Northwestern Women’s Health Associates, S.C
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Long Term Birth Control

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Dr.Stanley Friedell, MD, Image For Long Term Birth ControlA woman uses some form of birth control for many years of her life. Choosing the most appropriate birth control method comes from considering multiple factors. These include:
  • Success rate at pregnancy prevention
  • Ease of use
  • Existing health concerns
  • Potential for prevention of sexually transmitted disease
At Northwestern Women’s Health Associates, our practitioners build relationships with their patients that enable collaboration for pregnancy prevention. We offer several different forms of long-term birth control.
Implants, Injections, Rings, and Patches - Hormonal Birth Control Options
The most recognized hormonal birth control option is the pill. Oral contraceptives, which are considered between 97 and 99 percent effective if used ideally, contain synthetic hormones. This form of contraception requires a woman to take a pill every day at about the same time. Each pill delivers precise hormones to prevent pregnancy. When the cycle of hormone pills is complete, menstruation occurs. Women may choose from the combination pill, which contains estrogen and progestin, or the mini-pill, which contains progestin only. Failure rate may be higher if not used correctly.
Injections may also be given in our office as a long-term birth control option. Injections of long-acting synthetic progesterone are given by your physician or assistant every three months. Like the mini-pill, injections contain no estrogen. Effectiveness is achieved through the prevention of egg release from the ovary. Injections also promote the thickening of cervical mucus, which impedes the progress of sperm. Injections are 99 percent effective at preventing pregnancy.
Hormone patches are as effective as oral contraceptives, with the added benefit of easy use. With hormone patches, it is not necessary to remember to take a pill daily. The adhesive patch delivers hormones transdermally, or through the skin, in a discreet, continual manner. Patches are replaced weekly.
Vaginal rings contain etonogestrel (a type of progestin) and estradiol. These hormones are continually released in low levels and absorbed into the bloodstream. Rings are kept in the vagina for three weeks and then removed for one to allow normal menstruation.
Contraceptive implants can remain in place for three years, continually releasing progestin etonogestrel into the blood stream. Insertion of the implant into the upper arm takes place with local anesthesia in our Chicago office. Within 24 hours of insertion, protection from pregnancy is established. After the removal of a contraceptive implant, fertility quickly returns.


An intrauterine device, or IUD, is birth control that makes it difficult for an egg to become fertilized and implanted into the uterus. The small, T-shaped device is inserted into the uterus in our office. When we insert the IUD in our Chicago area office, the arms of the T are down. Once inserted, these arms open up and rest at the base of the uterus, above the cervix. A string is attached to the tail of the T, serving as a way to ensure the device is in place.

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Sterilization by Laparoscopy

A type of permanent birth control is sterilization. This type of pregnancy prevention, called tubal sterilization, prevents the movement of an egg to the uterus via the fallopian tubes. Some women have their “tubes tied” after their final childbirth, in a minor surgical procedure.
Laparoscopic sterilization is a surgical procedure in which the fallopian tubes are closed off. This is accomplished via a small incision near the navel. Using an instrument called a laparoscope; your physician locates the fallopian tubes and places clips or bands to close each. The procedure is performed in the hospital under general anesthesia on an outpatient basis, so patients are able to return home the same day. Results from laparoscopic sterilization are immediate.

Hysteroscopic Sterilization (Essure)

Hysteroscopic sterilization accomplishes the same blocking of the fallopian tubes, but does not require any cutting. Essure implants, placed in our Chicago area office, are a form of hysteroscopic sterilization that has been used in the U.S. for over ten years. Essure contains no hormones and is more than 99 percent effective. This method of tubal sterilization uses the body’s own processes to create a barrier. In our office, small implants are inserted into the fallopian tubes. In response, the body will grow tissue around these implants, creating a permanent obstacle for eggs.
.The formation of scar tissue around implants takes about three months. During this time, it is important to use an alternative form of birth control.

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  • Northwestern Women's Health Associates
    5 Dr. Stanley Friedell, 5 Star Review By Gerilynn H.

    Dr. Regina Belmonte has been providing all the services I have needed for over 12 years. She saw me through both of my pregnancies and her expertise is vast. Even after I moved far away from the city, I still embrace and look forward to her care and services, and I refuse to switch doctors. She is worth the trip! Going through both pregnancies I had to meet with all of the Dr's. and all were wonderful. The nurses are fantastic. I have gotten 98% of what I have ever needed just talking to a nurse. So grateful for this practice and so confident with the care I receive.
  • Northwestern Women's Health Associates
    5 Dr. Stanley Friedell, 5 Star Review By Jelly T.

    Dr. Abbie Roth is GOLD!
    I have never met a doctor who is caring and brilliant and with a great sense of humor as doctor Abbie Roth. She is very professional and has an excellent bedside manner. When I had a life threatening complication after my C-section, she and her Prentice team of doctors and nurses were such an efficient team under pressure while making sure they explain every process and steps during the situation. Dr. Abbie Roth and her team literally saved my life! I am very fortunate to have met Dr. Roth, I will never forget her and will continue to see her for my future OB/Gyne health. I highly recommend this practice and Dr. Roth!
  • Northwestern Women's Health Associates
    5 Dr. Stanley Friedell, 5 Star Review By Jessica

    If you are new to Chicago or are just looking for a new physician, please make an appointment with Dr. Friedell. This is the first time in my adult life, that a doctor spent an hour with me going over my medical history, asking questions and documenting my history accurately. His assessment and subsequent surgery were all done t a T! I wouldn't hesitate to recommend him or his staff. I have had very positive experiences every time I've gone and I always leave feeling like I've been really seen and heard.
  • Northwestern Women's Health Associates
    5 Dr. Stanley Friedell, 5 Star Review By Monica E.

    I was recommended to NWWH through a friend after a year of unsuccessful IUI with my partner. We were seen and cared for by Dr. Friedell. Best decision ever. You will definitely wait for the doctor for maybe 30 minutes past your appointment time but you will not regret it. His thoroughness and patience to explain everything to us in a way we understood was amazing. He was quick to start a game plan for us. We will definitely stick with Dr. Friedell as our OB/GYN.

    Apart from Dr. Friedell, the staff was quick to perform any lab work and ultrasounds with friendly conversation and compassion. This type of service really helps when we've gone through a rough time trying to get pregnant. Definitely make an appointment with Dr. Friedell.
  • Northwestern Women's Health Associates
    5 Dr. Stanley Friedell, 5 Star Review By Jennifer H.

    I have been going to Dr. Friedell for over a year now and he has been nothing less than amazing. When I first came to him to discuss pregnancy, he was incredibly informative and understanding. He was also willing to take the time to answer all of my questions and help in any way he could. He just delivered my son in March and to say he went the extra mile during delivery would be an understatement. I had some complications and with any other doctor I would have had a c-section. Dr. Friedell worked with me and was extremely patient and because of his care and expertise I had a successful vaginal delivery. I cannot recommend him highly enough!
  • Northwestern Women's Health Associates
    5 Dr. Stanley Friedell, 5 Star Review By Karima R.

    I have been going to this office for little over a month now due to some complications! I have been seen Dr. Friedell, he is very caring and always made sure he answers all my concerns. I am beyond impressed with my experience with Dr Friedell and his PA " Amber". Dr Friedell called me many times after hours to talk to me about my medical results and answers any concerns that I have.

    I would highly recommend Dr Friedell.
  • Northwestern Women's Health Associates
    5 Dr. Stanley Friedell, 5 Star Review By Elizabeth T.

    I have been a patient of this practice for over 5 years now and have only positive reviews of Dr. Feldstein. He was the doctor on call and delivered my third son without any complications. He was knowledgeable, patient focused and went above and beyond to answer my questions and provide a safe and healthy delivery. I also want to note his positive bedside manner to not only my husband and I, but to the nursing staff that was working with him. He was very respectful and I am very thankful to have had him for my delivery. I would recommend this group, Dr. Feldstein in particular without reservation.
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    5 Dr. Stanley Friedell, 5 Star Review By LA

    I switched to Dr. Roth mid pregnancy due to health insurance reasons and it was probably the best decision I have ever made in my life. She is definitely warm and funny but also extremely competent and knowledgeable. I would say what makes her stand out from other doctors is how calm and not reactive she is in even the most dire situations. My son was in serious fetal distress (unexpected and not preventable) and she was very calm and reassuring as we literally ran to the OR for my c section. With the rise of c sections today I feel Dr. Roth is one of the few remaining fabulous ob's that truly plans for normal vaginal births (your choice if you want an epi or not) and although I needed a c section I knew it was truly necessary. I could not speak more highly of her, not only did she save my sons life but she made me feel safe, secure and empowered even when decisions and actions were out of my hands.
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    5 Dr. Stanley Friedell, 5 Star Review By Dana M.

    I love Dr. Belmonte. I have been going to her since 2006! She rocks!!! She is straight to the point, I love that about her. When I leave her office after seeing her I always feel great, like a just left a good friends house or something!
  • Northwestern Women's Health Associates
    5 Dr. Stanley Friedell, 5 Star Review By Barbara A

    I can not tell you how wonderful my experiences have been. Dr. Sharon Wise is my doctor and she is fantastic. She is straightforward and honest about treatments and procedures. I enjoy her sense of humor, and I found her bedside manner when delivering my son to be excellent.