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Birth Control

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Should I use birth control (written by Dr. Erika Pluhar) 

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Birth control & Safer sex (written by Dr. Erika Pluhar)

HTHGS: Should I use birth control (written by Dr. Erika Pluhar) 

Ask Erika,
I’ve been subscribed to your newsletter for over a year now and I love it.  However, I have a couple of questions.  Although I have some questions related to birth control, I also have a general question for you.  First, I was wondering whether these e-mails are confidential.  Next, I was wondering about birth control.  Well actually, to be specific, I wanted to know if you would recommend birth control to someone who does not have sex very often.  My boyfriend and I have sex about once a month (whenever we have privacy), but we were wondering if birth control would be a good investment, or if it would be a waste of time and money.  I hope my concerns are clear and you can reply based on what I've told you. Thanks a lot for your time. Help

Dear Help ,
Thank you for your question.  We are glad to hear you like the newsletter and find it helpful.  Yes, these questions and answers can be confidential.  Occasionally, we will reprint responses in the newsletter so that other subscribers can benefit.  If you prefer that this response is not reprinted, just let us know. 

In deciding whether or not to use any birth control method, a couple has to consider both advantages and disadvantages.  You will also need to think and talk seriously about what would happen if you were to get pregnant because no matter how infrequently you have sex, you are still at risk of pregnancy.  How would you feel?  How would your partner feel?  How would a pregnancy impact your life right now?  In the future?  What decision would you make about the pregnancy—carry it to term and raise the baby?  Make an adoption plan?  Have an abortion?  These are all things to consider when you are having sex and not using a birth control method.  Your answers to this question also likely will impact your choice of birth control (should you choose to use a method).  Do you want a method that is close to 100% effective (e.g., Depo Provera injections or an IUD, pills)?  Do you want something that you have to use each time you have sex (e.g., male or female condoms, spermicide, diaphragm, etc) and is, therefore, more subject to user error?  Do you want something that you will use or that your partner will use?  What about side effects?  Finally, as you mentioned, you have to consider cost and access.  Where will you get the method?  Who will pay for it--you, your partner, or both of you?  Are there any methods to which you or your partner have cultural/value/religious objections? 

This may be a long answer to your short question, but all of the above are important considerations.  The short version of the above, however, would be:  How important is it for you to avoid unintended pregnancy?  If your answer is, "very important," I would say unequivocably--it absolutely is worth it to use birth control. Hope this helps, Dr. Erika Pluhar

 

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The Founder: Alex Robboy, LCSW, QSW, CAS
Alex Robboy is a certified sex therapist through the American Association of Sex Educators, Counselors and Therapists and an American Board Certified Sexologist. In addition, she is a clinical member of the American Association of Marriage and Family Therapists.

 

  Our Philosophy sex is like dancing, it changes every time. It depends on culture, atmosphere and mood. Sometimes it is done alone, with a partner or in a group. It can be fast and hard or slow and soft. Sex is a combination of non-verbal negotiation and verbal cues: a scream, a twitch of the toes, or a flush of the face. There is no one 'right' way to move, only what feels good to all those involved. 
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last updated April 27, 05