Making Decisions About Switching Birth Control Methods

Robert S. Hays

Around time, your beginning handle may well not suit into your way of living any more, or for any number of motives, you make be wanting to transform it. It’s typical and absolutely harmless to change delivery manage techniques, as prolonged as you communicate to your medical doctor 1st. Mastering about diverse styles of birth command and how to safely and securely switch can support you discover the very best strategy for you.

Why You Might Want to Switch Start Management Approaches

It could possibly be a excellent time to think about a new sort of start command if:

You neglect to take your pill. If you ignore to choose their capsule at the exact time each individual day, it can place you at a increased threat for pregnancy. If location alarms or producing reminders still hasn’t assisted you keep dependable with the pill, you might want to look into different procedures.

Some other strategies to take into account include barrier methods like condoms, inside condoms, cervical caps, the sponge, or the diaphragm. Although you will still want to don’t forget to use these before having intercourse, you will not want to remember to choose a pill just about every working day.


You could switch to the implant (which can be productive for up to 4 many years), the IUD (which can past from 5-10 several years), the patch (you’ll only have to swap it out at the time a 7 days), or the ring (which can be efficient for 3 months at a time).

You dislike the side outcomes. You could have some side outcomes when you begin a new variety of delivery manage. Give your system a several months to modify to the new approach and then see if the facet outcomes go away. Converse to your physician if you’re doubtful of what’s standard or not.

If you decide the aspect results of your present delivery manage do not get the job done for you, it’s time to glance into other techniques. Cybill Esguerra, MD, an assistant professor of gynecology and obstetrics at the Johns Hopkins College University of Medication, finds that owning adverse side consequences is the most typical reason for switching delivery handle.

“It’s possibly unscheduled bleeding or soreness. For case in point, in the circumstance of an IUD,” she says. “Other issues that folks discuss include fat obtain, skin variations, or temper alterations.”


There are many kinds of unpleasant facet outcomes that can transpire because of to beginning regulate. But just simply because one form of hormonal delivery manage didn’t function for you does not suggest a different form will not. But if you like to use a non-hormonal sort of contraception alternatively, you can take a look at the distinct varieties of barrier strategies as well.

You dislike possessing an abnormal period. A single precise aspect outcome from delivery command is obtaining alterations in your period of time. You may possibly have spotting, see changes in your cycles, or cease your period of time entirely when making use of beginning manage. A copper IUD (Paragard) could make your time period heavier, while hormonal IUDs (Kyleena, Liletta, Mirena, and Skyla) could cease your period or make it lighter.

Skipped periods thanks to beginning manage could result in you to dread that you’re pregnant. Or you might only be unwell of acquiring irregular cycles. No subject what the reason is, it could possibly be a good strategy to search into how other types of beginning manage could have an affect on your period of time. That way, you can request new options that may perhaps operate for you.


You are concerned about security. You may possibly feel that your latest style of beginning regulate is not safeguarding you from being pregnant as nicely as you want it to be. If you feel nervous just about every time you have intercourse or have a large amount of anxiety if your time period is irregular, you really should do some research about delivery manage usefulness. Glimpse into how helpful your form of contraception is and see if there are methods you can strengthen its good results (like using a condom as effectively as taking the delivery management tablet, for illustration).

But if you even now come across that your present-day technique isn’t what you want, speak to your medical doctor about the effectiveness of other techniques.

If you’re involved about keeping secured from sexually transmitted bacterial infections (STIs), use condoms or inner condoms instead of, or in addition to, your current beginning management technique. These two forms of condoms are the only sorts of beginning regulate that can protect against STIs.

How to Securely Change Birth Manage Techniques

If you determine that you want to change beginning regulate strategies, it’s critical to do it the appropriate way to make certain you’re shielded in opposition to being pregnant.

You really should go straight from a single beginning control process to the up coming, without having taking any breaks. If you are on delivery handle supplements, you really don’t need to have to finish your present-day pack ahead of you commence a new birth regulate process in buy to be shielded. But Esguerra suggests that people end their initial start regulate pack right before swapping to “make the changeover as seamless as possible” in phrases of side effects.

After you change procedures, you may possibly notice some alterations in your interval. But this is usual and isn’t a thing to be anxious about.

Depending on which birth handle technique you are on and which type you switch to, you may need to have to overlap them. This usually means that you are going to have to start your new birth handle before you prevent the previous start management approach. Every single type demands a distinctive overlap time, and some really don’t call for one particular at all. Ask your doctor if you’ll have to have to overlap dependent on your latest and new contraceptive.


If you do not want to overlap your delivery controls, you can use a backup method. This indicates possibly utilizing a condom or spermicide through the time that you’d or else be overlapping your start handle solutions.

Backup solutions can present you added basic safety when switching birth command strategies. “Generally, at any time you commence a new process, you want to use a backup method for a single week,” Esguerra claims.

Side Consequences of Switching Delivery Handle Strategies

When you change to a new form of delivery management, it’s prevalent to have irregular bleeding for a few of months. If you get an IUD, you may possibly also have some irritation or cramping following insertion. But both aspect effects need to get far better with time.

Relying on which method you change to, hormonal delivery command solutions might also bring about undesirable aspect consequences. But these should go away within just 3-5 months of ongoing use of your new process. You may well observe:

  • Acne (additional prevalent in progestin-only procedures, much less widespread in merged supplements and Nuvaring)
  • Amenorrhea, or loss of your time period (much more typical in Depo-Provera, Implanon, Mirena, steady-cycle put together products, Nuvaring, significantly less popular in merged products or progestin-only supplements)
  • Breast tenderness (much more frequent in Ortho Evra, less widespread in blended tablets or Nuvaring)
  • Reduced sex push
  • Frustrated temper (additional prevalent in Depo-Provera, a lot less frequent in Nuvaring)
  • Headache (widespread in all hormonal strategies)
  • Undesired hair advancement (much more prevalent in progestin-only strategies, less frequent in merged capsules)
  • Much more vaginal discharge (a lot more common in Nuvaring, significantly less common in all other approaches)
  • Nausea (additional frequent in Ortho Evra, considerably less typical in Nuvaring)
  • Oily pores and skin (additional popular in progestin-only methods, significantly less typical in mixed products)
  • Excess weight acquire (more popular in Depo-Provera, much less prevalent in put together hormonal procedures, Mirena, or progestin-only capsules)


To relieve any soreness in the course of your changeover time period, Esguerra suggests using in excess of-the-counter soreness medicines like ibuprofen or naproxen or utilizing heat compresses. But if the agony would seem to get even worse, particularly after an IUD insertion, it’s very best to reach out to your health practitioner as before long as doable. This way they can make absolutely sure very little else is wrong.

Esguerra encourages folks to be advocates for their body and request thoughts when it comes to switching start command methods.

“I think females should really truly feel very empowered to make an appointment just for a contraceptive consultation,” she suggests. “They shouldn’t feel like they will need to know what they want right before building an appointment with their gynecologist.”

As usually, it’s best to communicate to your doctor about your contraception wants and desires. They’ll be able to guide you to obtaining the best birth regulate for your human body.

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