Choices Women’s Medical Center:
147-32 Jamaica Avenue
Queens, NY 11435

Birth Control

Birth Control Options in Queens, NY

Choices offers many different types of birth control and its team of experienced and knowledgeable health care providers created the ESPC Model to help you to select the type that is right for you.

ESPC Model

E–Effectiveness: Some methods are less than 50% effective; others are over 99% effective. How important is it for you to avoid pregnancy?

S-Safety: There are benefits and risks to every type of birth control and every patient reacts differently. By taking your health history into consideration, a Choices health care professional will recommend the safest type of birth control for you.

P-Personality: The Choices counseling staff and dedicated health care providers will take the time to get to know you in order to help select the method of birth control that best suits you needs, likes, dislikes and lifestyle.

C-Cost: Birth control ranges in price from $0-$1,500 depending on which method you choose. Most insurances will cover the cost of your birth control. If you qualify, you can get free birth control by enrolling on-site at Choices for the New York State Family Planning Benefit Program or Family Planning Extension Program.

Make an appointment online, walk-in for a same-day appointment or call a Choices representative to have a confidential conversation about your birth control needs. Remember at Choices our specialty is YOU!

Birth Control Options: Interactive Map

Interact with the image below to read the information on each contraceptive option.

Pinch to zoom for a closer view.

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Male Condom

How well does it work?

82-99% Effective

How to use?

Use a new condom each time you have sex

Pros

Widely available, low cost and easy to use. Protects against HIV and other STI’s. Can be used while breast feeding. Latex-free condoms are available.

Cons

Can decrease sensation or interrupt the “heat of the moment.” Can break or slip off if put on incorrectly.

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The Ring (Nuvaring)

How well does it work?

91-99% Effective

How to use?

Insert a small ring into the vagina. Change ring each month.

Pros

One size fits all. Private. Does not require spermicide. Can make periods more regular and less painful. No pill to take daily. You can become pregnant right after stopping the ring

Cons

Can increase vaginal discharge. May cause spotting the first 1-2 months of use. Does not protect against HIV and other STI’s.

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The Patch

How well does it work?

91-99% Effective

How to use?

Apply a new patch once a week for three weeks. No patch in week 4.

Pros

Can make periods more regular and less painful. No pill to take daily. You can become pregnant right after stopping the patch.

Cons

Can increase vaginal discharge. May cause spotting the first 1-2 months of use. Does not protect against HIV and other STI’s.

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Female/Internal Condom

How well does it work?

79-95% Effective

How to use?

Use a new condom each time you have sex

Pros

Widely available. Can be used for anal and vaginal sex. Good for people with latex allergies. Protects against HIV and other STI’s. Can be used while breastfeeding.

Cons

Can decrease sensation. May be noisy. May be hard to insert. May slip out of place during sex.

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Progestin IUD: Liletta, Kyleena, Mirena

How well does it work?

>99% Effective

How to use?

Must be place in uterus by a health care provider.

Pros

Mirena and Kyleena can be left in place for up to 5 years. Liletta may be left in place up to 3 years. No pill to take daily. May improve period cramps and bleeding. Can be used while breastfeeding. You can become pregnant right after it is removed.

Cons

May cause lighter periods, spotting, or no period at all. Does not protect against HIV or other STI’s.

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Paragard

How well does it work?

99% Effective

How to use?

Must be placed in the uterus by a health care provider.

Pros

May be left in place up to 10 years. No pill to take daily. Can be used while breastfeeding. You can become pregnant right after it is removed.

Cons

May cause more cramps and heavier periods. May cause spotting between periods. Does not protect against HIV or other STI’s.

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Tubal Ligation

How well does it work?

99% Effective

How to use?

The procedure is done by a surgeon, takes 30 minutes or less and the patient is asleep during it. The surgeon severs or blocks the fallopian tubes which permanently prevents pregnancy by stopping the sperm from getting to the egg.

Pros

One-time procedure for women who are absolutely sure they never want to get pregnant again. No hormones are involved, which may be a benefit to women looking to avoid hormones.

Cons

No changing your mind—once it’s done it’s done. Must have time off for recovery the day after surgery (and possibly longer, depending on the person). Must avoid heavy lifting and exercise for two week after the procedure. While rare, there is always a chance of complications arising with surgery. Some pain or discomfort is normal during recovery. Does not protect against HIV or other STIs.

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Diaphragm

How well does it work?

88-94% Effective

How to use?

Must be used each time you have sex. Must be used with spermicide. A health care provider will fit you and show you how to use it.

Pros

Can last several years. Cost very little to use. May protect against some infections, but not HIV. Can be used while breastfeeding.

Cons

Using spermicide may raise the risk of getting HIV. Should not be used with vaginal bleeding or infection. Raises risk of bladder infection.

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The Implant (Nexplanon)

How well does it work?

>99% Effective

How to use?

A health care provider places it under the skin of the upper arm. It must be removed by a health care provider.

Pros

Long lasting (up to 3 years). No pill to take daily. Often decreases cramps. Can be used while breastfeeding. You can become pregnant right after it is removed.

Cons

Can cause irregular bleeding. After 1 year, you may have no period at all. Does not protect against HIV or other STI’s.

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Withdrawal (Pull-Out Method)

How well does it work?

78-96% Effective

How to use?

Pull penis out of the vagina before ejaculation (that is, before coming).

Pros

Costs nothing. Can be used while breastfeeding.

Cons

Less pleasure for some. Does not work if penis is not pulled out in time. Does not protect against HIV or other STI’s. Must interrupt sex.

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Abstinence

No vaginal sex. No pregnancies. It is as simple as that. There are still plenty of options that will please both you and your partner without the worry of an unwanted or unplanned pregnancy. But don’t forget about sexually transmitted infection (STIs) that can be spread without engaging in vaginal sex.

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The Pill

How well does it work?

91-99% Effective

How to use?

Must take pill daily

Pros

Can make periods more regular and less painful. Can improve PMS symptoms. Can improve acne. Helps prevent cancer of the ovaries. You can become pregnant right after stopping the pills.

Cons

May cause nausea, weight gain, headaches, change in sex drive. May cause spotting, which may last for many months. Does not protect against HIV or other STI’s.

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Emergency Contraception (Plan B)

How well does it work?

58-94% Effective

How to use?

Works better the sooner you take it after unprotected sex. You can take EC up to 5 days after unprotected sex.

Pros

Can be used while breastfeeding. Available at pharmacies and Choices. Women of any age can get some brands without a prescription.

Cons

May cause stomach upset or nausea. Your next period may come early or late. May cause spotting. Does not protect against HIV or other STI’s. May cost a lot.

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The Shot (Depo-Provera)

How well does it work?

94-99% Effective

How to use?

Get shot every 3 months

Pros

Each shot works for 12 weeks. Private. Usually decreases periods. Helps prevent cancer of the uterus. No pill to take daily. Can be used while breastfeeding.

Cons

May cause spotting, no period, weight gain, depression, hair or skin changes, change in sex drive. May cause delay in getting pregnant after you stop the shots. Side effects may last up to 6 months after you stop the shots. Does not protect against HIV or other STI’s.

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Rhythm (Natural Family Planning)

How well does it work?

76-99% Effective

How to use?

Predict fertile days: by taking temperature daily, checking vaginal mucus for changes, and/or keeping a record of your periods.

Pros

Costs nothing. Can be used while breastfeeding. Can help with avoiding or trying to become pregnant.

Cons

Must use another method during fertile days. Does not work well if your periods are irregular. Many things to remember with this method. Does not protect against HIV or other STIs.

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Spermicide

How well does it work?

72-82% Effective

How to use?

Insert more spermicide

Pros

Can buy at many stores. Can be put in as part of foreplay. Comes in many forms: cream, gel, sponge, foam, inserts, film. Can be used while breastfeeding.

Cons

May raise the risk of getting HIV. May irritate vagina, penis. Cream, gel, and foam can be messy.

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Progestin: Only Pill

How well does it work?

91-99% Effective

How to use?

Take pill every day in the same two-hour time frame

Pros

Can be used while breastfeeding. You can become pregnant right after stopping the pills.

Cons

Often causes spotting, which may last for many months. Does not protect against HIV or other STI’s.

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Book an Appointment

Our team of board-certified medical professionals and support staff offer safe, trusted, comprehensive care and services at the highest level. Our state-of-the-art facility is located in the heart of Jamaica Queens, NY.

Schedule an appointment with Choices today.

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© 2020 Choices Women’s Medical Center

Contact Us

147-32 Jamaica Avenue | Queens, NY 11435

outreach@choicesmedical.com

718-786-5000

About Choices Medical

Choices Women’s Medical Center is a woman-owned and operated medical facility serving women in New York City and surrounding areas for over 50 years.

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