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All birth control methods work best if used correctly and if used every time you have sex. Choosing whether or not to become a parent is a big decision. Be sure you know the right way to use them. Talk with your doctor about which methods could work for you and ask if you have questions. You may feel shy at first, but your doctor is used to talking about birth control. Maybe you know without a doubt you don’t want to have kids. Or maybe you aren’t ready right now, but won’t rule it out in the future. Birth control, or contraception, gives men and Other questions I want to ask my doctor: �What do I do if I forget to use my birth control? �What can I do to protect myself from STIs? �How will my medications affect my birth control? This includes antibiotic, over-the-counter and herbal medicines. �How will smoking affect my birth control? �Will my weight affect how my birth control method will work? �Will my chronic conditions affect my birth control? �What do I do if my birth control doesn’t work? women some control over when and if they become parents. Both you and your partner should talk to each other about how you feel and be involved in the planning process. There are many types of birth control methods to choose from. Keep in mind, even the most effective birth control methods can fail. But your chances of getting pregnant are lowest if the method you choose is always used correctly and used every time you have sex. Before choosing a birth control method, think about: �Your overall health �How often you have sex �The number of sex partners you have �If you want to have children someday �How far apart you want to have children �How well each method works to prevent pregnancy �Possible side effects �Your comfort level using the method �How a child would fit into your lifestyle (work, school, family, social life) Customer Service: Please see the number on your member ID card. Source: Office on Women’s Health, U.S. Department of Health and Human Services website: Birth Control Methods Fact Sheet: www.womenshealth.gov/publications/our-publications/fact-sheet/birth-control-methods.html, July 2012 (Accessed April 8, 2014.) Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, Inc. Independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. HP-C-1267-14 04.14 24/7 NurseLine: 1-800-224-0336 (TTY 1-800-368-4424) CA-BCMB-CHL-0514 E For more information about birth control methods, visit the Office on Women’s Health website at www.womenshealth.gov or call 1-800-994-9662 (TDD: 1-888-220-5446). Birth control that’s right for you www.anthem.com/ca To begin with, you can check to see which types of birth control are covered in your benefit plan. Method Description Barrier methods A block or barrier to keep sperm from reaching the egg Diaphragm A shallow latex cup inserted into a woman’s vagina that fits over the cervix. How long does the diaphragm need to stay in place after I have sex? Cervical cap A thimble-shaped latex cup inserted into a woman’s vagina that fits over the cervix. What if I am allergic to latex? Female condom This condom is worn by the woman inside her vagina. Can this be used at the same time a male condom is being used for added protection? Male condom A thin sheath worn over the penis to keep sperm from entering a woman's body. What should I do if the condom breaks? Hormonal methods Prevents pregnancy by interfering with ovulation, fertilization and/or implantation of the fertilized egg The pill The pill is taken every day to keep an egg from being released. Who should not take the pill? What if I take antibiotics while taking the pill? The patch Like the pill, a patch releases hormones into the bloodstream to prevent an egg from being released. The patch is changed every week for three weeks. No patch is worn the fourth week. Where can I wear the patch? The vaginal ring This is a thin, flexible ring that releases the hormones progestin and estrogen. It works by stopping the ovaries from releasing eggs. Do I keep the ring in all the time or just when I have sex? Questions for your doctor The shot/injection An injection of the hormone progestin is given every three months. It keeps an egg from being released. Should I be prepared with another method just in case? Is there a risk for bone loss if I get the shots for more than two years in a row? Will the shots cause weight gain or irregular periods? Implants Devices that are inserted into the body and left in place for a few years Implant A matchstick-size, flexible rod put under the skin of the upper arm. It releases progestin that keeps the sperm from joining an egg. How long does the implant work? Intrauterine Device (IUD) An IUD is a small device shaped like a T that goes in your uterus to prevent sperm from fertilizing an egg or the egg from implanting in the uterus. There are two types: copper and hormonal. How long can the IUD stay in my uterus? Permanent birth control For people who are sure they never want to have a child or they do not want more children Sterilization Women: Tubal ligation – surgery to keep the egg from traveling down to the uterus where it can be fertilized. Men: Vasectomy – surgery to keep sperm from leaving the body during sex to prevent fertilization. Emergency birth control Used if a woman’s primary method of birth control fails. It should not be used as a regular method of birth control Morning-after pill It works by stopping the ovaries from releasing an egg or keeping the sperm from joining with the egg. It can also keep a fertilized egg from attaching to the uterus. Then talk to your doctor about which of those options is right for you and your partner. Abstinence, not having sex of any kind, is the only sure way to protect yourself from unwanted pregnancy or sexually transmitted infections (STIs). For people who do have sex, the male condom is the only birth control method proven to help protect you from STIs. This includes HIV. Each birth control method works differently and may have side effects. Method Description Abstinence This means not having sex at any time. It is the only sure way to prevent pregnancy and protect against STIs, including HIV. Natural family planning Rhythm/Calendarbased method A form of birth control that is based on the timing of sex during a woman’s menstrual cycle Using cervical mucus and body temperature to know when you’re most likely to become pregnant and not having sex on those days or using another form of birth control on those days. How do I measure my temperature? How do I know if I’m doing this correctly? Questions for your doctor If I decide I want to have children later, can sterilization be reversed? When should I take the morning-after pill? Note: This is not a complete list of all birth control methods. Talk to your doctor about any possible side effects and other options not listed here.