Why can’t women just use the other 16 contraception methods not mentioned in Hobby Lobby ruling?

I get asked this question a lot. It gets tweeted, posted on my blog, and I am asked in person. Sometimes people are really genuine. I understand everyone doesn’t have the same medical background, and so for some it is a legitimate question. Sometimes the tone is snide. I’m not sure of the agenda then. […]

How does Plan B really work? Don’t ask the Supreme Court, ask an OB/GYN

Never has a medication been more misunderstood than poor Plan B (levonorgestrel or LNG), a post coital contraceptive (a.k.a. morning-after pill). It’s not just Justices Alito, Thomas, Roberts, Scalia, Kennedy and Dr. Hobby Lobby who fail to grasp the mechanism of action, but many other people are confused including journalists (the NY Times has an […]

An OB/GYN’s opinion on the Supreme Court, Hobby Lobby, and contraception

The Supreme Court, in a 5-4 decision, sided with Hobby Lobby┬á(and much of the religious right in the United States) and ruled that a closely held private corporation does not have to provide insurance coverage for certain birth control methods. Justice Alito, speaking for the majority wrote: “The owners of the businesses have religious objections […]

10 changes to health care that could happen if Supreme Court retracts contraception mandate

The Supreme Court has taken up the contraception mandate. Despite the fact that the World Health Organization calls contraception a human right and the fact that every dollar spent here on contraception saves $4, in the United States freedom of religion means to some, “If you work for me and get insurance through my company […]

The morning after pill is less effective for obese women, which isn’t new information

Several news agencies are reporting that the levonorgestrel morning after pill (marketed both as Plan B and as a generic in the United States) is ineffective for women who weigh more than 176 lbs. The news reports are based on the fact that HRA Pharma, the French manufacturer of an identical levonorgestrel morning after pill […]

How does the Skyla IUD compare to the Mirena?

There is a new IUD on the market called Skyla. It is made by Bayer, the same manufacturers who brought us the Mirena. Like the Mirena it contains the hormone levonorgestrel, although there are a few differences. The main difference the company is touting is the smaller size. Clearly, they manufacturers are targeting nulliparous women […]

IUD mythbusting: no increased risk of pelvic inflammatory disease

This week is LARC Awareness Week, which is devoted to raising the awareness about the safety and efficacy of long acting reversible contraception. LARC includes IUDs and the etonogestrel implant marketed under the name Implanon in the United States. Why promote LARC? Well… LARC is underused in the United States versus other countries The United […]

IUDs and the implant should be 1st line contraceptives – new study

The Contraceptive CHOICE study, which provides women with free and accessible contraception of choice, has now provided us with great longer term data on contraception continuation. A new study using this data (O’Neil-Callahan Obstet Gynecol November 2013) tells us what women are likely to be using for birth control two years later. This information is […]

Is my birth control safe for me? There’s an app for that

In 2010 the Centers for Disease Control and Prevention (CDC) overhauled their safety recommendations for the all the various methods of birth control, both prescription and non prescription. It’s a great document because there are a variety of recommendations depending on the medical condition, the age of the patient, and other variables. For example, with […]

Is an IUD painful? If so, how can I reduce the pain?

I hear from many women that they want an IUD (intrauterine device), but are worried about the pain of insertion. They report horror stories from friends and the thought of the potential pain can even become a barrier to getting an IUD, which is a shame as IUDs are the highest rated for satisfaction when […]