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.

IUD

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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Success Stories

  • 5 Star Review
    "Wonderful experience with Dr. Julianne Morton @ NW Women's Associates. I've recommended her to countless girlfriends. Being a first time mom, I went through many physical symptoms and emotions that accompany pregnancy. She is extremely thorough, patient, and has wonderful bedside manner. I felt confident going into delivery with Dr. Morton taking the lead with my delivery. Wonderful practice!"

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    "Dr. Morton is absolutely amazing. She cared for me throughout my first pregnancy and we found her to be kind and caring and straightforward - could not have asked for a better experience! Dr. Dunn ended up being on call during my delivery and she was great as well. I have always found the nurses and office staff to be friendly and on top of things - very happy with the practice!"

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  • 5 Star Review
    "I had to have a laproscopic hysterectomy done by Dr. Friedell and all went fabulously! They were very detailed in pre-op which made a lot of difference. I came out of surgery feeling great and post op I was back to work within two weeks. Everyone at the practice, at the hospital, at pre-op were incredible."

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  • 5 Star Review
    "Dr.Julianne Morton is amazing! I was recommended by a friend when I moved to the Chicago area and was looking for an OB-GYN. I have seen her for two years in Chicago for my yearly exam. She is beyond kind and great at what she does. Dr.Morton makes you feel very comfortable and is such an incredible doctor! I have recommended her to all of my friends as well who need a new gyno/OB-GYN."

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  • 5 Star Review
    "Dr. Morton is a really great doctor. She has an incredible bedside manner and makes you feel comfortable. She makes sure to ask if you have any questions and will happily answer all of them with you. Would highly recommend!"

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  • 5 Star Review
    "Dr. Friedell is amazing! He helped delivered my first baby and the whole process was super smooth and stress free. All the staff in the office are super friendly too. Highly recommend!"

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  • 5 Star Review
    "I visited Dr Feldstein office yesterday. All of his stuff was very kind and nice to me. He has a professional-team, so I know I have nothing to be afraid of. Just wanted to say thanks to all the people I meet. I am in good hands."

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  • 5 Star Review
    "Dr Freidell is extremely knowledgeable, thorough and really cares about his patients. He is very good at getting to the root of the problem, especially with overlapping symptoms. He guided me through all my options and their implications. I will highly recommend him and his team."

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  • 5 Star Review
    "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!"
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  • 5 Star Review

    "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. "

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