Birth Control Pill

Birth control has been around for centuries, but methods of contraception have become much more effective in recent times. Out of all the options currently available to women, the most common form of female contraception is the birth control pill. When taken as directed, the birth control pill effectively reduces the chance of pregnancy by up to 99.9%. However, the pill is not the right choice for everyone and cannot protect against sexually-transmitted diseases (STDs).

There are many factors that should be considered before deciding if the pill is right for you, including overall health, age, frequency of sexual intercourse, number of sexual partners and whether you desire to have children in the future.

Please call 212-308-4988 or contact us today to discuss the birth control pill with a certified gynecologist and decide if it is the right contraceptive option for you.

How Does the Pill Work?

The birth control pill is a hormone-based contraceptive that often works in several ways simultaneously to prevent conception. By regulating hormone levels, the pill alters the conditions found in the female reproductive system and can dramatically lower the chance of pregnancy. A birth control pill will usually:

•    Thicken the cervical lining, which blocks sperm from entering the uterus and minimizes their ability to fertilize an egg.
•    Limit the ability of the ovaries to release an egg, which is the biological element instrumental to conception.
•    Render the lining of the uterus unreceptive to a fertilized egg in the event that other protective measures are unsuccessful.

How Should the Pill be Taken?

Birth control pills should be taken daily, preferably at the same time each day – oral contraception like the pill is only effective in preventing pregnancy if the prescription instructions are followed precisely. If you miss a dose, the pill’s effectiveness decreases by about eight percent, a percentage that will continue to rise as the number of doses missed increases.

If you find that you’ve missed a dose, take the forgotten pill as soon as you remember. Contact your doctor or call our clinic for advice if you’ve missed more than a few pills. It is also recommended that you use a back-up form of contraception (like condoms) for the next 28 days after missing a dose.

Who is Eligible for the Pill?

The birth control pill is both highly effective and budget-friendly, but there are some situations in which it is not recommended and medical screening is required. For example, doctors often do not prescribe the birth control pill to smokers over the age of 35 because this combination increases the risk of cardiovascular disease. Certain health conditions, including blood clots and breast cancer, make the oral birth control pill unsafe to use.

Additionally, women who use prescription drugs – including some antibiotics and anti-seizure medications – are advised to use caution when starting or maintaining a birth control regimen. This is because the use of these drugs may reduce the pill’s effectiveness. When you visit our clinic to meet with one of our gynecologists, make sure to tell them about any medications that you take.
The pill comes in different dosages and prescriptions, and our gynecologists will be able to provide you with more information about how these medications may affect the birth control pill as a form of contraception.

If you’d like to learn more about the birth control pill or other contraception options, please contact us.

Please enjoy this video.

A diaphragm is a soft, rubber cap-shaped device which works as a barrier to prevent a man’s sperm from entering a woman’s uterus. In order to be fully effective, it must be used with a spermicidal cream or jelly.

After spermicide is applied, the diaphragm can be inserted in the vagina up to one hour before intercourse, and must remain in place for at least six hours after intercourse. If sex is to be had again within the six hours, more spermicide must be added to the already in place diaphragm. To remove the diaphragm, the woman pulls it out gently.

With proper use, the diaphragm is about 90% effective. The diaphragm or the spermicide used alone is not very effective.

Diaphragms must be properly fit and checked by a health care provider at least once a year. If the diaphragm does not fit properly, it will not be effective in preventing pregnancy. Additionally, the patient must check the diaphragm by running water through it to see if any tiny holes have developed. If water can leak through, then it is not effective.

If you’re interested in learning more about the diaphragm, please call us at 212-308-4998 for further information or to set up an appointment

Please watch this video.

The Intrauterine Device (IUD) is a Small, “T-shaped” device inserted into the uterus to prevent pregnancy. The IUD is inserted into the uterus by a health care provider, where once in place, it can remain there for several years.

IUDs are one of the most effective forms of birth control available. Less than 1 out of 100 women will get pregnant each year if they use the ParaGard or the Mirena IUD. Women who have uterine, fallopian, ovarian, cervical or vaginal irregularities may not use this form of contraception.

In some cases, the IUD may present certain problems. Insertion can cause painful menstrual cramps, and women with an IUD may experience more severe menstrual cramps, and longer and heavier periods. Pain relievers can usually reduce bleeding, cramping, and other discomforts. If they are severe and do not seem to lessen, tell your health care provider.

Women with an IUD may be more prone to certain infections.

The risk of pregnancy while using a ParaGard or Mirena IUD is very low. But if the IUD slips out of place, pregnancy can happen. If you become pregnant, have the IUD removed as soon as you find out that you are pregnant. It’s important to pay attention to any symptoms you might have after starting the IUD and to monitor your body’s reaction during the use of it.

For more information on the use and benefits of the IUD, please watch this video.

Eastside Gynecology offers our patients Tubal ligation as one form of permanent birth control. It is a laparoscopic surgery and a fairly simple procedure. Most women stay home from work the next day and are asked to avoid heavy lifting and exercise for 2 weeks. Through a small incision, our surgeon will use an instrument to burn the fallopian tubes which creates a permanent blockage of the tubes.

If a woman is absolutely positive that they do not want to become pregnant in the future, then the effectiveness of this procedure is 100%. If you are considering tubal ligation, please call us at Eastside Gynecology for an in-depth consultation.


Essure is an alternative to tubal ligation. It involves the insertion of soft, flexible micro-inserts that block the Fallopian tubes and prevent sperm from reaching and fertilizing eggs. The ovaries will still produce eggs, but they will not be able to reach the uterus. Instead, they will be safely reabsorbed into the abdomen.

This method is irreversible and can only be performed on patients who are sure they do not want to become pregnant in the future. Permanent birth control is 100% effective three months after the insertion. Alternate methods of birth control are necessary until the three months have elapsed.

Watch this video on Essure to find out more about permanent birth control.

Emergency Contraception (EC), also known as the Morning-After pill, is intended for use after unprotected sexual intercourse or when you believe your primary method of birth control has failed and unwanted pregnancy may result. EC contains higher doses of the same hormones as regular birth control pills (estrogen and progestin), and must be taken within 72 hours of sexual intercourse. It is usually taken in two doses, 12 hours apart. This prevents ovulation which, in turn, can prevent pregnancy. Because taking EC prevents a woman from becoming pregnant it is not considered an abortion.

Emergency Contraception does not prevent STD’s and is not intended for use as the primary means for birth control, and only as a back-up or in case of “emergency” as indicated by the name.

Getting the Birth Control Pill

To decide if the pill is right for you, call our clinic at 212-308-4988 or contact us today to set up an appointment.

Learn more about other forms of contraception offered at Eastside Gynecology including:
•    Intrauterine Device (IUD)
•    Diaphragm
•    Permanent birth control
•    Emergency Contraception – Morning After Pill.