anonymous asked:

Hello! Does weed, alcohol, or cigarettes effect birth control pills at all?

As far as efficacy, I have not heard anything about it.

However, smoking, weed or cigarettes, affects your circulatory system, which birth control can also affect.

So far, there’s a proven link between smoking cigarettes while taking birth control, and a dramatically increased risk of serious blood clotting.

As for what trouble marijuana can cause, there hasn’t been much research into it, thanks to the legal issues that researchers must battle to study marijuana usage. However, there have been some links observed between marijuana and low blood pressure, heart rate increase, and sluggish circulatory response to increased activity/exercise. While most people don’t have to worry about this so much, with birth control added there’s an uncertainty created, so it’s a good idea to make sure your doctor is aware of your marijuana usage while using birth control, so they can monitor your cardiovascular health accordingly.

Alcohol has not been shown to cause any problems as far as health is concerned, but being drunk can cause you to forget a dose or forget to use a condom (to prevent STI contraction), or cause you to puke up a pill. So as long as you drink responsibly, you’re fine.

Anyone who thinks Margaret Sanger, founder of plannedparenthood, stood for equality or progress would be sadly mistaken.

“Knowledge of birth control is essentially moral. Its general, though prudent, practice must lead to a higher individuality and ultimately to a cleaner race. Birth control is nothing more or less than the facilitation of the process of weeding out the unfit, of preventing the birth of defectives or of those who will become defective.”

I had a consultation today with the person who is going to insert my IUS and I now have an appointment to get it done early April! I am excited but also really nervous about the pain. She swabbed the inside of my cervix today and it hurt like freaking hell. It’s a really weird sort of pain though, because you don’t really feel any sort of pressure it’s just this sudden burning pain. Hopefully when the time comes the procedure will be over with quickly and then I can celebrate no babies for at least five years!

anonymous asked:

What is the best part about being a midwife?

Recently I saw a 19 year old woman for her postpartum visit.  She had given birth 6 weeks ago, and was still feeling overwhelmed.  She’s undocumented, doesn’t speak English, and has no job (now that she has a newborn to take care of), so she can’t move out of her abusive uncle’s house since she has nowhere else to go.  She was supposed to move in with her boyfriend but he decided at the last minute that he didn’t want to be that serious, so now she’s just kind of fucked.  When I saw her, she told me that her boyfriend had been over the day before and they had unprotected sex.  She admitted to me, through the interpreter phone, that she just doesn’t know how to say no to him.  I asked her if she wanted to get pregnant again and her eyes got wide and she shook her head vigorously.  I explained the emergency contraception options that were open to her, and she whole heartedly agreed to get a Paragard IUD, the most effective emergency contraception, and an exceedingly effective birth control option for the next 12 years.

That is the best part of being a midwife.

I had a patient come in for her second prenatal visit practically unable to walk herself into my office.  She was exhausted, pale, sick, and had to run to the bathroom to vomit halfway through the appointment.  I talked her through morning sickness comfort measures and I prescribed her vitamins and medications for the nausea.  For weeks later and I hardly recognize her, she’s vibrant, excited about her pregnancy, healthy and gaining weight.  It’s beautiful.

That is the best part of being a midwife.

I’m congratulating a patient after she gives birth, giving her a hug and walking out of the room when she grabs my hand.  ”Thank you,” she says, and I immediately respond by telling her she has nothing to thank me for - she’s the one who did all the work.  Her eyes tear up, her lip wobbles, she holds my hand tighter, and she says again, “Thank you.”

That is the best part of being a midwife.

I sit down with a patient for her first prenatal visit, “So my first question for you,” I start, “is: was this a planned pregnancy?” She shakes her head, “Definitely not.”  So I continue, “Do you want to be pregnant right now?  Or do you want to hear about some other options?”  She seems a little confused.  ”Options?” she repeats.  I explain about our family planning service, and I talk about the adoption service that I work with.  She listens closely, fascinated.  At the end of my long speech she leans forward, eyebrows furrowed, “You mean, I can have an abortion?”  I tell her yes, and explain the various abortion procedures.  I ask if she wants to meet with the counselor right now before we even finish the visit.  She closes her eyes and leans her head back on the wall, silent hiccuping sobs shaking her.  She smiles.  She says yes.

That is the best part of being a midwife.

The birth control pill… arguably gave women more freedom than the Declaration of Independence. Unless a woman is free inside her own skin, and not subject to involuntary pregnancy, it is difficult if not impossible for her to exercise personal liberty or enjoy the pursuit of happiness. By giving us control of our bodies and reproductive decisions, the Pill has revolutionized our economic, political, and sexual lives and enabled us to bear children whom we are financially prepared to support and emotionally committed to nurture and love.
—  The Death of Carl Djerassi, creator of the birth control pill- Letty Cottin Pogrebin, Time, Feb 2015
Can you use the NuvaRing with sex toys?

Someone asked us:

I’m ace and have zero interest in partnered sex AND I’d like to never have periods again, for pain reasons. I’m interested in the NuvaRing, but I do use toys, some of them fairly long/skinny. What are the chances of dislodging the ring during toying? If the NuvaRing isn’t a good fit, what other BC that’s take-and-forget-it?

The NuvaRing is totally safe to use with toys. Your chances of pulling the ring out are pretty small (and it’s basically impossible to push it through the cervix), but if you do pull it out of the vagina, it’s ok to have your ring out for up to three hours. Just make sure to wash it off with cool or lukewarm water before you put it back in. So you can even take it out during toy use if you want, and just put it back in after.

As for other low maintenance birth control that can reduce or eliminate your periods, you’ve got a few options. There are two types of hormonal IUDs: Mirena, which lasts for 5 years, and Skyla, which lasts for 3 years. The Nexplanon implant lasts for 3 years and is another choice many people love (including myself!).  About half of people using a hormonal IUD and a third of people using the implant lose their period altogether — many more than with the ring. Talk with your doctor or nurse about the different types of birth control and your needs, so you can decide together what’s best.

Hope this helps!

-Kellie from Planned Parenthood

anonymous asked:

Why are you so adamant about women using birth control? I've seen the side effects and choose not to take any because of it. While birth control is great for some it's not for everyone. I just don't think my body needs to be "fixed" or altered to live the life I want.

So, this message is clearly written to start an argument, and that’s not something I do here.  However, I think this can be a learning moment, so let me explain a few things.

I am adamant that everyone should be able to chose when and how they have sex, when and how they become pregnant, and when and how they give birth and have children.  

For most people, that means not getting pregnant every time they have penis-in-vagina sex.  Since they do not want to get pregnant, I want to help them avoid pregnancy.  There are many ways to avoid pregnancy, some more effective than others:

  • Hormonal birth control
  • Non-hormonal birth control
  • Barrier methods (condoms, diaphragms)
  • Withdrawal
  • Abstinence

What’s the most effective way to prevent pregnancy when having penis-in-vagina sex?  The IUDs and Nexplanon.  They are far more effective at preventing pregnancy than any of the other methods, especially withdrawal.  

Now, you’ll find that I take into consideration each individual person’s desires and needs when it comes to sexual health.  I agree with you, birth control is great for many people, but it’s not for everyone.  You’ll see that when people ask me questions about how best to avoid pregnancy, I respond to them by telling them about all the options and which ones are most effective.  If they decide to use them, great.  If not, great.  But at least this way they have all the information.

When you say that you’ve seen the side effects of birth control and therefore decide not to use it, do you mean that you’ve never used it yourself?  If you never want to, that’s A-OK and I will support you in that no matter what.  However, I want you to know that everyone’s body is extremely different, and the side effects you’ve seen happen to others are likely to never happen to you.  

I’m glad you don’t think your body needs to be fixed or altered - that’s great for you.  It’s interesting, because I never think of birth control as “fixing” since I believe that all bodies are inherently good and worthwhile exactly as is.  However, you’re right, birth control can change a body because most methods use hormones, and if that’s not something you’re willing to take on because you can do fine without, then I’m thrilled for you.  However, most people are in situations where it is vital for them to be able to protect themselves from pregnancy, so as I said before, I will give them all the information that they need.  

I tell everyone exactly what I think about each method of birth control.  I explain why I like some and dislike others.  I suggest the methods that are both the most effective and that have the fewest side effects.  If that’s not something you want or need, don’t stress about it.

Carl Djerassi, chemist behind birth control pill, dead at 91

Carl Djerassi, the chemist widely considered the father of the birth control pill, has died in his San Francisco home.

Djerrasi died of complications of cancer Friday, Stanford University spokesman DanStober said.

He was 91.

Djerassi, a professor emeritus of chemistry at Stanford, was most famous for leading a research team in Mexico City that in 1951 developed norethindrone, a synthetic molecule that became a key component of the first birth control pill.

"The pill" as it came to be known radically transformed sexual practices and women’s lives.

The pill gave women more control over their fertility than they had ever had before and permanently put doctors — who previously didn’t see contraceptives as part of their job — in the birth control picture.

In his book, This Man’s Pill, Djerassi said the invention also changed his life, making him more interested in how science affects society.

Continue Reading.

anonymous asked:

Are the mothers allowed to keep what is aborted? Is there a point where mothers are offered a funeral service for their aborted/miscarried fetus? If it's treated as medical waste are mothers allowed to take it home with them for burial in their back yard if they wanted?

I don’t usually respond to things like this, since I want this to be a *drama-free zone*, but I’ve been getting a lot of questions in this vein and I want to have a little chat with everyone who is sending these questions in.

First things first, I want you to think about the language you are using.

  • Remember that here at themidwifeisin I strive to use gender-neutral language, since abortion and birth are experiences that all sorts of people have, whether they identify as women or men or genderfluid or genderless or nonbinary or a combination of a few of those.
    Read this post.
  • Next, let’s talk about this.  You say that the person who had an abortion is a “mother.”  Think that one through.  Does that person have a baby?  No.  Is that person a parent?  No.  Now, I know that there are many instances in which people have abortions of very wanted pregnancies for a variety of reasons, and those people have the complete and utter right to call themselves parents, but no one else should call them parents unless specifically instructed to by the person themselves.
    Read this post.
  • Most people who have abortions have them in the first trimester, at which point the fetus is practically nothing.  It would be like carrying a heavy period in a jar to bury under a tree.
    Read this post.
  • After an abortion the products of conception are brought to a lab to be assessed to make sure all parts are accounted for and occasionally to test for genetic conditions, infections, or congenital diseases.  After the lab it is disposed of safely through medical waste.  There is no way to retrieve it.
    Read this post.
  • Again, by and large people who’ve had abortions don’t want to parent and that’s why they have the abortion.  I know we often talk about people with wanted pregnancies who have to terminate or people who “will always think about who that baby would have been,” but let’s not forget that abortion is not bad, abortion is not dirty, and abortion is not sad.  It’s okay to feel fine after an abortion and most people do.  Clinics do not offer a “funeral” for an aborted pregnancy since that would be like telling each person who had an abortion that they should be grieving.  I have been in enough abortions to say for sure that very few people are grieving.  
    Read this post

So dear friends and readers: I am so happy to answer questions about abortion for you since no one talks about it nearly enough.  BUT.  BUT please be careful of the way that you ask questions and think them through ahead of time.  I won’t answer your question 97% of the time if it is rude, inconsiderate, or something I’ve talked about before.

I’m on the pill. Should I use condoms during the week I’m not taking the hormones?

Someone asked us:

Do I need to use condoms on my week of placebo pills?

During the week you’re not taking hormones (AKA the placebo or period week) you’re still protected from pregnancy as long as you start your next pack on time.

Keep in mind though that the pill won’t protect you from STDs. So the best thing you can do to make sure you’re protected from unintended pregnancy and STDs is to use both your birth control pills and condoms every time you have sex.

-Chelsea @ Planned Parenthood