsel on IUDs, perform string checks, manage side effects, and refer for insertion and removal. Follow-up care happens here.
How fast does fertility return?
Immediately after IUD or implant removal and within a cycle or two after stopping pills. After the shot, it can take six to twelve months.
Will birth control help my acne or cramps?
Combined pills often improve both, and hormonal IUDs are very effective for heavy, painful periods.
I missed pills — what now?
Use backup protection for seven days and consider emergency contraception if you had unprotected sex. Call us and we'll walk you through your specific pack.
Does birth control protect against STIs?
Only condoms do. If you're relying on an IUD or pills, routine STI screening is still part of good care.