Hormonal Birth Control Methods

Emergency Contraception

What is Emergency Contraception?

Emergency contraception, (also known as Plan B®, EC, or the morning after pill), is used after unprotected sex, (NO OTHER BIRTH CONTROL OR condom was used) to prevent pregnancy. The pill can be taken up to 5 DAYS after having unprotected sex. It is less effective each day that goes by, so it is best to take it as soon as possible!

How does Emergency Contraception (EC) (also known as “the morning after pill”) work?

A lot of people think that when someone has sex the sperm reaches the fallopian tubes in seconds or minutes. This is not true. It can take up to five days for the sperm to reach the egg. Emergency contraception works by preventing the egg from being released from the ovary. So, when the sperm arrives, there will be no egg around to connect with or “fertilize.”

Emergency contraception can come in 1 pill or 2 pills. We recommend you can take both pills at once. Even though directions may say to take them 12 hours a part that is harder to do and good research shows that the pills work just as well if you take them together. Newer brands of Emergency contraception now have only one pill, which you should take as soon as possible. A few brands of EC are: Plan B One Step, Next Choice, and Ella.

How well does it work?

It is difficult to tell how effective it is as it depends on a few factors. It depends on when a woman will be ovulating, if she has already ovulated and how many days after sex she takes EC. Try to take it as soon as possible. Some studies say EC is between 75-85% effective – which is better than doing nothing at all.

What are the Benefits of Emergency Contraception?

  • It is a good second chance to prevent a pregnancy if you had sex with birth control or had problems with your regular method like forgot to use your birth control pill or the condom broke.It
  • Emergency Contraception is safe and easy to take
  • Can get without a prescription if 17 or older
  • EC is a good way to get started with a health care provider to discuss what birth control method is right for you to use in the future.EC

What is the downside of Emergency Contraception?

  • Some young women report nausea, irregular vaginal bleeding or headaches after taking emergency contraception. These side effects do not last longer than a day or so. Also, over the counter anti-nausea pills (like Benadryl or Dramamine) can be taken with emergency contraception to reduce the nausea.Some
  • Can only be used in an emergency and not as a usual form of birth control
  • Does not protect you from sexually transmitted diseases or HIV
  • EC is not effective if you are already pregnant (and does not harm you if you are already pregnant)

How can I get Emergency Contraception?Emergency contraception is available at the pharmacy for teens over 17 years of age without a prescription. This means you can walk right in to any drugstore and ask for what you need without having to call your doctor or clinic.

It often costs over $40, but it is covered by Medicaid, so if you have a Medicaid card, bring that with you to the pharmacy. If you don’t have Medicaid, or if you are younger than 17, Project STAY can help you get what you need. Call us at 646-685-9639. Or you can call 311 to get a list of clinics near you that can help you get Emergency Contraception.

Birth Control Pills

What are birth control pills?

Birth control pills are medications women can take daily to prevent pregnancy. Birth control pills are also called “The Pill” or “Oral Contraception”

Most “pills” contain both estrogen and progestin and are called combination pills because they have both hormones.

How does the birth control pill work?The most important way in which the pills work is that the hormones in the pill keep the eggs from leaving the ovaries (ovulation). No egg? No Pregnancy!

How well does it work?

9 out of 100 women will get pregnant each year if they always take the pill each day as directed.

Combination pills work best when taken every day. Try to take them at the same time when you are doing another regular activity, like before brushing your teeth or before you eat. Project STAY has a text message app to help you remember to take your pill every day. Since it takes about a week for the pill to begin working, we recommend you use a back up method like condoms to protect yourself. Condoms are a good idea to keep using anyway since they prevent sexually transmitted diseases which the pills don’t…

Certain medicines and supplements may make the pill less effective. Talk to your health care provider about the medications you are taking when you go to discuss the birth control pill.

What are the benefits of the birth control pill?

  • Birth control pills are easy to use, safe, convenient and very effective.
  • You don’t have to think about birth control each time you have sex.
  • Many women’s periods become lighter and have less cramps when using the pill.
  • There are also health benefits to using the pill such as: clearing up acne, protection against certain types of cancers, reducing chance of getting anemia (low iron), PMS symptoms, and period related migraine headaches
  • For women who want to get pregnant, it is easy to do as soon as you stop the pill.
  • You are in control! They last for years so you can deal with all the other important things in your life…like school, your job, family, relationships and whatnot.

What’s the down side?

  • Birth control pills do not protect against sexually transmitted infections (STIs)
  • You need a prescription to get birth control pills which means you have to meet with a health care provider first
  • It is easy to forget to take a pill everyday for a long period of time. Make sure to contact your health care provider if you forget to take a pill.
  • There are some side effects that some women get when they first start the pill like breast tenderness or nausea. Most symptoms go away within the first few months. Talk to your health care provider if you are uncomfortable when you start the pill. They can reassure you and answer any questions.
  • Women with certain health conditions shouldn’t use the pill. Your health care provider will talk with you about your health history and help you decide if the pill is right for you.

How can I get Birth Control Pills?

A prescription for the pill is provided to you by your health care provider. You can fill the prescription at any drugstore. Some clinics or health centers can provide the Pill at their site after you’ve seen a provider.

How much does it cost?

Usually birth control pills cost between $0 to $50 a month, depending on health-insurance coverage and type of pill. If you need help finding insurance, log onto SingleStop to find a site near where you live or work to get assistance with getting medical insurance. Also, Project STAY can help you get what you need. Call us at 646-685-9639.

The Nuva Ring

What is the Nuvaring??

The Nuva Ring, also known as the vaginal ring, or just the ring, is a small, flexible ring that is placed into a woman’s vagina once a month to prevent pregnancy. It is left in place for three weeks and taken out for the remaining week each month.

How does the Nuvaring work?

The Nuva Ring releases hormones called estrogen and progestin. The hormones in the ring work by keeping the eggs in the woman’s body from leaving the ovaries (ovulation). Without ovulation you can’t get pregnant. No eggs – no pregnancy. Estrogen and progestin also makes the cervical mucus thicker. This keeps sperm from getting into the uterus.

The Nuva Ring works by inserting it into a woman’s vagina. The ring stays in place for three weeks, then you take it out the fourth week, and then insert a new ring the following week. This starts the cycle all over again. That keeps the correct level of hormone in her body. Project STAY has a text message app to help a woman remember when to insert the ring, and when to take it out. There is no need to take the ring out during sex. The ring sometimes can fall out while a woman removes her tampon, goes to the bathroom or haves sex. If the rings falls out or you decide to remove it, rinse it with warm water and put it back in within three hours.

How well does it work?

Less than 1 out of 100 women will get pregnant each year if they always use Nuvaring as directed. Since it takes about a week for the Nuvaring to begin working, we recommend you use a back up method like condoms to protect yourself. Condoms are a good idea to keep using anyway as they prevent sexually transmitted diseases which the Nuvaring doesn’t….

Certain medicines and supplements may make the pill less effective. Talk to your health care provider about the medications you are taking when you go to discuss the birth control pill.

What are the benefits of using the Nuvaring

  • Using the vaginal ring is simple.
  • You don’t have to think about birth control each time you have sex.
  • Women who use the vaginal ring have more regular, lighter, and shorter periods.
  • For women who want to get pregnant, it is easy to do as soon as you stop the pill.
  • There are health benefits to using the Nuvaring such as: possibly clearing up acne, protection against certain types of cancer, reducing the chance of getting bad menstrual cramps, heavy or irregular periods and anemia (lack of iron)
  • You are in control! They last for years so you can deal with all the other important things in your life…like school, your job, family, relationships and whatnot.

What is the downside to using the Nuvaring?

  • The ring doesn’t protect against HIV and sexually transmitted infections (STIs). Use a male or female condom to reduce the risk of infection.
  • You need a prescription to get the Nuvaring which means you have to meet with a health care provider first
  • There are some side effects that some women get when they first start the ring like breast tenderness or nausea. Most symptoms go away within the first few months. Talk to your health care provider if you are uncomfortable when you start the ring. They can reassure you and answer any questions.
  • Women with certain health conditions shouldn’t use the Nuvaring. Your health care provider will talk with you about your health history and help you decide if the ring is right for you.

How can I get the Nuvaring?

You need a prescription from a health care provider to get the Nuvaring. You can fill the prescription at any drugstore. Some clinics or health centers can provide the Ring at their site after you’ve seen a provider. The provider will show you how to insert and remove the ring

How much does it cost?

The Nuvaring can cost between $0 to $80 a month, depending on health-insurance coverage. If you need help finding insurance, log onto SingleStop to find a site near where you live or work to get assistance with getting medical insurance. Also, Project STAY can help you get what you need. Call us at 646-685-9639.

Depo Provera

What is the Depo Provera?

Depo Provera, also known as the “shot”, or “Depo”, is an injection or shot of the hormone progestin, a hormone that is naturally found in your body, that prevents pregnancy. Each shot prevents pregnancy for three months. The shot is given in the butt or arm.

How does Depo Provera work?

The birth control shot releases a hormone called progestin into the body. The progestin in the shot works by keeping eggs from leaving the ovaries or ovulating, No egg – no pregnancy! The shot also makes the cervical mucus thicker. This keeps sperm from getting into the uterus.

After one year, half of the women who use the birth control shot will stop having periods completely while using the shot. Your period always returns after you stop taking Depo. It may take 6-12 months. Depo Provera has no effect on long-term fertility – in other words, whether or not you can have a baby someday.

How well does it work?

Depo Provera works best when you get it every 12 weeks. Since it takes about a week for the Depo to begin working, we recommend you use a back up method like condoms to protect yourself. Condoms are a good idea to keep using anyway as they prevent sexually transmitted diseases which the Depo Provera doesn’t.

Less than 1 out of 100 women will get pregnant each year if they always use the birth control shot as directed. If not used correctly, 3 out of 100 will get pregnant each year.

Each shot of Depo-Provera will protect you from pregnancy for 12 weeks. So you will need to go to your health care provider every 12 weeks for a shot. If you are two or more weeks late getting your shot, your health care professional may ask you to take a pregnancy test, or may advise you to use emergency contraception if you had sex in the previous 120 hours (five days).

What are the benefits?

  • It is safe and simple
  • You don’t have to think about birth control each time you have sex
  • It gives you effective, long-lasting pregnancy protection
  • It can help prevent cancer of the lining of the uterus
  • For most women, periods become fewer and lighter. Many women like not having to worry about their periods every month. Some like the money they save not having to purchase menstrual products like pads or tampons
  • The shot is a good birth control method for women who cannot use estrogen
  • You are in control! They last for years so you can deal with all the other important things in your life…like school, your job, family, relationships and whatnot

What is the downside to using Depo Provera?

  • Depo shot doesn’t protect against HIV and sexually transmitted infections (STIs) Important to use a second method like a male or female condom to prevent STI’s
  • Some women may have side effects while using the shot. Irregular bleeding is the most common side effect, especially in the first 6 to 12 months. Other less common ones include, appetite or weight gain, breast tenderness, and nausea. Irregular bleeding, especially in the first 6 to 12 months of use
  • Some woman may worry that they are pregnant if they do not have a regular period. This is only temporary while using the shot as you do not release any eggs on Depo. After you stop using Depo, your body will go back to normal and you will get your period back. It could take 6 to 12 months to get a regular period back
  • Women with certain health conditions shouldn’t use the Nuvaring. Your health care provider will talk with you about your health history and help you decide if the ring is right for you

How can I get it?

You need to see a health care provider and review your health history to see if Depo is right for you. If you and your health care provider think Depo is right for you, they can give you the shot. Your health care provider will discuss your medical history with you and give you medical exams that you may need. If you they think Depo-Provera is a good fit for you, they will then give you a shot. You may have a temporary bruise where the shot was injected.

How much does it cost?

Depo-Provera can cost about $20 per month (or $50 to $60 for each 3-month injection). Your health insurance may pay for some or most of the cost of the Depo-Provera shot or some clinics and hospitals may offer you a discount. If you need help finding insurance, log onto SingleStop to find a site near where you live or work to get assistance with getting medical insurance. Also, Project STAY can help you get what you need. Call us at 646-685-9639.

Need help now?

For more information, text or call Renee Cohall, LCSW-R, Director of Special Initiatives, at 646-245-4000.