What is the best overall contraceptive combo?

Abstinance?

The man’s getting married! Don’t even say that!

Have all the sex you can have now, after that ring is on you aint gettin any solving your wee problem :P.

Castration then?

Castration is permanent @patg7590 says nothing like that .
I really doubt there is anything more you could do , if she gets pregnant thats whats ment to happen .

If it was me, I would take my chances with an effective type of the pill.

If you are really worried, add a spermicide.

Condoms detract so much from texture, one of the benefits of marriage is knowing your partner and their history and not having to use them.

I find it amazing that people consider being overly fertile an issue.
For years i watched my elder sisters try to have children, one of them is unable to and the other finally concieved with the aide of IVF.

You guys are so naturally lucky and blessed!

Abstinence and a chastity belt.

It’s my understanding that the pill is the most effective non-permanent thing to do. If she takes it correctly, you shouldn’t have to worry.

The IUD is the most effective form of birth control. You should look into it.

I’ve looked into it many times, and I’ll be darned if I can see an IUD.

@MrKnowItAll
Try a flashlight.

I would say that since she’s already on the pill, adding a spermicide condom would make this darn near fool-proof. But just be prepared for an accident to happen… any time you have sex, you’re running the risk of pregnancy. ANY TIME. If mother nature wants it to happen, it’s going to happen.

If she has a tendency to forget to take the pill, even if it’s just a couple of times a year, or if she doesn’t take it the same time everyday, that raises the chances of it not being AS effective as it can possibly be. If this is an issue, or could EVER be an issue, I’d recommend the shot, the patch, or some kind of implant or IUD, PLUS condoms with spermicide every time you have sex. For most people, forgetting to take a pill one day or taking it a few hours late wouldn’t be a huge problem…but if her family has a history of hyper-fertility, you might want to err on the side of safety and choose an option that has less chance of human error. She should talk with her doctor.

Spermicide is an option, but many can cause vaginal infections for women….like yeast infections, UTIs, and BV. I used it in my relationship for a bit, but did not like the way it made me feel. And I feared infection.

I think she should either take her birth control vigilantly, or get the Mirena IUD (highest rate of effectiveness)

@casheroo Mirena is a great option, but unfortunately only women who have given birth to at least one child are approved to use it, and I’m assuming that this man’s fiancee has not had a baby. But, @patg7590 , Mirena is something to think about after you have kids (if you are planning on that) as it lasts for up to 5 years and can be removed at any time if you decide to have more children.

@Frankie Ohh, I forgot about that. Does the Paragard have that same restriction? I don’t know if they absolutely mean you had to have had a child. I have friends on it who haven’t had children.

@Frankie, Mirena’s are OK for nulliparous (no previous babies) women, although usually not first choice. I have inserted quite a few Mirenas for nullips, sometimes because they haven’t done well with OCP or depo shot side effects, sometimes because they have medical contraindications to those methods.

Mirena insertion tends to be more painful if the woman has never given birth, because the cervical canal is a bit narrower. For a woman who has had a baby, I can describe insertion as “It will remind you of serious labor for a few minutes” and she’ll understand what to expect. Nullips don’t have a frame of reference, although most of them do fine.

It is especially important with IUDs that the woman be in a stable monogamous relationship, but that doesn’t sound like an issue here.

@MagsRags Oh god, it feels like labor? Now I never want to get it! My friends tell me it feels like minor cramping…they’ve all had kids. They better not be lying to me. lol

@MagsRags That’s interesting. I know sometimes those recommendations change, and I was thinking about saying that Mirena use by women who have not given birth may depend on whether or not the woman’s doctor recommends it, but then I remembered seeing a Mirena advertisement in one of my magazines a couple days ago and it still said that Mirena shouldn’t be used by women who haven’t given birth…so is that pretty much more of a warning than an actual guideline?

Two pairs of Birkenstock sandals.

When you say there are birth control babies in her family, did they really take the pill at the same time every day? I mean it is just soooo rare if you are taking it correctly. You could use the pill and additionally either a diaphragm or withdrawal or spermacide. It sounds like no matter what you do you will want to use two things. Also, I am confused that you say she is already on the pill, I assume you are having sex already, could be wrong. So, you are being more careful once you are married?

A cork and a clothespin.

@Frankie she tries to take it the same time everyday but doesn’t always.

@JLeslie no we have been waiting until we are married, she is on the pill for PMDD. and I don’t know how religiously the other women in her family were taking the pill.

We are youngins (19) and really would rather not have kids for awhile.

I was told that Depo Provera is more effective than the pill, especially since there’s not much room for human error (not taking the pill on time or at all).

@poofandmook “While it has long been known that Depo-Provera causes bone loss, it has recently been discovered that the osteoporotic effects of the injection grow worse the longer Depo-Provera is administered, may remain long after the injections are stopped, and may be irreversible.”

eek!

@casheroo, just for a few minutes! The doc or NP has to grasp the cervix with an instrument to hold the uterus steady ( causes a sharp cramp), then use a narrow metal intrument called a sound to measure the length of the uterus and cervix, and then the iud goes in to the exact depth to position it in the upper uterus. The sound is about 1/8” wide, the inserter tube about 3/16” wide, and there’s a sphincter muscle in the upper cervix that is probably normally 1/16 to 1/8” wide. Dilating the cervix with the sound and then the inserter is crampy, more for some women than others. (Occasionally, the cervix goes into spasm and doesn’t allow passage of the sound or inserter – when that hapens, we usually bring her back another day and have her use a cervix softening medication in the vagina ahead of time.) Anyway, once the IUD is in, and the instruments are removed, the intense cramping is over.

Some women tell me afterward that it wasn’t as bad as they expected, most say my description was pretty accurate, and a few say it was more intense than they anticipated.

@Frankie, the official Mirena website says this: Mirena (levonorgestrel-releasing intrauterine system) is recommended for women who have had at least one child. This is because most of the medical research conducted on Mirena for FDA approval was among women who had at least one child.
Lawyerspeak for “we’re not encouraging this, so the FDA can’t blame us”.
Over the last few years, family planning experts have agreed that IUDs are OK for nullips who don’t have other risk factors. A link on IUDs for nullips from managingcontraception dot com, an excellent Q&A website with oversite by the authors of Contraceptive Technology, the family planning “bible” for us GYN care providers – practical, thorough and evidence based.
http://www.managingcontraception.com/qa/questions.php?questionid=2954

@patq7590, your source please? Bone density does tend to decline during depo use, just as it does during breast feeding. At this point, family planning experts do not believe it should be a major concern for most women. Again from the managingcontraception website, and updated Feb 2009.
http://www.managingcontraception.com/qa/questions.php?questionid=2792
In my practice, if I have a woman using depo who has other risk factors for future osteoporosis, she is offered the option of “adding back” a low dose of oral estrogen. This does not interfere with the contraceptive effectiveness.

@MagsRags lol wikipedia

@Mags: the doc told me it could cause bone loss, and that it’s not recommended for use for more than 2 years. I chose to take extra calcium supplements, as suggested by my doc, and opted for the shot. I’m too scatterbrained to remember the pill, and I wanted to be natural in my current relationship.

I find the pull out method is always the wisest choice. Don’t drink the kool-aid, condoms are overrated ;-)

Is depo-provera the shot? The one that lasts three months. I personally don’t like that idea. First, once you get the injection you’ve got it, can’t get it out for three months. If you feel like crap what are you going to do? With the pill you can stop or change if you are having side effects.

Also, I think the IUD is completely safe, and most people I know who have it did not say insertion was that bad. Here’s the thing…if she ever has trouble getting pregnant in the future she will agonize about this choice with the history of the Dalcon sheild. I don’t believe for a second that the new IUD is a problem, but still, even if it is irrational, I wouldn’t do it at a young age for fear of my own mind.

I still say the pill and one more thing added on. My VERY fertile friends never got pregnant when using birth control, but they did the second they weren’t prudent or purposely tried to get pregnant. Remember, if you are not preventing you are trying.

It sounds like you are being very careful, that’s great.

Can I ask why you are getting married so young?

@JLeslie because we love each other :]

She is my best friend,we do everything together, we have wanted to get married since we were 17.

here is an excerpt that will almost definitely be read aloud at our ceremony.

“The chuppah is a sacred thing. It creates a sacred space, a space for just two people, who have chosen each other out of all the other people in the world. The chuppah represents commitment. It represents the sacredness of intimacy in marriage. It represents faith and trust and the submission of our autonomy in exchange for something God designed to be infinitely better. It represents all the reasons for which God created Eve. It represents the end of Adam’s loneliness.”

I don’t think we should question why he is getting married. This question has nothing to do with that.

@jleslie, the Dalkon shield was a uniquely bad design. The string was multi-filament and sort of “sucked” cervical and vaginal bacteria up into the uterus. The progesterone in the Mirena, by thickening the cervical mucus, actually prevents upward migration of bacteria as well as sperm. There are studies showing women with Mirenas have a lower incidence of PID (Pelvic Inflammatory Disease) than women using other methods or none at all.

One additional thing to be aware of with the depo shot – when you stop using it, it can take up to 18 months to get back to normal cycles and fertility. Doesn’t happen that way for everyone, but it’s not a good choice for someone who only wants to postpone pregnancy for a short while, say leas than a year.

@MagsRags I know, about the the Dalkon Shield, I know.

Abstinence and a dad with a shotgun

chopping off the appendage + sterilising the woman

Kick him in the balls… twice daily.

that should do the trick

@galileogirl @ragingloli @pikipupiba thanks

@casheroo you’re right. @patg7590 Mazel Tov.

@patg7590 I’m here to serve!!!!!!! I do what I can!!!!!! PIKIPUPIBA AWAY!!!!!!! (fly off into the distance)

@Sariperana it’s a blessing if you’re hoping for children, but not everyone wants to have them, especially just after getting married.

abstinence is 100% effective at contraception. Female birth control, whether chemical or mechanical, is ABORTIFACIENT not contraceptive

You might want to reflect on WHY you are opting to wed now if ever. Are you hoping to gain something?

Abstinence + habit

BBQsomeCows you’re spreading your misinformed beliefs dare I say dogma very industriously. This is, what? the 5th? 6th? 7th? thread you’ve spammed with the falsehood that “female birth control” is abortifacient. No matter how many times you say it, it isn’t true. I’m sure I’m not the only flutherite who would love to have a conversation about this with you – one that includes research and facts.

@BBQsomeCows abstinence is 100% effective at contraception
99.9999999%* Didn’t work for Mary.

@Sarcasm
Don’t forget all the Pregnancies caused by Rape, or artificial Insemination.

Condoms with spermicide, the pill.