5:11 pm - 05/17/2012

Having Trouble Finding the Right Contraception for Me and My Guy

I've been on the Nuva ring for maybe the last four months, but I want to get off birth control and be back to my normal cycle for a while. I'm OK using hormonal contraception for a few months at a time, but I don't like to be on it all the time because I value my natural cycle and don't like the feeling of being controlled by outside hormones.

The problem with getting off the birth control is that my boyfriend looses erections really easily with condoms.

Does anyone have any tips? Advice? Suggestions? Things to try, methods of contraception to look into?
hellgamatic 18th-May-2012 12:49 am (UTC)
Symptothermal fertility awareness! It's amazing!
01perfectminute 18th-May-2012 02:01 am (UTC)
I tried that for a while, but had trouble taking accurate temperatures. But I should probably give it another try! Thanks for mentioning it!
hellgamatic 18th-May-2012 02:50 am (UTC)
I had trouble with that for a while too, because I mouth-breathe in my sleep and it lowers my oral temp. I now (tmi!) temp vaginally, and it works like a charm. Very consistent, smooth curve :)
yespleasespace 18th-May-2012 02:01 am (UTC)
How about a copper IUD? If you don't want to get pregnant within the next several years, it might be a good, hormone-free method. You might also try a diaphragm or cervical cap if you don't want such long term contraception. I like Planned Parenthood's "My Method" tool to help with choosing contraception: https://www.plannedparenthood.org/all-access/my-method-26542.htm
atalanta0jess 18th-May-2012 02:03 am (UTC)
I was going to suggest a copper IUD as well. It could be good even if you DO want to get pregnant in the semi-near future, as long as it's worth it to you (expense and hassle wise) to get it inserted for short term use.

I've been pretty happy with mine.
knittinggoddess 18th-May-2012 02:03 am (UTC)
If you are interested in really really low-dose hormones, Implanon and Mirena (especially the Mirena) might be low enough for you.

Otherwise, the copper IUD (Paragard, Nova-T, Gynefix, Multi-load, etc) is the only super effective, foolproof, hormone-free birth control around. If you're in the States, the only copper IUD available is Paragard. Other countries have other models.

FAM (fertility awareness), withdrawal, and barrier methods are other options, but you sacrifice effectiveness and ease of use for having something shorter-term and less expensive. Here's a Besider.org side-by-side comparison of a FAM method (there are a bunch), withdrawal and diaphragm: you can make your own comparison by clicking the symbols on the top bar.

As for the condoms, is your boyfriend open to working through this side effect? For all his faults, Dan Savage has written a lot of good information about conditioning yourself to not lose your erection. In his POV, it's pretty much a mental thing, and there are ways to get around it.
01perfectminute 18th-May-2012 02:45 am (UTC)
Isn't the Mirena an IUD? If I were going to get an IUD, I'd just go with a copper one. But the insertion process feels too invasive.

I would not be surprised if the loss of erection (even if it is only when using condoms) were a mental thing for my boyfriend, but I'm don't think he wants to hear that. I'm not sure how to broach the subject.

Thanks for the input! I looked at that chart.
knittinggoddess 18th-May-2012 02:53 am (UTC)
Aw, bummer! If you were open to an IUD, it would be so much easier! (But I totally understand why you are squicked by it. I feel similarly about Implanon.)

A big part of Savage's approach is in making condom use a sexy game. So, if you introduce it as "hey, this sounds sexy", that could be an in.

fam might be useful for you as well.
sweetchild92 18th-May-2012 04:12 am (UTC)
How about constant stimulation with putting the condom on-and lube on the inside! Putting it on can easily be a part of foreplay.
vertbio 18th-May-2012 05:07 am (UTC)
I was going to recommend Mirena too. I didn't want hormones, but didn't want the extra bleeding and cramps that came with the copper one. So I went with Mirena and so far so good. I thought it was kind of invasive too...You sort of have to be violated and put through some pain and/or discomfort to get it. But it was definitely worth it and after going through insertion, I can say that it wasn't at all as bad as I was expecting, even after the doc needing to insert extra rods to dilate before insertion because my cervix was too tight and the insertion tool wouldn't fit.

My bf has issues with condoms as well. The penis is pretty sensitive and based on my my bf's descriptions, it sounds almost like what we feel with the our finger tips. The sensations we can feel drop quite a bit when we put on latex gloves. But it is part mental too, and if you make condom use sexier, he'll probably do better with them. My bf has never lost an erection because of a condom. He's had difficulty approaching orgasm though, which I definitely would attribute to reduced sensation.

Edited at 2012-05-18 05:09 am (UTC)
corinthia_moon 18th-May-2012 02:01 pm (UTC)
Hey, how about the copper IUD? I got one about 5 weeks ago, and I love it! It does not interfere with my natural cycle at all, and no hormones.

I know the insertion sounds invasive, but it's actually not as bad as it sounds. I was expecting like the worst cramps of my life, and it turned out to be not nearly as bad as some of the cramps I had as a teenager, especially since I took 3 advil beforehand. It wasn't bad at all.
juliiie87 18th-May-2012 02:09 pm (UTC)
I believe it's actually more upsetting for your body to be put on hormones for just a few months then off them etc. Not to mention the risks of undesired pregnancy. If you think IUDs are too invasive, all I can think of is a diaphragm + spermicide, or FAM methods, but these require a lot of dedication and self-control fwiu. Imo it sounds much easier to use them in combination with a barrier method on your fertile days.

I've never tried these methods personnally, so I wonder how FAM users can refrain from sex at all during the fertile third of their cycle... isn't it when you're supposed to want it the most ? On the other hand, there are plenty of ways to be sexual and even achieve orgasm with your partner other than PIV.
darlahood 18th-May-2012 02:22 pm (UTC)
I thought the whole "hornier when you're fertile" thing was a myth.... until my period came back after I had a baby. O__o
Really, body? You seriously want to do this again?
darlahood 18th-May-2012 02:20 pm (UTC)
Seconding the fertility awareness method. I was never very good at temping, so I just go by the fact that my cycle is VERY regular and my cervical fluid.
sky_blue_pink 18th-May-2012 04:14 pm (UTC)
I'm totally obsessed with my Paragard (copper IUD). Absolutely no baby worries, and I get my natural cycle. Win win.

The procedure was, to me, no more invasive than a pap smear. It hurts a bit more, of course, but the pain lasts...two seconds? Three? If you're comfortable with gynecological exams, I don't think you should be too concerned about the insertion procedure. But that's just my opinion, of course, and you're entitled to your own boundaries. :)
01perfectminute 18th-May-2012 04:42 pm (UTC)
Thanks for all the input, everybody!

I guess when I say that the IUD sounds invasive, I mean two things: 1. Exactly like what it sounds, I'm a little bit squeamish about the procedure. But I do OK with pap smears so I could probably manage. 2. As I look into birth control methods, it annoys me that most of them are *women* having to stick things up their vaginas or alter themselves, when the most men have to do is put on a condom. I want gender equality when it comes to contraception.
sweetchild92 18th-May-2012 06:06 pm (UTC)
#2 has always bugged me, especially if I hear of guys complaining about condoms. Like, ok, I almost passed out getting my IUD inserted (and so worth it though) and you're complaining about condoms? Oh no. And then the hormonal side effects of other methods...
vertbio 18th-May-2012 07:28 pm (UTC)
I'd say it gives us an advantage if anything. We have a LOT of options and we can find and use one that works for us. I don't like condoms any more than my bf does, they don't provide the level of pregnancy protection that I want. My body is the one at risk of pregnancy, so I don't really mind altering it to avoid it...Sex isn't just for my boyfriend, it's for me too. I don't see it as being required alter my body so *he* can have sex. It's me taking control of my fertility so my boyfriend and I can express our love without having to worry about kids. I do not want children, and all those birth control methods give me the power to control that. The procedure to insert an IUD is uncomfortable, but it's worth it to me to have protection that is equal to surgical sterilization.

My boyfriend is the last person in the world I need to worry about gender equality with. Of course he sees me and treats me as his equal, his partner. The best decision for us as a couple so we could have and enjoy sex was for me to have the IUD put in. If it was going to cost money, he would have paid, and he went in and held my hand and kissed my forehead while it was being done.

Edited at 2012-05-18 07:35 pm (UTC)
atalanta0jess 18th-May-2012 10:08 pm (UTC)
There aren't that many options really...and for many women, there is not an ideal option. I use a copper IUD, and have used hormonal contraceptives in the past, and both have given me significant side effects. Even imagining that I could find a method that didn't, that would entail months and months of trial and error, including physical discomfort and expense. I wish to god that there were options for men so that I could share some of that burden with my partner. It is decidedly NOT an advantage to me in my life that the vast majority of BC options are used by the woman. Life would be very different if options for men were societally encouraged and explored by drug companies.

I'm happy for you that you feel so comfortable with your birth control choice. But I would caution you against assuming that all women are happy with our range of choices, or with the basic fact that most of the choices are for use by women. The thing is, that's not an accident, and it doesn't have to be like that. Even if I was happy with my BC, I would still want a world in which options were available for both male and female people.
01perfectminute 19th-May-2012 09:42 pm (UTC)
I agree with atalanta0jess. It may be our bodies that our getting pregnant, but it takes two people to make pregnancy. Men share the responsibility for getting us pregnant, so they should share the responsibility for us getting pregnant. It is just oh-so-convenient for men that women are the ones who have to find a method.

I don't have to worry about gender equality with my boyfriend either, but societally, we are far from perfect. Boyfriends don't have to be sexist themselves to still gain the advantages of living in a patriarchy.
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