After nine months or more of thinking of little but pregnancy, your new baby is born. You may be surprised to find that pregnancy is suddenly the furthest thing from your mind. But even while you honeymoon as a newly expanded family, you need to make some important decisions about when you might get pregnant again, if ever.
Betsy Bailey

Knowing what's available
While there are many contraceptives available -- with yet more in development, such as the male birth control pill -- most of the current ones are not 100 percent effective, and all of them have both advantages and drawbacks. In the accompanying table, we've offered a comparison of the most popular methods to assist you in your research and decision-making.

Deciding which contraceptive is often difficult; and even after that decision has been made, many couples are not completely satisfied with their choice. Lana* of Pennsylvania, who gave birth to her second child earlier this year, is not thrilled with her birth control options. "To tell you the truth," she says, "I didn't even want to think about birth control after our first child was born. He was conceived after six years of infertility. Obviously, we hadn't spent much time trying to prevent a pregnancy! Now we have two wonderful kids and we're done having children. The options seem so invasive -- surgery, hormones, IUDs, implants. For now, we're using condoms and sometimes just withdrawal." She laughs, "Actually, now that we have an infant, we are not having much sex these days. Abstinence is probably our number one method right now."

Sharon in Texas is also unhappy with the invasiveness of the more effective contraceptives. She considered an IUD several years ago, but decided against it for two reasons. She explains: "For one thing, the placement procedure seems really invasive. Secondly, I just couldn't forget the Dalkon Shield problems a few decades ago. We ended up using the pill until we were ready to start our family." Now pregnant with her fourth child, she is not sure what they will do for birth control after this baby is born. "I'm pregnant!" she says with a smile, "I don't even want to think about it right now."

Not all methods of birth control are invasive or risky, however. In recent years, the rhythm and fertility awareness methods (FAM) have gained some popularity. Women who are willing to stay in tune with their cycles and record them faithfully may find great satisfaction with these methods. Jenny in Arizona has used the rhythm method successfully for more than six years to not only prevent pregnancy, but also to plan it. She says, "After I had my son (who was conceived the first month we tried). . .the doctor gave me a prescription for Micronor because I was nursing. I never used it. I get cramps when I ovulate, so I always know my fertile days. I am also very regular and keep track of my cycles on a calendar."

According to the U.S. Food and Drug Administration, combined oral contraceptives -- commonly called "the pill" -- are the most popular form of reversible birth control in the United States. Kris of Maryland chose to go on the mini-pill after the birth of her daughter last year. "I tend to have a bad reaction to condoms and the inconvenience of having to take a pill at the same time every day is minor. At my annual checkup next month, I hope to be transferring back to the regular pill, since we aren't quite ready to add to the family."

Making a decision
While some women know exactly what contraceptive they want; others are less certain. "On the whole, the contraceptive choices that Americans have are very safe and effective," says Dennis Barbour, former president of the Association of Reproductive Health Professionals, "but a method that is very good for one woman may be lousy for another."

Start below to inform yourself about the pros and cons of various contraceptives, then make the best decision for your personal circumstances. If you fail to decide on some method of birth control, the choice to become pregnant might be made for you!

Birth control methods
Surgical Sterilization -- female or male (tubal ligation/vasectomy)
- Estimated effectiveness: Over 99 percent
- Some risks (c): Pain, bleeding, infection, other minor postsurgical complications
- Protection from sexually transmitted diseases (STDs): None
- Convenience: One-time surgical procedure
- Availability: Surgery

Injection (Depo-Provera)
- Estimated effectiveness: Over 99 percent
- Some risks (c): Irregular bleeding, weight gain, breast tenderness, headaches
- Protection from sexually transmitted diseases (STDs): None
- Convenience: One injection every three months
- Availability: Prescription

Implant (Norplant)
- Estimated effectiveness: Over 99 percent
- Some risks (c): Irregular bleeding, weight gain, breast tenderness, headaches, difficulty in removal
- Protection from sexually transmitted diseases (STDs): None
- Convenience: Implanted by health-care provider -- minor outpatient surgical procedure; effective for up to five years.
- Availability: Prescription

IUD (Intrauterine Device)
- Estimated effectiveness: 98 to 99 percent
- Some risks (c): Cramps, bleeding, pelvic inflammatory disease, infertility, perforation of uterus
- Protection from sexually transmitted diseases (STDs): None
- Convenience: After insertion by physician, can remain in place for up to one or 10 years, depending on type.
- Availability: Prescription

Oral Contraceptives -- combined pill
- Estimated effectiveness: Over 95 percent
- Some risks (c): Dizziness; nausea; changes in menstruation, mood and weight; rare side effects: cardiovascular disease, including high blood pressure, blood clots, heart attack and strokes
- Protection from sexually transmitted diseases (STDs): None, except some protection against pelvic inflammatory disease.
- Convenience: Must be taken on daily schedule, regardless of frequency of intercourse.
- Availability: Prescription

Oral Contraceptives -- progestin-only "mini pill"
- Estimated effectiveness: 95 percent
- Some risks (c): Irregular bleeding, weight gain, breast tenderness, slightly increased chance of ectopic pregnancy ?
- Protection from sexually transmitted diseases (STDs): None, except some protection against pelvic inflammatory disease.
- Convenience: Must be taken on daily schedule, regardless of frequency of intercourse.
- Availability: Prescription

Male Latex Condom
- Estimated effectiveness: 86 percent (a)
- Some Risks (c): Irritation and allergic reactions (less likely with polyurethane)
- Protection from sexually transmitted diseases (STDs): Except for abstinence, latex condoms are the best protection against STDs, including herpes and AIDS.
- Convenience: Applied immediately before intercourse; used only once and discarded.
- Availability: Nonprescription

Diaphragm with Spermicide
- Estimated effectiveness: 80 percent
- Some Risks (c): Irritation and allergic reactions, urinary tract infection
- Protection from sexually transmitted diseases (STDs): Protects against cervical infection; spermicide may give some protection against chlamydia and gonorrhea; otherwise unknown.
- Convenience: Inserted before intercourse and left in place at least six hours after; can be left in place for 24 hours, with additional spermicide for repeated intercourse.
- Availability: Prescription

Female Condom
- Estimated effectiveness: 79 percent
- Some risks (c): Irritation and allergic reactions
- Protection from sexually transmitted diseases (STDs): May give some STD protection.
- Convenience: Applied immediately before intercourse; used only once and discarded.
- Availability: Nonprescription

Spermicides Alone
- Estimated effectiveness: 74 percent
- Some risks (c): Irritation and allergic reactions
- Protection from sexually transmitted diseases (STDs): May give some protection against chlamydia and gonorrhea; otherwise unknown.
- Convenience: Instructions vary; usually applied no more than one hour before intercourse and left in place at least six to eight hours after.
- Availability: Nonprescription

Periodic Abstinence
- Estimated effectiveness: About 75 percent (varies, based on method)
- Some risks (c): None
- Protection from sexually transmitted diseases (STDs): None
- Convenience: Requires frequent monitoring of body functions (for example, body temperature for one method).
- Availability: Instructions from health-care provider

Cervical Cap with Spermicide
- Estimated effectiveness: 60 to 80 percent (b)
- Some risks (c): Irritation and allergic reactions, abnormal Pap test
- Protection from sexually transmitted diseases (STDs): Spermicide may give some protection against chlamydia and gonorrhea; otherwise unknown.
- Convenience: May be difficult to insert; can remain in place for 48 hours without reapplying spermicide for repeated intercourse.
- Availability: Prescription

Sponge with Spermicide
- Estimated effectiveness: 60 to 80 percent (b)
- Some risks (d): Irritation and allergic reactions, difficulty in removal
- Protection from sexually transmitted diseases (STDs): Spermicide may give some protection against chlamydia and gonorrhea; otherwise unknown.
- Convenience: Inserted before intercourse and protects for 24 hours without additional spermicide; must be left in place for at least six hours after intercourse; must be removed within 30 hours of insertion; used only once and discarded.
- Availability: Nonprescription

(a) Effectiveness rate for polyurethane condoms has not been established.
(b) Less effective for women who have had a baby because the birth process stretches the vagina and cervix, making it more difficult to achieve a proper fit.
(c) Serious medical risks from contraceptives are rare.

* Some names and personal details have been changed to protect


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Your applause with regard to Brown leafy was only covered through the regards intended for middle fielder Juan Lagares, who actually branded Nats circuit breaker Tyler Clippard for a, go on great hit while in the eighth inning.Players and enthusiasts interact with Garrick McGee's resignation out of UAB

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But when boston are on the trail, Heinsohn, Seventy nine, delivers like a facility specialist, launching the threshold for Ainge in addition to Herren to fill.

Ainge is usually unflinchingly honest around the team for an individual within the placement, and was a tremendous analyzer pertaining to TNT from 2002 Walk.

In terms of research has revealed, right now there virtually no recently available precedent to get a dominant professional phoning their workforce games. It really is definitely not unparalleled throughout Celtics folklore. Old timers will recognition Pink Auerbach paying out longer snarling for referees compared with delivering cogent examination as he made available shade for WKBG broadcasts by 1967 71.

Whatever put on similar to: This passing away connected with Greg Dickerson. Boston part time correspondent due to the fact The year 2005 in addition to a an important part of its sent out since 2000, he / she seemed to be relaxed, revered, along with true institutional understanding of the group.

You can find stress one of many rank and file with CSNNE that Dickerson, who has battled neurological medical problems recently, warranted improved.

The best spinner's overhauled postseason baseball studio room selection is definitely good, but it surely could possibly may become wind resistant to some more possible amount of members. Core Keith Olbermann, researcher Pedrolati Martinez, along with advice person Dan Verducci is the best 3. Issue, The best spinner's is studying several personas on the set, which often leaves minor actual and also figurative home for any person to be outside. Remedy: Transfer Hayhurst to some unit function, eliminate competitor place (apologies, Indicate DeRosa), watching Olbermann, Martinez, along with Verducci do well.New Western world gentleman whistling a cheerful music around

Woodward's can be see, however its fable lives on.

This Edmonton New york giants requested Woodward's

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carpinteyroowk November 04, 2014
nvolved while using the Nation's Day's Prayer for years.

"There are generally corporations while using the lone intention to obstacle this Constitutionality regarding prayer," Dobson claimed within a Video web presentation from the Nationalized Day of Prayer Activity Force.

"The Countrywide Day's Prayer firm has long been charged many moments,Inches he added. "We are really a country of which desperately needs prayer."

Rev. Billy Graham, honorary chairman inside 2002, additionally mentioned, "To have countries backside with their foot, we need to first acquire down on each of our joints.Inch

The country's Day of Prayer Job Push produces the parti<a href=>new air max black</a>cular renovation the nation's bottom part around the recorded religion of our own beginning fathers.National debate because adolescent is termed Via Worcester Headlines

A debatable calling of an 15 years old which incited people to break-ins plus wanton damage in the riots along with his privacy stripped absent through the judges renders national headers.

Your own Worcester News successfully challenged any Department Thirty-nine order in the Young children as well as Youthful Person's Act which could have got forbidden the media from

This individual not entered a plea in the event the structure seemed to be pushed through correspondent Richard Vernalls with the information is believed to become a 100 % legal to begin with, after it was actually fought your transgression was very considerable, it was actually inside the general population

awareness that will survey the full details of the condition.

Morning, magistrates put another intelligent prohibit with naming Melfah while he came out at the children's the courtroom to confess writing opinions using a Facebook or myspace

page called Letz Start a Huge range.

A moving of the ban on Tuesday is believed to remain among the first moments any junior has become referred to as just before a plea has been joined.

Regarding Wednesday, children's trial magistrates in that case recognized the colleagues' decision, by using chairman of the counter Martha Griffin indicating this exclude must be raised from the general public attraction and prevent other individuals.

Melfah is going to be sentenced for September 15.

Meanwhile, nationwide magazines, Radio and tv stations, including BBC Radio 5 Stay, possess included the storyline.

Some individuals believe that a youngster should have held their anonymity, irrespective of the situation.

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henrymen November 03, 2014
em. Runcie proclaimed the situation became a lack of communicating and also openness inside transportation dept. Plank Fellow member D Korn shared with Runcie that she needed to fear conversation as part of his personal supervision, considering that the plank hasn't been having data with them. The panel associates, fully grasp, will still be obtaining e-mails and phone message or calls every single day out of annoyed moms and dads.Sheriff's ID homemade cards out there again

This police Identification unit card in the near future is going to be creating a return in Jefferson Region.

To provide a source different <a href=>canada goose orange </a> equipment simply being attained via the Jefferson Region Police Unit, a whole new handgun permit may also possibly be introduced in the near future.

Police Mark R. Burns mentioned he's got dipped within his / her department resources to order by Linstar in Syracuse a brand new camera and also computer printer to possess a more streamlined producing method regarding pistol enables. But will also that will rifle lets, her company plus the Workplace of fireside plus Urgent situation Operations is able to situation fresh firemen reputation charge cards, district workforce id handmade cards, and the proof age group recognition handmade cards how the office gave up on issuing through the administration connected with Sheriff Donald P oker. Newberry. Aforementioned are great for those that do not possess driver permit.

As well as often be given will be cards for individuals that are usually common individuals the actual penitentiary, such as clergy, experienced therapist and also course instructors.

To help balanced out concerning 15 percent with the $10,One thousand price level for the digicam and computer printer, Linstar is certainly taking on any exchange of your inkjet printer at this moment available, also a Linstar product, he explained. Mr. Can burn has received in which devices, and it's hoping for birth of the personal pc, remaining within Linstar through the district. He explained he / she hopes to have the program prepared after Could possibly.

Linstar launched a technique with regard to his / her dept, and then made use of which pertaining to publicize requirements, he stated. Various other authorities organizations came across a Jefferson Nation present, purchased the machine and have place it to your workplace, he said.

A sheriff reported he or she was initially consumed by the system given it takes away the replacing associated with records if a guy offers a rifle

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 to get Undertaking LifesaverTeens support raise money, knowledge with regard to petsAnnual Rydell Motor vehicle Mountain bike Exhibit that will Feature Vintage Cars, Charity Market.shooting in Vacation chiro doctor workplace could

Getaway, Educational facilities (WFLA) On Tuesday, sheriff's investigators reported believe that which Jaime Velez in addition to Medical professional. Lenny Linardos were being linked to some form of home question along with Velez arrived to your place of work information we should the firearm.Your conflict implemented plus Linardos, who has been additionally equipped, opportunity Velez, in line with private eyes.Velez was in vital state at the time of The following thursday mid-day.Zero fees have been filled out associated with the particular taking pictures.Lakeland neighborhood possesses moving forward drinking water concerns, demands 8OYS for helpLakeland community provides moving forward h2o difficulties, asks 8OYS pertaining to helpUpdated: Comes to an end, September Up to 29 This year A couple of:2009 In the afternoon EDT2014 2009 Twenty nine 18:09:35 GMT <a href=>canada goose expedition parka men </a> Some Lakeland residents have finished curious about no matter whether they've got standard water in your own home. Within the last few calendar month, they will notify 8-10 In your that they have dropped standard water without word of caution as a minimum 5 times. And what's a whole lot worse, the stream continues to be out of for up to 8 hours in the timeSome Lakeland inhabitants have finished thinking no matter if they'll need drinking water at home. Over the past calendar month, people tell Ten In your corner that they've shed water without having word of caution at least 5x. And what's worse, the lake stays away for about eight hours at a timeAbercrombie dropping business logo to increase brandAbercrombie falling custom logo to increase brandUpdated: Friday, Sept 28 2014 8:15 Was EDT2014 '08 28 10:20:Fouthy-six GMTThe Abercrombie Fitch company logo includes missing the power it when wielded, therefore, the battling teenager retail merchant promises to remove your as soon as precious brand looking at the garments. Stock shares tumbled Thurs . once it all documented weaker revenue for the people seeking adolescents retailer in another place.Any Abercrombie Fitch company logo possesses dropped the electricity it at the time wielded, so that the battling teenager retail merchant promises to strip off this after valued custom logo from the attire. Stocks and shares tumbled Thurs right after the item noted poor sales as increasing numbers of teens retail outlet elsewhere. finance companies. finance institutions.Accounts: FBI probes JPMorgan hackReports: FBI pr

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henryjrw October 31, 2014
ful Avelino. Katoh scored upon Tyler Wade's sole to trim down the actual shortage for you to Some A few. Some sort of Aaron Assess two times placed a couple of sports people in scoring location, yet neither of them would probably scores when using inning closing travel out there seeing that Delmarva used onto the head.Vader superior to three An individual with all the wining, organizing your year higher seven in addition innings to get Delmarva. Nike jordan Cote allowed a couple works while in the location inning along with chop down time for A person A person as soon as the reduction. Jimmy Yacabonis delivered a good scoreless remaining inning designed for the location help save throughout numerous programs. Severino hit outside more effective to steer many pitchers yet would not look at your decision.Ball game FUN: In advance of Friday's tournament amongst Charleston in addition to Delmarva, Any Citadel opened a three recreation range versus Wofford along with conquered the particular Terriers 6 One particular. Any RiverDogs many enthusiasts wore crimson intended for ISHPI Reddish colored Tee shirt Wednesday, which usually concluded together with an additional great fireworks show above the picturesque Ashley Riv following a online game.Arising: Recreation two of the following five game sequence will be booked for six:05pm about Sat evening hours. LHP Ian Clarkin (0 2, 3.Double zero Period of time) is anticipated to produce his RiverDogs first appearance against Shorebirds RHP Luc Rennie (0 Two, In search of.Of sixteen Age). Social networking Wednesday promotes supporters to generate demands into the RiverDogs for Twitter and facebook for in activity tunes, campaigns, along with characteristics. The particular Dude is web host Greek History Nighttime together with Moncks Part Day for Saturday's activity. Original Clemson Lions baseball actors Tajh Boyd in addition to Quandon Orlando may equally perform side meeting new people having lovers.Shores and Steele commemorate 2 decades primary Toledo Radio stations

Gary Coast line and also Harvey Steele have been getting mid-air for many years. Uncovered recently been a crew for 25 a long time immediately, making them Toledo's longest operating early morning radio station display."You can't build chemical make up, its sometimes certainl <a href=>canada goose women s expedition parka </a> y, there or simply it is far from certainly, there. equally literally trombone within elementary school, equally proved helpful with pizza places whenever they were being children, the two have been put into practice, right now, they may be two brothers at the rear of the particular mics on K 100. Shores in addition to Steele moving on the environment regarding September Four, Early 90's as well as received some sort of CMA prize their first year. And they're mates off and on capital t

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