Preventative Care

Choosing the provider to guide you through pregnancy is one of the most important decisions a woman can make.  Dr. McAdams has delivered over 5,000 beautiful babies. With extensive experience in up-to-date practices and pregnancy care services, Dr. McAdams guides patients through the course of their pregnancy with the ultimate goal of delivering a healthy baby.

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Contraception

We provide up-to-date information regarding all options available for the prevention of pregnancy. Dr. McAdams will make recommendations to determine the best form of birth control that fits your individual needs.

 
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Birth Control Options

Dr. McAdams provides a variety of birth control options for patients. Check out our available birth control options below. 

  • Barrier Methods of Contraception: condoms, diaphragm, cervical cap
  • Long-Acting Reversible Contraception (LARC): Intrauterine devices and implantable contraceptives. The American College of Obstetricians and Gynecologists recommends long-acting reversible contraception as a first-line contraceptive for most women including adolescents. These devices can usually be placed at a short visit to our office.
  • Natural Family Planning

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Intrauterine Devices (IUD)

  • Liletta: A six-year IUD containing progesterone
  • Mirena: A five-year IUD containing progesterone
  • Kyleena: A five-year IUD containing progesterone
  • Skyla: A three-year IUD containing progesterone
  • Paraguard: A 10-year copper IUD containing no hormones Insertion can be done in the office after excluding pregnancy. Most insertions are simple and uncomplicated. Dr. McAdams will assist you in choosing the right IUD and recommended follow-up.

Contraceptive Implant

  • Nexplanon: An implant containing etonogestrel that provides three years of contraception by consistently suppressing ovulation. Insertion is an easy procedure in the office under local anesthesia. The implant can be inserted at any time if pregnancy is excluded.

Injectable Contraception

  • Depo-Provera: Depot medroxyprogesterone acetate (DMPA) 150 mg/ml is given every 13 weeks by intramuscular injection

Combined Hormonal Contraception: Birth Control Pills, Patches, and Ring.

Oral Contraceptives

  • Effectiveness is based on the woman’s ability to take consistently and not miss pills. Linking the product to daily activities decreases the rate of missing pills.

Contraceptive Patch

  • The patch is changed weekly for three weeks followed by one week without the patch.

Contraceptive Ring

  • The vaginal contraceptive ring (Nuvaring) is initially inserted between cycle days one to five and left in place for three weeks, followed by one week of no use.

Progestin-only Pills

  • Sometimes referred to as minipills. It must be taken at the same time daily for maximum effectiveness.

Permanent Sterilization

  • Permanent Sterilization: An option for those women who have completed their families. Female sterilization outside of being done at the time the cesarean section is typically completed laparoscopically.
  • Laparoscopic sterilization is performed through small incisions in the abdomen through which a camera and instruments are used to interrupt or remove the fallopian tube. Male sterilization- vasectomy is generally thought to be safer than female sterilization as it can be done with local anesthesia. It is important to remember that sterilization is not meant to be reversible.