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Writer's pictureConcise Curated Counselling

CONTRACEPTION EXCEPTION

Happy Wednesday!

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1. Counselling Conundrum: a real question from a patient

2. Concise Conclusion: a straight-forward patient-friendly answer

3. Quick Wrap-up

Clearly, there are nuances that may not be captured in this format. The goal here is to provide you with helpful counselling tips which often draw from multiple sources or those which are not commonly accessed by busy healthcare providers serving the community.

Counselling Conundrum: "I am planning on having a baby in a few years, but for now I want to take birth control. My doctor said an IUD would be my best bet. Won't that affect my fertility?"

Concise Conclusion: IUD's are becoming a popular first option for many women because it works so well and does not require remembering to use it. That being said, there are many misconceptions, and this is one of them: once the IUD is removed, your fertility can come back as soon as right after it's removed or up to 1 or 2 cycles after (which is not the case for something like progesterone injections, which can take up to one year.

Quick Wrap-up: IUD's seem to have a bad reputation in our experience, but no data supports any of it. It's the most effective option (along with the implant that we now have available in Ontario), and it is typically well-tolerated other than some peri-insertional cramping. Fertility can also return immediately, which is not the case for most other options. Some guidelines even recommend inserting an IUD near the same time of delivery to resume contraception!

Dive Deeper

We hope you have found this useful. Would appreciate your reply to this email with any feedback or topic suggestions you can; it will be the key to making this newsletter the best it can be.

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