WEBVTT 00:00:36.490 --> 00:00:38.229 Hi everybody, this is Food for Thought, thoughts 00:00:38.229 --> 00:00:41.509 that fit for you, by Neogentrics. Now, in the 00:00:41.509 --> 00:00:44.310 last episode, we were basically covering the 00:00:44.310 --> 00:00:46.189 different kinds of birth controls, their effects, 00:00:46.369 --> 00:00:49.109 and what they do. We're going to pick up with 00:00:49.109 --> 00:00:51.530 that with the next topic, which would be an IUD. 00:00:52.329 --> 00:00:55.189 Okay? Like I mentioned in the last episode, it 00:00:55.189 --> 00:00:58.390 has a 99 % effective rate. It can cost up to 00:00:58.390 --> 00:01:00.909 $1 ,500, but it can also be zero, depending on 00:01:00.909 --> 00:01:03.490 your insurance. And the thing is with this one 00:01:03.490 --> 00:01:05.989 is it can only be put in by a doctor or a nurse. 00:01:06.250 --> 00:01:10.230 So you can't exactly do this one yourself. The 00:01:10.230 --> 00:01:12.909 good news is, unlike the previous permanent, 00:01:13.230 --> 00:01:17.810 sorry, not permanent, unlike the last one that 00:01:17.810 --> 00:01:21.090 can also be put in that has a high effective 00:01:21.090 --> 00:01:25.069 rate or low maintenance cost, the birth control 00:01:25.069 --> 00:01:28.909 implant, the IUD lasts up to 12 years, whereas 00:01:28.909 --> 00:01:34.469 the implant lasts up to five. Okay? And unlike 00:01:34.469 --> 00:01:37.829 the implant, the IUD, which is a tiny device, 00:01:38.170 --> 00:01:41.069 it goes inside your urethra to prevent pregnancy. 00:01:41.530 --> 00:01:44.290 Okay? Like I said before, it is long -term, but 00:01:44.290 --> 00:01:46.810 it is reversible. It's one of the most effective 00:01:46.810 --> 00:01:50.269 birth controls that are out there. Now, granted, 00:01:50.370 --> 00:01:52.769 since it's not a serum or anything specifically 00:01:52.769 --> 00:01:57.010 like that, you don't have to worry about anything 00:01:57.010 --> 00:01:58.969 being injected into your bloodstream for this 00:01:58.969 --> 00:02:03.840 one. First things first, I'm pretty sure you 00:02:03.840 --> 00:02:11.539 want to know what IUD stands for. Intra -terran 00:02:11.539 --> 00:02:19.960 device is what it stands for. It's basically 00:02:19.960 --> 00:02:25.639 a device inside your body, okay? Most people 00:02:25.639 --> 00:02:29.289 remember it as T -something, but anyway. Like 00:02:29.289 --> 00:02:34.530 I mentioned before, it's, uh, this device, there 00:02:34.530 --> 00:02:37.150 are five different brands, okay, that the FDA 00:02:37.150 --> 00:02:39.030 has basically approved in the United States. 00:02:39.069 --> 00:02:42.169 One of which is Paragard. The other one is Marina, 00:02:42.409 --> 00:02:47.069 Kylena, Lolita, and Skyla. Now, to my surprise, 00:02:47.169 --> 00:02:49.050 apparently all of them are named after girls, 00:02:49.090 --> 00:02:52.490 but again, I don't really know many guys who 00:02:52.490 --> 00:02:56.909 actually use them, so. The IUDs, though, are 00:02:56.909 --> 00:03:01.229 divided into two different types. Copper IUDs, 00:03:01.229 --> 00:03:05.669 which is basically the Paragard and hormonal 00:03:05.669 --> 00:03:11.750 ones. The Paragard one is the only one that has 00:03:11.750 --> 00:03:14.689 copper in it. The hormonal IUDs, which would 00:03:14.689 --> 00:03:18.409 be the Marina, Kylie, Lolita, and Skyla, don't 00:03:18.409 --> 00:03:21.750 have copper in them, to my knowledge, anyway. 00:03:24.590 --> 00:03:27.189 The Paragard doesn't have hormones. It's wrapped 00:03:27.189 --> 00:03:29.490 in tiny bits of copper and it can protect for 00:03:29.490 --> 00:03:34.030 pregnancy up to 12 years. The other four use 00:03:34.030 --> 00:03:38.129 hormone prostagen to prevent pregnancy. The prostagen 00:03:38.129 --> 00:03:41.289 is very similar to the hormone progesterone that 00:03:41.289 --> 00:03:44.729 your own body makes naturally. Marina will work 00:03:44.729 --> 00:03:47.930 up to 7 years, Kylena will work up to 5, Lolita 00:03:47.930 --> 00:03:52.030 will work for 7, and Skyla will work for 3. And 00:03:52.030 --> 00:03:53.830 while the other one does work a little bit longer, 00:03:54.030 --> 00:03:57.629 it can cause a bit of issues with overages of 00:03:57.629 --> 00:04:01.370 copper in the body. Both the copper and hormonal 00:04:01.370 --> 00:04:04.030 ones prevent pregnancy by changing the way the 00:04:04.030 --> 00:04:06.729 sperm cells move so that they can't get to the 00:04:06.729 --> 00:04:10.689 egg. And as I mentioned before, no sperm cells, 00:04:10.949 --> 00:04:13.860 no egg, no pregnancy. It's as simple as that. 00:04:14.659 --> 00:04:17.879 The Paragard uses copper to prevent pregnancy. 00:04:18.100 --> 00:04:20.579 The sperm doesn't like copper, so it makes it 00:04:20.579 --> 00:04:22.519 almost impossible for the sperm to get to the 00:04:22.519 --> 00:04:26.560 egg. The other one uses hormones to thicken the 00:04:26.560 --> 00:04:30.779 mucus that protects the egg, therefore trapping 00:04:30.779 --> 00:04:32.459 the sperm and making it so that they can't reach 00:04:32.459 --> 00:04:36.040 the ovaries. Works out well. One of the awesome 00:04:36.040 --> 00:04:38.000 things about the IUD is that it lasts for years, 00:04:38.139 --> 00:04:40.540 but they're not permanent. So if you decide you 00:04:40.540 --> 00:04:42.180 want to get pregnant and you don't want to have 00:04:42.180 --> 00:04:43.939 it anymore, you can just ask your doctor to get 00:04:43.939 --> 00:04:49.220 rid of it. Okay? Another thing I want to go ahead 00:04:49.220 --> 00:04:54.160 and point out. IUDs can be used as emergency 00:04:54.160 --> 00:04:58.670 contraception. Well, specific ones anyway. The 00:04:58.670 --> 00:05:03.589 Paragard copper IUD works very well in an emergency 00:05:03.589 --> 00:05:06.350 contraception situation, but it has to be put 00:05:06.350 --> 00:05:10.329 in within 120 hours or five days after your last 00:05:10.329 --> 00:05:14.089 episode of unprotected sex. It's more than 99 00:05:14.089 --> 00:05:18.029 .9 % effective. It's actually the most effective 00:05:18.029 --> 00:05:20.250 way to prevent pregnancy after sex if you're 00:05:20.250 --> 00:05:24.050 worried about it. Though, keep in mind, you still 00:05:24.050 --> 00:05:25.930 don't want to have to try to run that risk. I 00:05:25.930 --> 00:05:28.889 would still recommend... using condoms and such 00:05:28.889 --> 00:05:32.470 anyway um unless you're allergic to what they're 00:05:32.470 --> 00:05:35.509 made of and having an extra set of the morning 00:05:35.509 --> 00:05:39.069 after pill immediately for use keep in mind you 00:05:39.069 --> 00:05:42.129 have to use it within uh two to three days if 00:05:42.129 --> 00:05:44.110 you're using the morning after pill just to be 00:05:44.110 --> 00:05:48.709 sure for it to fully work okay the effectiveness 00:05:48.709 --> 00:05:53.529 of the iuds are pretty effective More than 99 00:05:53.529 --> 00:05:56.189 % effective, which means 1 out of 100 people 00:05:56.189 --> 00:06:02.670 who use them will get pregnant every year. And 00:06:02.670 --> 00:06:04.649 while they claim that they're so effective there's 00:06:04.649 --> 00:06:06.410 no chance of making a mistake, you can never 00:06:06.410 --> 00:06:11.810 be 100 % sure. Keeping in mind, though, you still 00:06:11.810 --> 00:06:14.290 can't forget the pill, like I mentioned before, 00:06:14.529 --> 00:06:19.370 or the use of condoms. But unlike condoms, you're 00:06:19.370 --> 00:06:25.980 protected 24 -7, constantly. Another thing I 00:06:25.980 --> 00:06:28.300 want to definitely point out is that IUDs can't 00:06:28.300 --> 00:06:31.459 protect you from STDs, so you still are going 00:06:31.459 --> 00:06:34.699 to have to use condoms and other things as well 00:06:34.699 --> 00:06:43.259 to help protect you from that. As far as IUDs 00:06:43.259 --> 00:06:45.019 are concerned, there's only a few places you 00:06:45.019 --> 00:06:47.860 can get them. You have to get them... put in 00:06:47.860 --> 00:06:49.819 by a nurse or doctor or a healthcare provider, 00:06:50.040 --> 00:06:52.040 which means you can only get them from a gynecologist, 00:06:52.339 --> 00:06:56.660 family planning clinics, or local Planned Parenthood's 00:06:56.660 --> 00:07:01.060 health centers. Okay? As far as what the insertion 00:07:01.060 --> 00:07:02.560 is like, and I know a few people are going to 00:07:02.560 --> 00:07:05.550 probably ask me this. First, your doctor will 00:07:05.550 --> 00:07:08.129 ask you some questions about your medical history. 00:07:08.209 --> 00:07:10.730 Then they'll check your vaginal cervix and uterus 00:07:10.730 --> 00:07:13.449 areas. They may also test you for an STD because 00:07:13.449 --> 00:07:15.269 if you have one, it makes this whole thing pointless. 00:07:15.829 --> 00:07:19.350 You may be offered medicine to help open and 00:07:19.350 --> 00:07:21.829 or numb the cervix before they can put it in 00:07:21.829 --> 00:07:26.550 there. Otherwise, it may hurt. To put it in, 00:07:26.589 --> 00:07:30.420 the doctor will have to put... speculum you're 00:07:30.420 --> 00:07:31.939 gonna have to look that one up I will not give 00:07:31.939 --> 00:07:35.120 the definition to that into your vaginal area 00:07:35.120 --> 00:07:38.600 and then use a special insertor to put the IUD 00:07:38.600 --> 00:07:41.920 in through the opening in your cervix into your 00:07:41.920 --> 00:07:44.740 uterus for that to make effect the process usually 00:07:44.740 --> 00:07:46.839 takes less than five minutes so it doesn't take 00:07:46.839 --> 00:07:49.959 very long and they can be put in at any point 00:07:49.959 --> 00:07:52.819 in your menstrual cycle too so You can usually 00:07:52.819 --> 00:07:55.300 get one put in right after giving birth or, in 00:07:55.300 --> 00:07:59.680 some cases, despite my dislike of this, abortion. 00:08:00.180 --> 00:08:03.779 Now, do not get mad at me for saying that. Not 00:08:03.779 --> 00:08:06.259 everybody's up for abortion. Not everyone's pro 00:08:06.259 --> 00:08:09.040 or for it, okay? I just happen to be one of those 00:08:09.040 --> 00:08:15.439 that doesn't care. Alright. So, how does it feel 00:08:15.439 --> 00:08:18.639 to get one put in? People usually feel some cramping 00:08:18.639 --> 00:08:21.480 or pain when they're getting their... in place. 00:08:21.779 --> 00:08:24.060 The pain can be worse for some, but luckily it 00:08:24.060 --> 00:08:26.500 only lasts for a minute or two. And for some 00:08:26.500 --> 00:08:28.139 doctors, they tell you to take pain medicine 00:08:28.139 --> 00:08:30.399 before you get the IUD to help prevent the cramps 00:08:30.399 --> 00:08:33.100 as well. They also might inject the local numbing 00:08:33.100 --> 00:08:36.120 medicine around your cervix area just to make 00:08:36.120 --> 00:08:39.000 you comfortable. Unfortunately, some people may 00:08:39.000 --> 00:08:41.179 feel dizzy during or right after it's put in, 00:08:41.240 --> 00:08:42.840 and there's a small chance that you'll faint. 00:08:44.100 --> 00:08:47.470 So keep that in mind. You might also want to 00:08:47.470 --> 00:08:49.309 ask someone to come with you to the appointment 00:08:49.309 --> 00:08:51.809 so you don't end up driving home. That's definitely 00:08:51.809 --> 00:08:57.029 something you don't want to do. Now, after it's 00:08:57.029 --> 00:09:00.029 put in, a lot of people don't feel fine right 00:09:00.029 --> 00:09:02.509 away, but they'll still need time to take it 00:09:02.509 --> 00:09:05.029 easy. There may be some cramping, back aches. 00:09:06.090 --> 00:09:08.009 You want to chill at home, curl up and watch 00:09:08.009 --> 00:09:12.000 TV, read a book or something. get a heating pad 00:09:12.000 --> 00:09:14.259 or over -the -counter pain medicine to ease with 00:09:14.259 --> 00:09:17.419 the cramps if you have those okay you may have 00:09:17.419 --> 00:09:19.720 cramping and spotting from the iud but this will 00:09:19.720 --> 00:09:23.039 only last for a few months it'll go away okay 00:09:23.039 --> 00:09:27.840 and thus the whole point of the uh pain medicine 00:09:27.840 --> 00:09:32.299 on the flip side copper ieds make uh can make 00:09:32.299 --> 00:09:35.039 your periods heavier or worse so keep that in 00:09:35.039 --> 00:09:38.220 mind Um, it also can make the cramps worse depending 00:09:38.220 --> 00:09:40.779 on your body as well. And for some people, this 00:09:40.779 --> 00:09:43.820 goes on over time or if it starts causing you 00:09:43.820 --> 00:09:46.259 pain and discomfort or there's side effects you 00:09:46.259 --> 00:09:48.299 don't like, you definitely need to call your 00:09:48.299 --> 00:09:50.899 doctor immediately so they can have it removed. 00:09:51.279 --> 00:09:53.080 There's chances are you're having an allergic 00:09:53.080 --> 00:09:55.740 reaction to it or some other reaction to it. 00:09:55.919 --> 00:09:59.960 Okay. And on that note, it's only an inch to 00:09:59.960 --> 00:10:02.639 two inches long. So it's not like it's all that 00:10:02.639 --> 00:10:06.750 far in there. Okay. And don't worry. They have 00:10:06.750 --> 00:10:08.529 a string that's attached to it that's also an 00:10:08.529 --> 00:10:10.529 inch or two long so that they can take it out. 00:10:10.690 --> 00:10:13.330 The string is there so the nurses and the doctors 00:10:13.330 --> 00:10:16.429 can remove it properly. You can feel the string 00:10:16.429 --> 00:10:19.370 by putting your fingers inside you. That's as 00:10:19.370 --> 00:10:21.830 far as I'm going to go with that sentence. But 00:10:21.830 --> 00:10:25.950 don't ever tug the string because you could move 00:10:25.950 --> 00:10:28.149 the IUD out of place or accidentally pull it 00:10:28.149 --> 00:10:30.450 out. And if you do, you run the risk of not only 00:10:30.450 --> 00:10:33.370 hurting yourself, but you also, well, you get 00:10:33.370 --> 00:10:37.220 the idea. I think I'll leave that alone. I don't 00:10:37.220 --> 00:10:39.679 want to go any further than that. The very small 00:10:39.679 --> 00:10:42.360 chance that your IUD does slip out of place, 00:10:42.419 --> 00:10:44.679 it can happen at any time, but it is more common 00:10:44.679 --> 00:10:46.259 during the first three months when it's placed 00:10:46.259 --> 00:10:48.519 in there and are most likely to come out during 00:10:48.519 --> 00:10:50.960 your period, so be very careful. You have to 00:10:50.960 --> 00:10:53.059 check your pads, tampons, cups, whatever you 00:10:53.059 --> 00:10:55.799 have to see if it fell out, so keep that in mind 00:10:55.799 --> 00:11:01.080 as well for those who have heavy periods. you 00:11:01.080 --> 00:11:02.820 can also check the string to make sure it's still 00:11:02.820 --> 00:11:05.220 there if the ied falls out you're not protected 00:11:05.220 --> 00:11:07.480 from pregnancy so you need to see your doctor 00:11:07.480 --> 00:11:09.899 immediately that's the whole point of still using 00:11:09.899 --> 00:11:12.940 condoms okay and remember when you got your id 00:11:12.940 --> 00:11:15.659 write it down keep a keep track of it so you 00:11:15.659 --> 00:11:19.559 can have it replaced after 12 years um or unless 00:11:19.559 --> 00:11:21.500 you have one of the other ones so seven five 00:11:21.500 --> 00:11:24.299 or three years regardless okay And the thing 00:11:24.299 --> 00:11:26.879 about it is, you can still have sex almost immediately 00:11:26.879 --> 00:11:29.399 after it's put in. Though, I wouldn't recommend 00:11:29.399 --> 00:11:31.360 it, seeing how you don't know how your body's 00:11:31.360 --> 00:11:51.539 going to react to it. Okay? And we're back. Question. 00:11:52.269 --> 00:11:56.929 Can you get an IUD? Well, most people can use 00:11:56.929 --> 00:12:00.409 IUDs safely, okay? But there are some conditions 00:12:00.409 --> 00:12:02.470 that make side effects and complications more 00:12:02.470 --> 00:12:04.490 likely, in which you still need to talk to your 00:12:04.490 --> 00:12:08.610 nurse, okay? Let me go ahead and say this, okay? 00:12:09.929 --> 00:12:12.929 Here's where you may not be able to get one, 00:12:12.990 --> 00:12:15.870 if you have certain STDs or a pelvic infection. 00:12:16.509 --> 00:12:18.730 If you think you may or may not be pregnant, 00:12:18.850 --> 00:12:21.529 which should be an obvious one, but, you know, 00:12:21.529 --> 00:12:25.549 I digress. Have cervical cancer that hasn't been 00:12:25.549 --> 00:12:29.950 treated. Or have cancer of the ureters. That's 00:12:29.950 --> 00:12:33.629 actually really bad. Have had pelvic infection 00:12:33.629 --> 00:12:37.230 after either childbirth or an abortion in the 00:12:37.230 --> 00:12:41.590 past three months. Okay. If that's the case, 00:12:41.629 --> 00:12:45.000 or here's another one for you. You should definitely 00:12:45.000 --> 00:12:50.080 not get the Paragard IUD, like I mentioned earlier, 00:12:50.340 --> 00:12:53.259 which has copper in it, if you have a copper 00:12:53.259 --> 00:12:56.779 allergy or Wilson's disease. Or in some people's 00:12:56.779 --> 00:12:59.259 cases, a bleeding disorder, such as people who 00:12:59.259 --> 00:13:05.940 have, what's the word I'm looking for here? Sickle 00:13:05.940 --> 00:13:09.080 cell. If you have sickle cell, especially people 00:13:09.080 --> 00:13:11.000 who are anemic, this is definitely not something 00:13:11.000 --> 00:13:14.080 you want, okay? Any kind of disorder that makes 00:13:14.080 --> 00:13:17.139 it hard for your blood to clot. I can't speak 00:13:17.139 --> 00:13:21.940 today. And you shouldn't get a hormonal IUD if 00:13:21.940 --> 00:13:24.659 you've had breast cancer. Definitely not. Very 00:13:24.659 --> 00:13:27.299 rarely the size and shape of someone's urethra 00:13:27.299 --> 00:13:30.980 makes it hard to place an IUD correctly. But 00:13:30.980 --> 00:13:33.200 if you have any kind of special condition that 00:13:33.200 --> 00:13:35.460 rules you out, you don't have to worry. There's 00:13:35.460 --> 00:13:37.480 plenty of other options that you can choose from. 00:13:39.870 --> 00:13:41.850 With that being said, what are the risks? There 00:13:41.850 --> 00:13:44.230 are possible risks with IUD, but serious problems 00:13:44.230 --> 00:13:47.610 are really rare. Like I mentioned before, the 00:13:47.610 --> 00:13:49.570 IUD can definitely slip out of your urethra, 00:13:49.610 --> 00:13:51.629 so you have to be very careful that you can still 00:13:51.629 --> 00:13:55.909 get pregnant. If the IUD comes out partway, it 00:13:55.909 --> 00:13:59.610 has to be removed. Keep that in mind. It is possible, 00:13:59.690 --> 00:14:01.570 though extremely unlikely, to get pregnant even 00:14:01.570 --> 00:14:05.450 if the IUD is in the right spot. If you get pregnant... 00:14:05.710 --> 00:14:07.769 You should have the IUD removed as soon as possible. 00:14:07.870 --> 00:14:10.610 As soon as you find out, actually. Because if 00:14:10.610 --> 00:14:12.450 you get pregnant with an IUD in place, there's 00:14:12.450 --> 00:14:17.809 an increased risk of ectopic pregnancy. Which 00:14:17.809 --> 00:14:20.649 is a very serious matter. I actually think I 00:14:20.649 --> 00:14:22.889 should probably cover pregnancy at some point. 00:14:23.570 --> 00:14:27.190 But we'll see. It is possible to get an infection 00:14:27.190 --> 00:14:30.710 if bacteria gets into the urethra when the IUD 00:14:30.710 --> 00:14:32.929 is put in. So if the infection isn't treated 00:14:32.929 --> 00:14:35.269 immediately, it can get worse or cause issues 00:14:35.269 --> 00:14:37.190 affecting the pregnancy in the future should 00:14:37.190 --> 00:14:40.529 you choose to. Basically, when it's put in, it 00:14:40.529 --> 00:14:44.419 could... Oh, one other thing. If one of the IUDs 00:14:44.419 --> 00:14:46.220 is put in, it could push it through the wall 00:14:46.220 --> 00:14:50.100 of the urethra. This actually sounds painful, 00:14:50.220 --> 00:14:53.840 but it doesn't usually hurt. But if it does happen, 00:14:53.980 --> 00:14:56.519 you'll need surgery to remove it. And while this 00:14:56.519 --> 00:15:00.340 is rare, it's a very big problem. Warning signs 00:15:00.340 --> 00:15:03.820 that you definitely should be aware of. It's 00:15:03.820 --> 00:15:05.820 very important to pay attention to your body 00:15:05.820 --> 00:15:09.379 and the signs as well as how it feels. here are 00:15:09.379 --> 00:15:11.159 some warning signs to watch out for and you need 00:15:11.159 --> 00:15:13.000 to call your doctor and nurse immediately if 00:15:13.000 --> 00:15:16.159 you're not if you have any of these um the length 00:15:16.159 --> 00:15:18.659 of your ied string feels shorter or longer than 00:15:18.659 --> 00:15:21.259 it was there's a problem there it's probably 00:15:21.259 --> 00:15:24.340 not in place you can feel the hard plastic bottom 00:15:24.340 --> 00:15:30.299 of the ied coming through your cervix i don't 00:15:30.299 --> 00:15:33.799 even have to explain how that is next you think 00:15:33.799 --> 00:15:37.039 you might be pregnant that's understood You have 00:15:37.039 --> 00:15:39.960 bad cramping, pain, soreness in your lower belly 00:15:39.960 --> 00:15:42.720 or stomach. There's pain or bleeding during sex. 00:15:42.940 --> 00:15:46.039 Keep that in mind. You get unexplainable fevers, 00:15:46.039 --> 00:15:49.059 chills, or having trouble breathing. Your vaginal 00:15:49.059 --> 00:15:51.559 discharge is different from normal. You have 00:15:51.559 --> 00:15:55.879 vaginal bleeding that's heavier than usual. If 00:15:55.879 --> 00:15:57.960 you have unprotected sex with someone who happens 00:15:57.960 --> 00:16:00.779 to have an STD, definitely go see your nurse 00:16:00.779 --> 00:16:02.980 or doctor for any tests or treatments you may 00:16:02.980 --> 00:16:06.019 need immediately. And yes, while I'm mentioning 00:16:06.019 --> 00:16:09.899 all of this negative, tragic stuff, it is still 00:16:09.899 --> 00:16:12.000 safe for breastfeeding, so you don't have to 00:16:12.000 --> 00:16:16.600 worry about your kids, okay? Now, something I 00:16:16.600 --> 00:16:18.220 want to definitely go into before I finish this 00:16:18.220 --> 00:16:22.100 up, there are disadvantages to a hormonal IUD. 00:16:22.590 --> 00:16:24.850 Some people will have side effects after getting 00:16:24.850 --> 00:16:28.289 a hormonal IUD. They usually go away about three, 00:16:28.370 --> 00:16:30.850 six months later after you've had it because 00:16:30.850 --> 00:16:32.789 that takes that long for your body to get used 00:16:32.789 --> 00:16:35.649 to the little visitor in your ureters. If you 00:16:35.649 --> 00:16:37.429 stick it out for a few months, there's a good 00:16:37.429 --> 00:16:39.769 chance that the effects will ease up or your 00:16:39.769 --> 00:16:42.549 body will just get used to them. The side effects 00:16:42.549 --> 00:16:45.490 may include pain when the IUD is placed or cramping 00:16:45.490 --> 00:16:49.009 or backaches for a few days after, spotting between 00:16:49.009 --> 00:16:51.830 periods, or just straight up irregular periods. 00:16:52.299 --> 00:16:54.120 Over -the -counter pain medicine can help with 00:16:54.120 --> 00:16:56.860 cramping, but if the bleeding and the cramping 00:16:56.860 --> 00:16:58.679 doesn't get any better, you need to go talk to 00:16:58.679 --> 00:17:05.000 your doctor. And again, like I said before, it 00:17:05.000 --> 00:17:07.500 can protect against pregnancy but not STIs, so 00:17:07.500 --> 00:17:10.859 keep that in mind as well. The non -hormonal 00:17:10.859 --> 00:17:13.460 ones, which would be the copper one that I mentioned 00:17:13.460 --> 00:17:17.240 before, the side effects for that one would be 00:17:17.240 --> 00:17:19.819 the pain when the IUD is placed and cramping 00:17:19.819 --> 00:17:22.730 from the back. or back aches again for a few 00:17:22.730 --> 00:17:25.529 days same thing as before spotting periods irregular 00:17:25.529 --> 00:17:30.750 periods or two new ones with the copper one heavier 00:17:30.750 --> 00:17:33.170 or longer periods or cramping during your periods 00:17:33.170 --> 00:17:35.730 so again if you experience any of these issues 00:17:35.730 --> 00:17:38.329 you definitely want to go see a doctor immediately 00:17:38.329 --> 00:17:43.130 okay so that's it for the iuds we're going to 00:17:43.130 --> 00:17:44.710 take a short break and then i'm going to come 00:17:44.710 --> 00:17:46.829 back and talk about the birth control vaginal 00:17:46.829 --> 00:18:22.160 ring uh next And we're back. The next topic I 00:18:22.160 --> 00:18:25.480 want to cover on this birth control thing that 00:18:25.480 --> 00:18:29.220 I'm covering for the next couple of days. Would 00:18:29.220 --> 00:18:34.140 be the birth control ring. Okay. While it's not 00:18:34.140 --> 00:18:38.559 the top of the line tier thing. Okay. Much like 00:18:38.559 --> 00:18:42.680 the IUDs and the birth control implant. It is 00:18:42.680 --> 00:18:44.980 much similar to the birth control shot. Now while 00:18:44.980 --> 00:18:47.059 the birth control shot's effectiveness is a little 00:18:47.059 --> 00:18:49.289 higher than the vag... the bird control vaginal 00:18:49.289 --> 00:18:53.210 ring, it still has a similar kind of effectiveness 00:18:53.210 --> 00:18:56.309 as it still basically does the same job. Now, 00:18:56.369 --> 00:18:58.069 the only difference between the two is that the 00:18:58.069 --> 00:19:01.170 bird control can be cheaper, the bird control 00:19:01.170 --> 00:19:05.190 shot can be cheaper than the ring, only by $100, 00:19:05.230 --> 00:19:07.930 but they're still basically the same. The main 00:19:07.930 --> 00:19:09.849 difference between the two is that the shot has 00:19:09.849 --> 00:19:12.890 to be gotten at least every three months, minimum. 00:19:14.650 --> 00:19:17.490 However, the ring has to be replaced monthly, 00:19:18.109 --> 00:19:24.009 upon use, okay? And it has to be prescribed, 00:19:24.170 --> 00:19:28.170 so you can't just get it, okay? The birth control 00:19:28.170 --> 00:19:32.549 ring, aka NuvaRing, is, it's safe, it's simple, 00:19:32.630 --> 00:19:35.750 it's affordable, you know, it's basically a small, 00:19:35.769 --> 00:19:38.490 flexible ring that prevents pregnancy by releasing 00:19:38.490 --> 00:19:42.230 hormones into your body, okay? The ring is really 00:19:42.230 --> 00:19:48.200 effective if you use it right away, okay? So, 00:19:48.200 --> 00:19:51.039 much like everything else that I've talked about, 00:19:51.240 --> 00:19:54.099 okay, it basically prevents the sperm from meeting 00:19:54.099 --> 00:19:56.559 the egg, and again, like I said before, no sperm, 00:19:56.839 --> 00:20:01.200 if the sperm doesn't meet the egg, nothing can 00:20:01.200 --> 00:20:04.279 actually happen, okay? The ring contains two 00:20:04.279 --> 00:20:09.319 hormones, estrogen and progestin, and I hate 00:20:09.319 --> 00:20:11.970 these words. which are similar to the hormones 00:20:11.970 --> 00:20:15.329 that your body already makes, okay? It stops 00:20:15.329 --> 00:20:17.670 ovulation and it prevents the sperm from reaching 00:20:17.670 --> 00:20:22.410 the egg. Simple, cut, dry. That's basically how 00:20:22.410 --> 00:20:26.190 it affects your body, okay? And for it to work 00:20:26.190 --> 00:20:28.930 best for you, you have to use a birth control 00:20:28.930 --> 00:20:31.529 reminder app or set monthly alarms on your phone. 00:20:31.890 --> 00:20:34.369 Note your rings, removal, and insertion days 00:20:34.369 --> 00:20:37.119 on your calendar. Friends or family members who 00:20:37.119 --> 00:20:40.720 can use the ring can be ring buddies and help 00:20:40.720 --> 00:20:43.099 each other remind when it needs to come out. 00:20:43.539 --> 00:20:47.339 If you have a partner, they can help remind you 00:20:47.339 --> 00:20:51.400 to remove it and change it out. Keep your replacement 00:20:51.400 --> 00:20:53.519 rings in the same place so you don't lose them 00:20:53.519 --> 00:20:55.920 and store them at room temperature and away from 00:20:55.920 --> 00:20:59.559 direct sunlight for up to 4 months, maybe 16 00:20:59.559 --> 00:21:07.990 weeks, give or take. refrigerator in the four 00:21:07.990 --> 00:21:10.210 month period so that they last a little bit longer. 00:21:10.369 --> 00:21:12.569 Okay, bottom line, do whatever works to make 00:21:12.569 --> 00:21:15.589 sure you change that ring on time. And much like 00:21:15.589 --> 00:21:17.569 the other methods, they don't protect you against 00:21:17.569 --> 00:21:20.990 STDs. You're still going to need condoms. I don't 00:21:20.990 --> 00:21:23.009 know. I don't care what anybody says. None of 00:21:23.009 --> 00:21:25.170 these methods are going to protect you 100 % 00:21:25.170 --> 00:21:30.150 or from STDs. Okay, the ring is super effective. 00:21:30.210 --> 00:21:34.539 It has a 91 % effective rate. Okay. When used 00:21:34.539 --> 00:21:38.380 perfectly, it can be as high as 99%. But when 00:21:38.380 --> 00:21:41.839 it comes down to it in real life, 91 % is the 00:21:41.839 --> 00:21:45.220 more realistic number. It's not going to be 100 00:21:45.220 --> 00:21:49.279 % for everybody. So 9 out of 100 users get pregnant 00:21:49.279 --> 00:21:54.900 every year. 9 out of 100 is better than 98 out 00:21:54.900 --> 00:21:58.440 of 100. The better you are about putting the 00:21:58.440 --> 00:22:01.839 new ring in on the right day, every month, consistently, 00:22:02.589 --> 00:22:05.410 the more effective it'll be in your body. Its 00:22:05.410 --> 00:22:07.809 effectiveness is the most important thing you 00:22:07.809 --> 00:22:10.289 have when picking which birth control you're 00:22:10.289 --> 00:22:11.890 going to use, whether you want to use an IED 00:22:11.890 --> 00:22:14.930 or an implant, or even just this. But if you 00:22:14.930 --> 00:22:17.269 decide the ring is the right choice for you, 00:22:17.309 --> 00:22:20.049 you need to change it every month at the right 00:22:20.049 --> 00:22:23.589 time for it to be super effective. What makes 00:22:23.589 --> 00:22:25.910 it less effective? For those who don't know, 00:22:30.000 --> 00:22:32.799 For one, if you don't put the new ring on every 00:22:32.799 --> 00:22:36.720 month at the right time, or if the ring's out 00:22:36.720 --> 00:22:39.599 of your vaginal area for more than two days, 00:22:39.740 --> 00:22:42.140 two and a half at the most, during the week when 00:22:42.140 --> 00:22:45.880 you're supposed to be wearing it. I mean, those 00:22:45.880 --> 00:22:49.240 are simple things, but I mean, they're important 00:22:49.240 --> 00:22:52.039 things to note. There are also some medicines 00:22:52.039 --> 00:22:54.619 and supplements that can also make the Nova Ring... 00:22:54.809 --> 00:22:58.029 the Nuva ring or bird control ring less effective 00:22:58.029 --> 00:23:01.369 or null for that matter. Uh, one of which is 00:23:01.369 --> 00:23:06.609 antibiotics such as, uh, Rifapin, uh, Rifapisin. 00:23:06.970 --> 00:23:10.349 I've heard of that one. I've never taken it before. 00:23:10.589 --> 00:23:13.769 Uh, Rifamate. I've heard of this one. I've had 00:23:13.769 --> 00:23:16.390 to take it for, you know, special issues of my 00:23:16.390 --> 00:23:20.450 own. Guys have issues too. Um, I got that all 00:23:20.450 --> 00:23:22.990 squared away within about a week. So thank God 00:23:22.990 --> 00:23:29.099 for that. The antifungal medicines, one that 00:23:29.099 --> 00:23:34.279 I do believe it's called Griseo Fulvin. Correct 00:23:34.279 --> 00:23:36.799 me if I'm mispronouncing that word or if that's 00:23:36.799 --> 00:23:39.019 not the right one. I do believe that's the one. 00:23:39.880 --> 00:23:42.319 Certain HIV medicines, I won't go into that. 00:23:42.700 --> 00:23:45.140 Certain anti -seizure medicines. So if you're 00:23:45.140 --> 00:23:47.420 on anti -seizure medicine for whatever reason 00:23:47.420 --> 00:23:50.000 or you're bipolar and you have bipolar medicine, 00:23:50.259 --> 00:23:53.680 those will nullify this ring's effect. It won't 00:23:53.680 --> 00:23:57.180 do anything. Another one would be the herb St. 00:23:57.359 --> 00:23:59.500 John's wort. I'm not going to go into what that 00:23:59.500 --> 00:24:02.880 is. I'm pretty sure there's people out there 00:24:02.880 --> 00:24:06.440 who knows what it is. It's a type of drug slash 00:24:06.440 --> 00:24:09.019 plant. I'm pretty sure weed addicts definitely 00:24:09.019 --> 00:24:11.759 know what it is. I'm not assuming that all of 00:24:11.759 --> 00:24:14.039 them do. But if you're taking any of these, you 00:24:14.039 --> 00:24:16.140 need to use a condom as well as the ring just 00:24:16.140 --> 00:24:18.839 to make sure. Or switch to a different birth 00:24:18.839 --> 00:24:23.240 control method altogether. Your doctor or nurse 00:24:23.240 --> 00:24:25.160 will help you decide for whatever reason if this 00:24:25.160 --> 00:24:27.240 one doesn't work for you, so keep that in mind. 00:24:27.960 --> 00:24:32.799 All right? And just to throw this out there, 00:24:32.920 --> 00:24:35.839 the ring is easy to use. You insert it in your 00:24:35.839 --> 00:24:39.599 vaginal area once a month, okay? You can choose 00:24:39.599 --> 00:24:42.640 to get periods every month or you can skip them. 00:24:42.700 --> 00:24:47.190 It's, you know, up to you. There's different 00:24:47.190 --> 00:24:49.730 sites to learn that tells you how to do this 00:24:49.730 --> 00:24:53.730 First things first make sure the package on The 00:24:53.730 --> 00:24:56.089 expiration date on the package for the ring hasn't 00:24:56.089 --> 00:24:58.369 expired because in this case the material that's 00:24:58.369 --> 00:25:01.509 made it will start Breaking down in which case 00:25:01.509 --> 00:25:04.670 one of two things can happen one. It'll do nothing, 00:25:04.809 --> 00:25:08.630 but it won't protect you second It'll poison 00:25:08.630 --> 00:25:12.200 you and the last thing you want is the most The 00:25:12.200 --> 00:25:14.640 susceptible area to getting poisoned or STDs 00:25:14.640 --> 00:25:17.720 to be that area right there, okay? When you insert 00:25:17.720 --> 00:25:23.160 it, oh my god, I can't talk. Why am I reading 00:25:23.160 --> 00:25:27.920 this from the, okay. Forgive me for saying this 00:25:27.920 --> 00:25:29.319 if this sounds weird, but I'm reading this from 00:25:29.319 --> 00:25:32.960 the package. Yeah, I found one for the sake of 00:25:32.960 --> 00:25:35.220 the podcast. First things first, wash your hands 00:25:35.220 --> 00:25:38.109 with soap and water. Then squeeze the sides of 00:25:38.109 --> 00:25:40.130 the ring together with your fingers and push 00:25:40.130 --> 00:25:44.109 it into your vagina as gently as possible. Don't 00:25:44.109 --> 00:25:46.789 worry about the exact placement. If you can't 00:25:46.789 --> 00:25:48.990 feel it when you're walking around, it's in the 00:25:48.990 --> 00:25:53.190 right place. Okay? Wow, actually looking at this, 00:25:53.269 --> 00:25:57.410 it's very simple. I can't believe people screw 00:25:57.410 --> 00:26:00.529 this up. Anyway, when it's time to take out the 00:26:00.529 --> 00:26:03.289 ring, just hook your finger through the ring 00:26:03.289 --> 00:26:08.079 and pull it out of your vagina. slowly but carefully 00:26:08.079 --> 00:26:10.220 because you don't want to just yank it out. You 00:26:10.220 --> 00:26:12.259 don't have to take it out during sex or any other 00:26:12.259 --> 00:26:15.279 kind of physical activity. It stays there. Once 00:26:15.279 --> 00:26:17.960 you've taken out the ring, put it in its foil 00:26:17.960 --> 00:26:20.460 wrapper or wrap it in toilet paper or something 00:26:20.460 --> 00:26:24.119 and throw it in the trash. Do not flush it. You'll 00:26:24.119 --> 00:26:26.000 be helping out the environment if you use the 00:26:26.000 --> 00:26:29.680 foil wrapper because it helps keep whatever hormones 00:26:29.680 --> 00:26:32.099 are left in the ring from getting into the soil. 00:26:32.509 --> 00:26:35.410 And water. And definitely, definitely, like I 00:26:35.410 --> 00:26:41.769 said before, do not flush this thing. Now here's 00:26:41.769 --> 00:26:43.190 one other thing I'm going to throw in there. 00:26:43.529 --> 00:26:45.730 If you want to get your period when you're using 00:26:45.730 --> 00:26:48.930 the ring, put a new ring in and keep it there 00:26:48.930 --> 00:26:51.170 for three weeks. Then take it out the next week 00:26:51.170 --> 00:26:53.089 when it comes around time for your period. After 00:26:53.089 --> 00:26:55.930 seven ring -free days, you can put in another 00:26:55.930 --> 00:26:58.569 ring. It's okay if you're still bleeding or spotting. 00:26:59.120 --> 00:27:00.799 When you put in the new ring, that's normal. 00:27:00.880 --> 00:27:03.059 You can safely use tampons and pads or whatever 00:27:03.059 --> 00:27:06.440 with the ring. Just be careful if you pull the 00:27:06.440 --> 00:27:10.400 ring out when you remove the tampons, okay? You 00:27:10.400 --> 00:27:14.480 don't want to do that. But don't use menstrual 00:27:14.480 --> 00:27:18.380 cups with the ring, okay? Take out your old ring, 00:27:18.460 --> 00:27:20.700 put in the new one on the same day of the week 00:27:20.700 --> 00:27:23.259 every time. For example, if you put the ring 00:27:23.259 --> 00:27:25.720 in on Sunday, take it out three weeks later on 00:27:25.720 --> 00:27:28.460 Sunday, put in the new ring. put the new ring 00:27:28.460 --> 00:27:31.440 in seven days later on the same Sunday so your 00:27:31.440 --> 00:27:33.460 removal day and new ring day will be the same 00:27:33.460 --> 00:27:37.759 okay if you plan on skipping your period it's 00:27:37.759 --> 00:27:40.619 very very simple basically you can make sure 00:27:40.619 --> 00:27:42.700 to have a new ring every day throughout the month 00:27:42.700 --> 00:27:45.299 you can do this two ways you can pick a day always 00:27:45.299 --> 00:27:48.359 change your ring on that day for example if you 00:27:48.359 --> 00:27:50.299 put your first ring in on the fifth of the month 00:27:50.299 --> 00:27:51.759 you can always change your ring on the fifth 00:27:51.759 --> 00:27:53.839 of every month okay it's okay to have some months 00:27:55.119 --> 00:27:57.220 Some months are a few days longer than others. 00:27:57.680 --> 00:28:01.299 You can wear the ring for four weeks, 28 days 00:28:01.299 --> 00:28:05.880 straight. Then take it out and put in a new one. 00:28:05.980 --> 00:28:08.460 So if you put your first ring in on Monday, you 00:28:08.460 --> 00:28:10.700 will always change it every four weeks on a Monday. 00:28:10.799 --> 00:28:12.500 You may have some bleeding or spawning for the 00:28:12.500 --> 00:28:14.700 first six months when you use the ring, but that's 00:28:14.700 --> 00:28:16.619 totally normal and it will eventually go away. 00:28:16.819 --> 00:28:19.039 There's nothing dangerous or harmful when using 00:28:19.039 --> 00:28:22.779 the ring. to skip your periods and it comes in 00:28:22.779 --> 00:28:25.380 really handy if you want a special occasion like 00:28:25.380 --> 00:28:27.759 a vacation or a hot date to be completely period 00:28:27.759 --> 00:28:32.339 free okay um and like i said before you don't 00:28:32.339 --> 00:28:34.400 have to take it out when having sex either okay 00:28:51.470 --> 00:28:53.289 Last thing you want to definitely cover for this 00:28:53.289 --> 00:28:59.549 specific birth control method, okay? Disadvantages, 00:28:59.630 --> 00:29:04.190 side effects, and if you screw up. Simple, right? 00:29:04.970 --> 00:29:07.410 Well, let's go with the first thing if you make 00:29:07.410 --> 00:29:09.990 a mistake. What do you do if your ring fell out? 00:29:10.089 --> 00:29:11.930 It shouldn't happen often, but it does happen 00:29:11.930 --> 00:29:15.170 every now and then. If the ring has been out 00:29:15.170 --> 00:29:17.009 of your vagina for less than two days, rinse 00:29:17.009 --> 00:29:19.029 it with cool water and you can put it back in 00:29:19.029 --> 00:29:22.299 right away. If you put it back in within 48 hours, 00:29:22.380 --> 00:29:24.339 you're still protected from pregnancy, which 00:29:24.339 --> 00:29:26.759 is good. If the ring has been out of your vagina 00:29:26.759 --> 00:29:28.920 for more than two days and you're not on your 00:29:28.920 --> 00:29:31.039 ring for a week, wash the ring in cold water 00:29:31.039 --> 00:29:33.319 and put it back in right away. For the next seven 00:29:33.319 --> 00:29:36.859 days, you'll have to use a condom specifically. 00:29:38.819 --> 00:29:42.460 Okay? Just to be sure. Because at that point, 00:29:42.500 --> 00:29:44.519 it's assuming that the hormones aren't flowing 00:29:44.519 --> 00:29:48.000 into your body like they're supposed to be. Okay? 00:29:52.460 --> 00:29:54.599 On the other hand, if you normally wear your 00:29:54.599 --> 00:29:56.980 ring for three weeks and forget to put in a new 00:29:56.980 --> 00:29:58.720 one, if you don't insert the new one at the end 00:29:58.720 --> 00:30:01.240 of the ring -free week, put a new one in as soon 00:30:01.240 --> 00:30:03.640 as you can and use condoms for the next seven 00:30:03.640 --> 00:30:06.480 days. Then change your ring out again after three 00:30:06.480 --> 00:30:08.400 weeks on the same day that you put the new one 00:30:08.400 --> 00:30:11.400 in, okay? And if you normally wear it but you 00:30:11.400 --> 00:30:13.480 forget to take it out, let's say you meant to 00:30:13.480 --> 00:30:14.980 take your ring out after three weeks but you 00:30:14.980 --> 00:30:16.640 forgot and now you're sitting there in the middle 00:30:16.640 --> 00:30:18.539 of your fourth week wondering what you should 00:30:18.539 --> 00:30:20.619 do with the ring that's inside you. No worries. 00:30:21.580 --> 00:30:23.440 just keep it in there for the rest of the week. 00:30:23.740 --> 00:30:26.160 At the end of the fourth week, take it out and 00:30:26.160 --> 00:30:28.220 put the new one in and basically go through the 00:30:28.220 --> 00:30:30.359 whole cycle again. You'll still be protected 00:30:30.359 --> 00:30:32.779 right away, but you'll probably skip your period 00:30:32.779 --> 00:30:35.880 for those who aren't trying to skip your period. 00:30:36.119 --> 00:30:37.839 If you wear it normally for a month straight 00:30:37.839 --> 00:30:41.799 and you didn't change the ring at all, but it's 00:30:41.799 --> 00:30:43.099 time to take out the new one and put the new 00:30:43.099 --> 00:30:46.460 one in as soon as you can, you still, in that 00:30:46.460 --> 00:30:48.920 case, you would have to use condoms specifically 00:30:48.920 --> 00:30:52.680 for seven days. until you until the ring is ready 00:30:52.680 --> 00:30:54.559 to change again because once you've worn it for 00:30:54.559 --> 00:30:56.839 a month you have to wait a week before you put 00:30:56.839 --> 00:31:02.039 it back in okay now for the disadvantages real 00:31:02.039 --> 00:31:03.740 quick there aren't a whole lot of them so it 00:31:03.740 --> 00:31:06.819 shouldn't take very long you have to change the 00:31:06.819 --> 00:31:09.380 ring on time every time it's time to change it 00:31:09.380 --> 00:31:12.839 okay There can be negative side effects to it, 00:31:12.880 --> 00:31:15.440 okay, like I mentioned before. You can have spotting 00:31:15.440 --> 00:31:17.880 and bleeding between periods, sore breasts, nausea, 00:31:17.880 --> 00:31:20.000 headaches. But again, these should go away after 00:31:20.000 --> 00:31:22.599 two to three months of using it. You may also 00:31:22.599 --> 00:31:25.380 get a little extra vaginal wetness too from using 00:31:25.380 --> 00:31:27.859 the ring. You might also have to change the level 00:31:27.859 --> 00:31:30.500 of sexual desire, have a change in your sexual 00:31:30.500 --> 00:31:32.380 desire because of the ring. Like you may or may 00:31:32.380 --> 00:31:36.740 not want it anymore. It shouldn't make you sick 00:31:36.740 --> 00:31:38.319 or uncomfortable, but if it does, you need to 00:31:38.319 --> 00:31:40.640 let your doctor know. Luckily, there's other 00:31:40.640 --> 00:31:44.400 birth control things you can use if that's a 00:31:44.400 --> 00:31:48.460 side effect of using this. Some effects are serious. 00:31:49.039 --> 00:31:51.960 Keep that in mind. Though uncommon with the birth 00:31:51.960 --> 00:31:54.400 control ring, you still have a higher chance 00:31:54.400 --> 00:31:57.740 of very rare but dangerous problems that people 00:31:57.740 --> 00:32:02.079 who don't use birth control with hormones experience. 00:32:02.200 --> 00:32:06.470 So keep that in mind. Alright? So that's it for 00:32:06.470 --> 00:32:08.670 this episode. There was more I wanted to cover 00:32:08.670 --> 00:32:11.910 in this one, but due to time constraints, I can't. 00:32:12.109 --> 00:32:14.549 So next time I'm going to cover the last two 00:32:14.549 --> 00:32:19.210 birth control things you can use, but they have 00:32:19.210 --> 00:32:21.150 to be done on schedule, which would be the birth 00:32:21.150 --> 00:32:23.849 control patch and the birth control pill. Okay? 00:32:24.369 --> 00:32:26.630 That episode should be coming out in about six 00:32:26.630 --> 00:32:28.509 to eight hours, so please look forward to that. 00:32:28.630 --> 00:32:31.390 Again, this is Neogentrix. Spoon for Thought 00:32:31.390 --> 00:32:34.309 Thoughts if it were you. thank you guys for listening 00:32:34.309 --> 00:32:36.170 I'll see you guys next time