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Birth Control

Your choice of birth control should depend on several factors. These include your health, frequency of sexual activity, number of sexual partners and desire to have children in the future. The best birth control method is the one that fits with your goals, values, likes and dislikes, and daily lifestyle. Use this website as a tool to help you decide which birth control method is the best fit for you.

Birth control methods may work in a number of different ways from: Blocking sperm from getting to the eggs - condoms and diaphragms; stopping the woman's ovaries from releasing eggs that could be fertilized - birth control pills; Preventing fertilized egg from attaching to the lining of the uterus - intrauterine devices (IUDs) and Sterilization, which permanently prevents a woman from getting pregnant or a man from being able to get a woman pregnant.

Keep in mind that no method of birth control prevents pregnancy all of the time. Birth control methods can fail, but you can greatly increase a methods success rate by using it correctly all of the time. The only way to be sure you never get pregnant is to not have sex (abstinence).

Birth control does not protect you from sexually transmitted diseases (STDs) like gonorrhea, herpes, and chlamydia or HIV. Other than not having sex, the best protection against STDs and HIV is the male latex condom. The female condom may give some STD protection.

Your health care provider can help you select the best form of birth control for you. You can always try one method and if you do not like it, try another one.


Home Pregnancy Test

There are many different types of home pregnancy tests, or HPTs. Most drugstores sell HPTs over-the-counter. They cost between $8 and $20 depending on the brand and how many tests come in the box.

Most popular HPTs work in a similar way. The majority tell the user to hold a stick in the urine stream. Others involve collecting urine in a cup and then dipping the stick into it. At least one brand tells the woman to collect urine in a cup and then put a few drops into a special container with a dropper. Testing the urine first thing in the morning may help boost accuracy.

Then the woman needs to wait a few minutes. Different brands instruct the woman to wait different amounts of time. Once the time has passed, the user should inspect the "result window." If a line or plus symbol appears, you are pregnant. It does not matter how faint the line is. A line, whether bold or faint, means the result is positive.

Most tests also have a "control indicator" in the result window. This line or symbol shows whether the test is working or not. If the control indicator does not appear, the test is not working properly. You should not rely on any results from a HPT that may be faulty.

Most brands tell users to repeat the test in a few days, no matter what the results. One negative result (especially soon after a missed period) does not always mean you're not pregnant. All HPTs come with written instructions. Most tests also have toll-free phone numbers to call incase of questions about use or results.

How accurate are home pregnancy tests?

Home pregnancy tests (HPTs) can be quite accurate. But the accuracy depends on many things. These include:

  • How you use them - Be sure to follow the directions and check the expiration date.
  • When you use them - The amount of hCG or pregnancy hormone in your urine increases with time. So, the earlier after a missed period you take the test the harder it is to spot the hCG. If you wait one week after a missed period to test, you are more apt to have an accurate result. Also, testing your urine first thing in the morning may boost the accuracy.
  • Who uses them - The amount of hCG in the urine is different for every pregnant woman. So, some women will have accurate results on the day of the missed period while others will need to wait longer.
  • The brand of test - Some home pregnancy tests are more sensitive than others. So, some tests are better than others at spotting hCG early on.

Many HPTs claim to be 99% accurate on the day you miss your period. But research suggests that most HPTs do not consistently spot pregnancy that early. And when they do, the results are often very faint.

In a 2004 study, researchers tested the accuracy of 18 HPTs sold in retail stores. They found that only one brand consistently detected the low levels of hCG usually present on the first day of the missed period. This was the First Response, Early Result Pregnancy Test. The other tests missed up to 85% of pregnancies on the first day of the missed period. Most tests accurately confirmed pregnancies one week after the missed period.

How soon after a missed period can I take a home pregnancy test and get accurate results?

Many home pregnancy tests (HPTs) claim to be 99% accurate on the day you miss your period. But research suggests that most HPTs do not consistently spot pregnancy that early. And when they do, the results are often so faint they are misunderstood. If you can wait one week after your missed period, most home pregnancy tests will give you an accurate answer. Ask your doctor for a more sensitive test if you need to know earlier.

When a home pregnancy test will give an accurate result depends on many things. These include:

  • How long it takes for the fertilized egg to implant in the uterus after ovulation. Pregnancy tests look for the hormone human chorionic gonadotropin (hCG) that is only produced once the fertilized egg has implanted in the uterine wall. In most cases, this happens about 6 days after conception. But studies show that in up to 10 percent of women, the embryo doesn't implant until much later, after the first day of the missed period. So, home pregnancy tests will be accurate as soon as one day after a missed period for some women but not for others.
  • How you use them - Be sure to follow the directions and check the expiration date.
  • When you use them - The amount of hCG in a pregnant woman's urine increases with time. So, the earlier after a missed period you take a HPT, the harder it is to spot the hCG. If you wait one week after a missed period to test, you are more apt to have an accurate result. Also, testing your urine first thing in the morning may boost the accuracy.
  • Who uses them - The amount of hCG in the urine at different points in early pregnancy is different for every woman. So, some women will have accurate results on the day of the missed period while others will need to wait longer.
  • The brand of test - Some home pregnancy tests are more sensitive than others. So, some tests are better than others at spotting hCG early on.

I got a negative result on a home pregnancy test. Might I still be pregnant?

Yes. So, most HPTs suggest women take the test again in a few days or a week.

Every woman ovulates at different times in her menstrual cycle. Plus, embryos implant in the uterus at different times. So, most home pregnancy tests (HPTs) suggest women take the test again in a few days or a week.

Sometimes women get false negative results (when the test says you are not pregnant and you are) when they test too early in the pregnancy. Other times, problems with the pregnancy can affect the amount of hCG in the urine.

If your HPT is negative, test yourself again in a few days or 1 week. If you keep getting a negative result but think you are pregnant, talk with your doctor right away.

Can anything interfere with home pregnancy test results?

Most medicines, over-the-counter and prescription, including birth control pills and antibiotics, should not affect the results of a home pregnancy test. Only medicines that have the pregnancy hormone hCG in them can give a false positive test result. A false positive is when a test says you are pregnant when you're not.

Sometimes medicines containing hCG are used to treat infertility (not being able to get pregnant). Alcohol and illegal drugs do not affect HPT results. But women who may become pregnant should not use these substances.