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Sex Q&A: Finding the Right Birth Control?

Q.

The Nest Q&AI've been on the Pill for years, but there seems to be so many options out there now that I'm thinking I should switch. How can I decide which method is best?

A.

You're smart to at least consider switching things up to find the perfect fit for you. Too many women stick to the same contraception they've been using since they became sexually active when there might be a more effective approach that works better for their bodies. You can't beat a face-to-face consultation with your health care provider, who can look at your lifestyle and needs and give you a more thorough evaluation of what would work for you, whether it's the Patch, the ring, or another pill combo. Depending on how many years you’re talking about, your doc may want you to give the Pill a rest. If you do switch, just be sure to take extra precautions (hello, condoms) during that in-between phase when your body is adjusting from one contraceptive to another.

Nestpert Dr. Pam Spurr, author of Make Love All Night & Talk to Him in the Morning and Naughty Tricks and Sexy Tips: A Couple's Guide to Uninhibited Sexual Pleasure

-- The Nest Editors

Feb 25, 2009

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Natural Family Planning is the best! It is 99.9% effective! My husband and I are NFP practicing...it does wonders for the sex life too! :) Check out the Couple to Couple League...plus all those birth controls are dangerous for you...there are things that your doctor might not be telling you...do your research...its your life don't let others decide it for you! Good luck...remember bring a life is a blessing....something only you and your husband can truly, fully, honestly, enjoy! :)

by whisafaye on Jul 24, 2009

I spent several years trying different versions of the pill, with side effects ranging from the mild (low libido) to the severe (vomiting and passing out). A couple of years ago I came across a book called "Taking Charge of Your Fertility," by Toni Weschler, MPH. It looks like a textbook, but explains clearly and understandably how my cycle works, and how to achieve birth control through the Fertility Awareness Method. [This is NOT the horrible "rhythm method"!] Through observation of certain physical signs every month, I know exactly when I am ovulating and therefore at risk of pregnancy, so it is easy to abstain or use a condom when I don't want to conceive. When the day comes that I am ready to get pregnant, I will know exactly when to try, without taking ovulation tests or waiting on residual hormones to clear out of my system. I have recommended this book to many women, several of my friends have made the switch, and truly it has changed my life! I love I'm not dependent on chemicals and hormones anymore, and that my body is no longer a mystery to me!

by on Oct 14, 2009

I'm a newlywed as of January 2009. My husband and I have as well been using the Sympto-Thermal Method with much success! We use condoms on days where I'm most fertile. I feel confident not having to put additional chemicals in my body and emotionally I feel confident concerning some of the pill's unpublicized side effects like its method of at times preventing implantation of a fertilized egg (a baby in my opinion). A few of the many medical sites this is noted: http://www.nlm.nih.gov/medlineplus/druginfo/meds/a
601050.html; http://www.mayoclinic.com/health/birth-control/BI0
0014; http://www.medicinenet.com/oral_contraceptives_bir
th_control_pills/article.htm. Some helpful sites/resources I've found for learning about the Natural Family Planning Method: http://www.ccli.org/. We used the book "The Art of Natural Family Planning® Student Guide" to learn the techniques. The down sides include a bit of work taking my temperature in the morning and having to use condoms or abstain during portions of my cycle.

by Katieg777 on Oct 15, 2009

We use Natural Family Planning too! I read the book Sexual Affection & Fertility Control by Carmen & Jean Fallace. My husband and I also took a class that really helped us understand it better. I live in NY but the book has a number to call if you have questions. It's Family Life Promotion at (1-516) 981-1971. Hope it helps!

by dawnmarie1211 on Dec 28, 2009

My fiance and I are talking about practicing NFP, but I would like to read a good book about it. We are planning to attend a class in April. Does anyone know how long you need to chart before you can safely practice sex? We are getting married in June and I want to know if I should start now or wait until after the honeymoon. Thanks guys!

by ltallerico on Mar 08, 2010

NFP is scary to me because of the risk of human error...plus I'm not that organized.

by laurenfswanson on Jun 06, 2010

I tried Natural Family Planning and the Sympto-Thermal method and my result is... two kids. I love them, yes, but they came when we were not expecting them. My work is intensely physical and requires a lot of changes in schedule. This kind of thing can really affect ovulation cycles. Moving does too. So do arguments, periods of high stress or strong planetary alignments. So... NFP can work if you are very stable and especially if he is pro-active in maintaining himself informed of your cycles. And yes, he has them too. Being prepared for the unexpected changes and the "accidental" pregnancies is the prudent thing to do. I now use the IUD because the pill is problematic too. It's not ideal, but it works for 5 years.

by valereese on Oct 18, 2010

Like many other responders I am using a natural family planning method. We choose to use the Billings Method. It's simple to follow and now I'll know be confident when we decide to try. Just make sure your hubs is ok with abstaining or using a condom for about a week and a half each month (including your period) I couldn't be happier with our success so far.

by kjacobs-boer on Oct 19, 2010

I agree--natural family planning is the way to go! It's effective, and there are NO side effects. The Pill can cause cancer in the long run, plus mess with your hormones and cause you to have less libido. My husband & I use the LadyComp, which records temperature for knowing when it's safe in your cycle to have unprotected sex. Otherwise, it's condoms. But it's so great to know when we can have sex free and easy, and not worry about taking any drugs!

by Kathryn48 on Oct 22, 2010

I have been using the pill for about three months now and get nauseous my first week on a new pack every time. My husband and I have been married for a month but really want to use another method because both he and I hate that I spend some late nights on the couch trying to fall asleep since I am nauseous (past 2 nights and the entire week before the wedding). The pill just doesn't make me feel normal and I think decreases my drive on that week. When we went through marriage classes my husband and I were really interested in NFP but were scared to try it at the time. We were not sexually active before marriage and wanted to make sure I wasn't on my period during the honeymoon...so the pill was the only answer. My sisters tried NFP be admitted to not restraining themselves when they should have at times haha......the only reason it resulted in "unplanned children". Anyone here switch from the pill to NFP? Do you ever use condoms during the fertile time? or would you recommend it? Know of any online classes? I do also feel guilty being a good Catholic girl and all.

by emiwii on Oct 26, 2010

There is a great brochure that outlines a dozen or so birth control methods including Natural Family Planning. Its in a grid format, so its worth the couple of dollars so you don;t have to spend a ton of time on the internet looking at all the options. www.privateline.org

by rwaite79@yahoo.com on Nov 01, 2010

my husband's mom and dad practiced NFP and the result was 9 children. sorry guys. i'm against the pill and all those unnatural things too, but condoms work for us, not to mention im a fertile mertile and get pregnant the first night we try to have a baby (we have 2 children, and planned their due dates to the day)...NFP doesn't work for everybody!

by emilyj19 on Aug 24, 2011