Chicago

Re: Hormone-based birth control sucks
alexhumboldt 363 reads
posted

Why do you say that?  My cousin's husband is 63 and they just had a baby (she's 44).  I think men are fertile their entire lives.

A provider I met recently told me something that kind of surprised and shocked me.  

She said that the pill made her sick so she went off it many years back. In the last 8 years she has been in the business, she has depended entirely on the condom for protection and she has not had any issues (not a pun).  

I had always assumed that all providers would be on the pill and condom was more for STDs.  

Question to providers: Am I naive in assuming that most providers would be on the pill? Or do most of you depend on the condom?

Question to hobbyists: Is this your assumption too? Would you at all be concerned if your provider is not on the pill

I don't think it's far fetched, however I would imagine that they use different types of protection.  Like sponges and condoms or different combos but I think the main is condoms.

The last time I got on the pill, I gained about 20lbs and my libido decreased drastically.  

Its a weird feeling to not get horny and crave sex, exspecially when you're a provider.  

Anyway, condoms are 98% effective when used correctly

Those 2% are people who don't know how to properly use them . There is a correct way to put on, ample amount of space , and lube!

Posted By: some-guy
-- Modified on 12/16/2015 2:54:42 PM

I also only rely on condoms because aside from going in for a hysterectomy which I have heard KILLS a woman's sex drive completely, I don't qualify to take anything else.

See there are hereditary heart issues in my family so that rules out the pill, depo, and that stick thing that goes under the skin.  It also rules out any other hormone based birth control.  I have issues with metals so IUD is totally out since they are either metal based or plastic with a hormone base.  Nuva Ring, also plastic is hormone based.  There is a sponge however it is hard to get that in and use a condom, it can cause dryness which can CAUSE the condom to break.  As well they contain spermacide which kills not only sperm but healthy cervical cells as well causing abnormal pap's and can even lead to false + on cancer screens.  

So as you can see there really are no other options for me, and I am sure many other ladies.  If I feel a condom doesn't fit right(I carry at least 3 different sizes at all times) or tries to roll down I will use a female condom instead to make sure that there is no slipage or issue with my kitten trying to eat the rubber.  Have also gotten better about applying more lube to all condoms to make sure that we have the glide.  Girly lube is great but with the in and out action it can cause the VaJay to dry, so without artificial lube there can be breakage which is bad for both parties.

If you use condoms properly they have an 100% effective rate(I am proof of that), if used improperly they can lead to pregnancy(I also know all about this in my prior to industry days).  So, as long as your provider knows what they are doing you are good.  If you are worried at all ask for a female condom(or bring one yourself with lube) since those allow less actual skin contact and have almost no chance of breakage.

Now time to go and GET some!!  Good to be home, good to be home

I made the decision long ago to not have children. I actually am hoping to have them snipped, seared, and burned lol.  

I don't get the no birth control thing, but definitely don't think I'm better than anyone because of their choices. I do understand the effect even a copper IUD has. Part of all of this hormone, or hormone effecting, stuff is weight gain, horrible PMS, panic attacks, (I don't really get those anymore) and just flushes of emotions and nausea that can be very detrimental to everyday productivity.

So I get why a woman wouldn't want to deal with it. It's her body, it's her life, and it's her decision. Just like it's mine to block that shit with copper and fire, no matter what momma says about needing more grand babies lol. No fucking way. lol.

I have the copper IUD too....I don't like it either but I feel better knowing i have a long term reliable BC.

If you don't like the copper one, you may want to try the Mirena. It's a progesterone based hormone IUD, that is good for five years. I love mine! I no longer have periods at all, and don't have to worry about the side effects of estrogen based contraceptives. Not everyone looses their menstrual cycle, but most women do, and I don't miss mine at all ;) If you have any questions, don't hesitate to PM me. I am a healthcare worker and a provider, so I have a unique view on things, and am happy to help where I can. xo

Over time, the copper effects the hormones as well. It has also caused a lot of people serious weight gain. I think I'm past that point, as it's been 3 years, so the weight is finally melting off.  

But yeah, Mirena does make periods shorter, but I've heard of (and lived with) women who think there's very low hormonal change, and have a period of time where they flip out from the hormones... not fun to live with lol.

-- Modified on 12/16/2015 1:26:17 PM

....really hard to get in my area if you've had no children yet.  
I'm really sure I don't want kids but maybe docs hope i'll change my mind.  
Progestin-only pills (for the most part) or Depo shot and proper use of condoms have been great at keeping me child-free for 11+ yrs (might take another 11 before they let me get the procedure).

ModernLover66411 reads

The pill, the Nuvaring, etc. can and do mess with women's libido and body function. I had a girlfriend once who was on the pill... she could not get wet at all. She finally went off it and it took like 2 months to return to normal. Another ex went on the Nuvaring and it basically eliminated any desire she had to have sex

That's one good thing about us old guys - we are probably mostly shooting blanks.

Why do you say that?  My cousin's husband is 63 and they just had a baby (she's 44).  I think men are fertile their entire lives.

Posted By: alexhumboldt
Why do you say that?  My cousin's husband is 63 and they just had a baby (she's 44).  I think men are fertile their entire lives.
I was mostly cracking a joke. However, your cousin's husband notwithstanding, I believe male fertility does decrease with age.

A man's sperm is still just as able to cause pregnancy up till the day they die.  However what does happen is that their swimmers can become less and less mobile as they grow older, usually having to do with many unhealthy habits they have throughout their lives.  So there you go

they reduce libido.  I had this issue when I was younger, and its a well-documented side-effect.

Not all hormonal birth control is created equally however, and there are lots of options that don't contain estrogen (Mirena is progesterone, as are several other pills that can be prescribed for those who have other issues that conflict with estrogen-based birth control). these types of birth control tend to not lower libido nearly as much as estrogen-based types.

In all of the years I've worked and appointments I've taken I only had a condom break once. In my personal life that junk gets wrapped up.  I don't want or even want the chance of kids right now. That 2% is most likely people not properly using them. Women here are pros we know how to use them, right side, pull high enough up on the shaft, enough room at the end and a good amount of lube. Do you know women really only have a two day window per month that they ovulate? Most women are familiar with their ovulation because they are either trying to get pregnant or not so if your on ovulation day take a day off .  
My being on or not on the pill only effects clients if they are looking to get away with full BB service. STD can still be transmitted skin to skin from pubic areas or mouth, I'm amazed at how many men don't seem to know this .

I haven't read the other replies through, but I'll add my two cents in as a provider and as a health care worker. It is really going to be a different decision for each woman. For some women 'the pill' simply isn't a good fit. It either makes them ill or gain weight, or loose their libido, or like myself, they may be high risk for breast cancer, and estrogen based birth control increases that risk. Fortunately there are lots of options out there now.  

I personally love my Mirena IUD. It's a progesterone based hormone IUD. I no longer have periods, or PMS symptoms, and because it is progesterone instead of estrogen, it does not effect my risk for BC.  

There really isn't any reason not to solely rely on condoms. They are quite effective and very rarely fail when used correctly; statistically as effective as the pill. My guess would be that, if the provider did have a condom failure that she uses an emergency contraceptive like levonorgestrol (Plan B).  

Also, you would know if the condom failed during your visit, and if it did, you could immediately discuss her getting a Plan B pill. If you really enjoy your time with this woman, I wouldn't consider the condom only issue an issue. I hope that helps.

Ob-gyn suggested her son might want to take up swimming. Some pretty determined swimmers in his gene pool. Even though I have been fixed and wear a condom, I always wonder when I send quality time with her at lifestyle parties.
 

Posted By: Ricky21
A provider I met recently told me something that kind of surprised and shocked me.  
   
 She said that the pill made her sick so she went off it many years back. In the last 8 years she has been in the business, she has depended entirely on the condom for protection and she has not had any issues (not a pun).  
   
 I had always assumed that all providers would be on the pill and condom was more for STDs.  
   
 Question to providers: Am I naive in assuming that most providers would be on the pill? Or do most of you depend on the condom?  
   
 Question to hobbyists: Is this your assumption too? Would you at all be concerned if your provider is not on the pill?  
 

Never had a scare or anything. As women we must protect ourself and I believe birth control is bad for women. If a mistake happen with the pill will just pop a plan b you can take one up to three day after your accident. Use condoms promise they are very safe for stds and pregnancy.

Just wondering why you would go through potentially needing to take a plan b? That's not good for you either and has very high doses of hormones.the copper IUD has no hormones and you still continue to have your cycle there fore its natural and 98% effective.... IMO that seems much safer...just using condom is asking to get pregnant...

Just to clarify - my question was not just about the pill, but do the ladies use a secondary form of protection (an IUD for example).  

Nothing is 100% safe, but of all the different types of protection, the condom is one that requires the cooperation and involvement of both partners - partners who do not know each other, in an encounter under a ticking clock and the two may not even speak the same language.  

That's why I always assumed that providers will use a secondary form of protection that's completely under her control, and not depend on - as some-guy points out - Johns being either knowledgeable or cooperative.

My secondary if there were a break would be plan B however I have not had any issues to where I would need it.  I just can't take anything else.  So I try to be as preemtive as possible.  Oh and NO no one gets in there without a baggie....  Even in my personal, I have no need for any of that

I've still still have no issues to anything. I've been on some kind of contraception since I became sexually active at about 14.5 (pushing 26 now) and i've experience no crazy side effects and I'm happy to still be baby-free as well.  
I would like to think there's a contraception out there for just about everyone .... taken as prescribed and with proper & regular use of condoms the chances of failure are extremely small. The vast majority of the friends of mine who did get pregnant failed to take their bc properly and/or failed to use condoms around that time.

Mirena plus condoms. Baby free......

Shit happens and who needs that.......in this hobby

Condom use and the pull-out/rhythm method are basically the same when it comes to pregnancy, according to a few different studies that have been done over the years. With typical use (note that "perfect use" produces entirely different numbers) over a period of 10 years, 86 out of 100 women will experience an unwanted/accidental pregnancy with using condoms only. The pull-out method renders 92 out of those 100 women pregnant in that same 10-year period*.

Methods like IUDs and implants don't have a "typical" vs. "perfect" use, since they're pretty "set it and forget it". You have to change them out every 3-5 years. That's it.  

You know what condoms are really good at? Protecting against STIs. That's what they're REALLY good for.  

Also note that low-dose hormonal birth control pills have a seriously increased risk of failure depending on factors like weight, and that plan-b pills simply are ineffective as emergency contraception if a person weighs over 160lbs. Estrogen-based birth control pills have been linked to other issues as well, including blood clots, stroke, and aneurysm. If someone smokes, has a family history of stroke, or has been diagnosed with migraines, most docs won't even prescribe them and suggest alternatives like IUDs.  

Really though, the only thing or person that can accurately judge birth control effectiveness and usage is the person using it. If you use condoms every time you engage in PIV sex, your chances of producing a baby grey are far less than someone who only uses a condom every once in a while. If you take your pill correctly and it's at the right dosage, your chances of having an accidental heir are far less likely than someone who is on the wrong dosage who takes the pill whenever they feel like it.  

*most folks don't use condoms perfectly each and every time, be they female condoms or typical male condoms. Condoms break. Also note that "typical use" also includes "I keep condoms from before Obama was elected in the nightstand and sometimes use them when I feel like it".  Typical use for condoms in P4P is more of a "I use a condom every single time", so instances of pregnancy are going to be lower.  Overall population reporting of condom use is over-reported though, since not using condoms is more stigmatized; not as many people use a condom every time they have sex.

Andthenshesaid412 reads

Who got pregnant by a client and a broken condom. She neglected to get the morning after pill and ended up keeping the baby. She wanted to tell the client, I urged her not to, she never did, and life goes on. I think as providers, it's our responsibility to make sure shit like this doesn't happen. The "it takes two" doesn't apply in this situation. The man does not know you personally, he's paying you for a service, one that he's confident that shit like this doesn't happen.  

Relying on condoms can be great, if a situation happens and they follow up with something else. There are plenty of other options besides pills, there's spermicide, there's this foam things you can by at walmart, that used with a condom at least helps.

Some women are super-fertile, and get pregnant just buying a jar of pickles. Others, not so much. For some women, an emergency contraceptive for the rare condom slip/break is preferable to daily exposure to hormonal medication.  

Also, many people aren't aware, but there are medical devices ( such as Lady-Comp) that calculate fertile periods based on basal temperature and cycle days. If a lady knows she's fertile, she'll likely be extra careful and keep watch over that condom. If she knows she's not fertile, and the condom slips or breaks, maybe skip the Plan B and the side effects that come with it

I prefer to use a combination of birth control such as the sponge and a condom.  When I was on the pill it definitely affected my sex drive in a negative way.

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