This Birth Control Method Might Change Your Life For The Better
As I embark on my journey of becoming a sex therapist, I learn more and more that without justice-justice there is no reproductive justice. We're fighting for them to take us serious at the doctor's in life or death matters, so how the f*ck do we get them to care enough to provide us with the proper information on contraception? The answer to this question is a lot more long-winded than we can get into right here and now, but what our sordid history with white supremacy at the intersection of medicine (especially in the reproductive realm) has taught us anything, it's simply this: be knowledgeable and aware of said history, then take that knowledge and demand what's best for your body and your choices.
My greatest recommendation is finding a doctor who looks like you if at all possible, but if that's not possible, here is the lowdown on one type of birth control that gynecologists and clinicians aren't talking about nearly enough and when they do, it seems to be disproportionately pushed on black and brown bodies in a way that can be "eerily" off putting — LARCs, or Long-Acting Reversible Contraception. I believe this is birth control info that everyone should have access to, so we're making it accessible!
This type of contraception lasts anywhere from three to twelve years, depending on which one you select and if you don't like it, it can be immediately removed pending a doctor's appointment. For those that are hormonal, the major implications of hormones will reverse almost immediately after removal in many cases. However, as always, it's worth mentioning that everyone's body is different and thus those results might be different.
LARCs fall under two categories: Intrauterine Device (two variations, one is nonhormonal) and the Implant.
No IOUs, Just an IUD
Method: IUD (Hormonal - Progesterone Only)ShutterstockSeemingly, the most commonly known LARC is an IUD. The IUD is a 't'-shaped piece of plastic that is inserted into the uterus as the name might imply. So with the copper IUD, that little 't' comes wrapped up in copper while the other forms of an IUD are plastic with a synthetic variation of progestin known as levonorgestrel shooting out like a battleship in a game of Galaga. With the copper IUD, it also acts as an alternative to over-the-counter emergency contraception and is most effective than if taken within five days (the sooner, the better) for those who thought they had a pullout game or simply had the misfortune of having a shitty condom.
You might have heard about this from older generations of women who experienced the horrors of the Dal-kon Shield, where the string from the IUD was causing infection in many women and a doctor continued to push them despite knowing this. Other physicians were never informed, as a result, women were deemed infertile in some cases and dead in others. This was during the 70s when the IUD rose to popularity in the US (despite being on the market since the 50s), it has since been remodeled to avoid these complications. As of today however, there are very rarely complications with IUDs. In fact, for some it has become the BFF of birth control.
For women who have contraindications for hormonal contraception, there is a nonhormonal option within this category of LARCs. It's a copper IUD by the name of Paragard. Paragard boasts about being the only of its kind in that is 100 percent hormone-free. You're probably asking yourself, well how can this birth control method effectively prevent pregnancy if there are no hormones involved? To keep it simple, sperm doesn't like copper so when the two cross paths, sperm scurries back away from the vaginal canal.
The other forms of IUDs, non-copper or hormonal IUDs, release progestin in order to thicken the cervical mucus and block eggs from crossing the barrier.
Eggplanted or Implanted
Nexplanon (formerly known as Implanon), or the implant contraceptive, work the same as hormonal IUDs in that they rely on progestin to create a barrier of mucus to keep eggs from traveling through. They are another form of long-acting reversible contraceptives and are inserted between the biceps and triceps. It takes on a simple shape as a small, plastic rod about the length of your pinky finger and the width of a sliver or a "matchstick." Both methods are 99 percent effective with typical use, making them more effective than any other method of birth control on the market.
As an FYI: typical use is the use outside of labs that takes into account user errors such as forgetting appointments, pills, etc that would dilute the effectiveness of birth control.
Unfortunately, they have a similarly deceptive and disappointing history to the Dal-kon shield with one of the first models of the implant to be popularized — Norplant. But even worse, the government pushed incentive during the 90s for women on welfare to get the implant inserted as a modern answer to the eugenics movements. These terrifying histories have created mistrust in even the most well-meaning physicians and rightfully so.
One Size Fits All
Birth Control 101: Choosing The Best Contraceptive Method For YouThere are still some doctors who don't feel comfortable inserting IUDs into women who have yet to have children, according to them it is more of an uncomfortable insertion when the cervix has never been dilated in a big way. Then there are doctors who simply don't feel comfortable and this may or may not have to do with their own feelings towards it, implicit bias, or a lack of knowledge on their part. The reality is that the IUDs are slightly different in size and none of them are big or small enough to truly make a difference in the discomfort that has notably been associated with womanhood. To that effect, there is actually little to no pain associated with insertion of either of these devices, however, there can be quite a bit of bruising after having it inserted.
Also, what I will disclaim is that in removing the implant it requires the doctor to make a small incision. In some cases, the implant may move over time and may require a little more pressure to find and remove. Nonetheless, this pain is not even pain but more like I described before — discomfort. If ever you are unable to feel the implant in your arm, it's important that you make an appointment with your doctor.
Show Me the Money
The short-term cost of LARCs are hands down more pricey than that of other upfront cost for your barrier methods and your oral methods. But when we look at the long-term cost that includes transportation, prescription cost, etc over a lifetime it is far more cost effective to get a LARC. Still, I'm aware of the barriers that may be in the way of getting these methods, especially with the Trump administration. It goes without saying you should check with your insurance (Medicaid included), companies first to see if they cover LARCs but if not, there are resources such as Planned Parenthood that offer income-based payment options.
This was hugely important for me as someone whose insurance was funded through a Catholic organization, and I've had my implant funded through PP twice now. Without aid or insurance, the cost of LARCs can be hundreds of dollars, specifically ranging from about $400 to nearly $1000 (or more). Bedsider makes it easy for those who may not have insurance to check out local clinics that might offer these methods at low to no cost.
Here at xoNecole, we are not physicians and by no means are we suggesting that you go forward with this method without speaking to your gynecologist, namely to ensure there are no contraindications that might put you at risk when using a LARC. What we are suggesting is that women stay armed with knowledge and potential options that may work for their bodies, especially if we see that our own physicians are not providing this info. But especially as birth control is not a one size fits all band aid that they try to make it out to be by pushing certain methods on certain groups in the way I've seen and heard of them doing with Depo-Provera.
If knowledge is power, then I can't imagine the weapon we might become if we continue to push for knowledge that affords us true reproductive justice, as it allows us to do what we feel is best for our bodies for us to move through life comfortably.
While reproductive advances may have been created to eliminate our existence and reduce our right to bodily autonomy, you being informed is an act of resistance and you deciding what works for your body—well, that's us taking control in ways they never imagined—regardless of what we choose.
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Want more stories like this? Sign up for our newsletter here and check out the related reads below:
My Complicated Relationship With Safe Sex
Why I Quit Birth Control And Never Looked Back
Who Said That?! The Biggest Myths About Birth Control Explored
The 411 On The Morning After Pill
- Long-Acting Reversible Contraceptive Methods | HHS.gov ›
- Long-Acting Reversible Contraception | NEJM ›
- Understanding LARC | American Sexual Health Association ›
- Long-acting reversible contraception ›
- Long-Acting Reversible Contraception (LARC) - Your Guide ›
- Long-Acting Reversible Contraception Program - ACOG ›
- Long-acting reversible contraception - Wikipedia ›
- Long-Acting Reversible Contraceptives (LARCs) | Planned ... ›
- Long-Acting Reversible Contraception: Implants and Intrauterine ... ›
- Long-Acting Reversible Contraception | Planned Parenthood Mar ... ›
Motor City native, Atlanta living. Sagittarius. Writer. Sexpert. Into all things magical, mystical, and unknown. I'll try anything at least once but you knew that the moment I revealed that I was a Sag.
This article is sponsored by Hulu.
UnPrisonedhas returned for its highly anticipated second season, delving deeper into the complex dynamics of the Alexander family.
The series premiere comes a year after its debut season garnered rave reviews from fans and critics and earned record-breaking ratings for Hulu's Onyx Collective brand. UnPrisoned's success can be attributed to its raw, relatable themes and comedic appeal.
Inspired by creator Tracy McMillan's life, the show follows Paige (Kerry Washington), a therapist and single mother whose life takes an unexpected turn when her father, Edwin (Delroy Lindo) --who was released from prison-- moves in with her and her teenage son, Finn (Faly Rakotohavana).
Throughout UnPrisoned's first season, viewers witnessed how Edwin's incarceration deeply affected Paige's life and relationships. In the series, Paige unpacks her trauma through interactions with her inner child and her online followers. Meanwhile, Edwin is overcoming specific struggles with his own past that led to his life of crime, including a dysfunctional upbringing and his mother's arrest. As the Alexanders attempt to reconcile, new challenges arise.
This new season promises to further explore their unconventional family dynamic. Here are several compelling reasons why season two of UnPrisoned should be on everyone's watchlist.
The Alexander Family Life Is Still In Shambles
UnPrisoned's second season resumes where the series left off, with Paige grappling with the fallout from her troubled therapy practice and Edwin navigating life independently after moving out. Meanwhile, Finn faces his own challenges. The teenager is battling anxiety and seeking information about his father—a topic Paige avoids discussing.
The Alexander Family Are Attending Therapy To Resolve Their Underlying Issues
Amid the chaos in their lives, the Alexander family decides to mend their bond by confronting their past traumas. They seek professional help and attend therapy sessions with a “family radical healing coach,” played by John Stamos, a new cast member. This collective effort aims to unravel the complexities of their shared history and strengthen their relationships.
The process of unraveling each character's internal conflicts and their potential impact on future relationships may clash with Paige's textbook therapy approach. While Paige is used to being in the therapist's seat in both career and family, this forces her into the unfamiliar role of a patient during therapy sessions. This shift would compel her to look in the mirror and try a radically different approach.
The Alexander Family Learned A Big Lesson During A Therapy Session
In therapy, the Alexanders are tasked with addressing their individual traumas to salvage their remaining relationships. One of the family therapist’s eccentric suggestions was an exercise involving a family wrestling match. During this session, Paige faces tough questions about her refusal to share information about Finn's father.
While it's unclear whether this scene is reality or fantasy, the image of the family duking it out in the ring certainly makes for hilarious yet compelling television.
Paige Tries Dating Again Following Failed Relationships
Amid her life's chaos, Paige decides to step back into the dating field. However, her many attempts have left her with mixed results. The dating apps have turned out to be a fail, and an outing with her ex Mal (Marque Richardson), who is also her father's parole officer, doesn’t go quite as expected after he brings an unexpected guest – his new girlfriend.
The situation takes an awkward turn when Mal's new partner learns why the former couple split, partly due to Paige's self-sabotage.
UnPrisoned Is A Perfect Balance Of Comedy And Drama
As a dramedy, UnPrisoned takes a comedic approach to its heavy subjects. The show takes us on a ride with Paige's dating misadventures and navigating a friendship with her ex.
Other lighthearted moments include Edwin's attempts at CPR based on online videos and, of course, the antics of the Alexander family's unconventional new healing coach.
The second season of UnPrisoned is now available on Hulu.
UnPrisoned | Season 2 Trailer | Hulu
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The Common Denominator Is You. So, Why Do You Keep Choosing The Wrong Men?
Everywhere you go, there you are. It’s one of those popular sayings (kind of like “It is what it is”) that I find myself using a lot, especially when I’m in sessions with my clients. Why? Well, it’s kind of likean article that I once read that pretty much said our culture likes to play the toxic game of blaming other people because it’s an easy way to deflect from personal accountability (check out “What It Actually Means To 'Hold Yourself Accountable'”). So true, so true,
Well, another way of saying “everywhere you go, there you are” is using the math term “common denominator” — and today, what we’re going to attempt to tackle is, why is it that some of us, if we stepped back a moment to take a very real and honest assessment of our dating life, do we always end up with the same kind of guy? One who really isn’t the best for us; sometimes, not even close.
Before getting into some questions that I think can help you get to the answer, let me just say that this is definitely one of the kinds of pieces that may step on at least your pinky toe before it’s all said and done. At the same time, although this might not be the most comfortable of reads, keep in mind what the late poet, singer, and publisher Tuli Kupferberg once said, “When patterns are broken, new worlds emerge.”
And so, if when it comes to the caliber of men you’ve dated, what you’ve been doing is revealing that your pattern is not really working for your ultimate good, spend a bit of time trying to unpack just why that could be the case — why, at the end of the day, you truly are the common denominator in it all.
How Self-Aware Are You?
GiphyAbout five years ago, I penned an article for the site entitled “These Are The Things Self-Aware People Do Daily.” You know, of all of the things to be in this life, prioritizing self-awareness is king because self-aware people do things like hold themselves accountable, know their strengths and weaknesses, identify their triggers, have good boundaries, self-reflect, pay attention to their own “blind spots” — and they can — eh hem — take feedback and constructive criticism pretty well.
That last one? If you’re constantly in a hamster wheel or even a cul-de-sac when it comes to men, be honest with yourself: did your family, friends, hell, even your co-workers warn you about some of the guys you dated, and you found yourself either defending, deflecting or getting offended? Yeah, self-aware people don’t get down like that because they would rather have peace and be wrong than act like they are always right and remain in chaos.
So yeah, if you’re always in some foolishness or even in relationships that are simply a counterproductive waste of time, pondering how self-aware you actually are is a really good place to start. Self-reflect. Know your weaknesses. Listen to what others have to say about your tendencies. All of this can do you a whole lot of good.
How Humble Are You?
GiphySociety is a wild place, boy. The reason why I say that is because, while it’s out here acting like humility is a bad thing, Scripture says, “By humility and the fear of the Lord are riches and honor and life.” (Proverbs 22:4) And why is humility such a vital spiritual attribute? Because, when you’re humble — you’re grateful; you’re teachable; you’re open to seeing things outside of your own perspective; you’re compassionate and empathetic; you’re flexible; you’re forgiving, and you’re able to release your ego so that you can accept what you need over what you want.
What you need over what you want. Chile, if that doesn’t keep some people in cyclic stuff, I honestly don’t know what does. There’s a client that I have right now who only contacts me when she’s basically blown up her life because she constantly gets caught up in a man’s looks and bedroom performance. When I tell her that she needs to stop making that #1 and #2 of things to look for in a relationship, she “uh-huh's” me and then does what she wants to do anyway — only for it to end up wreaking all sorts of havoc…again.
It’s another message for another time about how some of us could stand to look within to see if wanting a fine man above all else is more about validating some deep-rooted insecurities that we have about our own looks (ouch). For now, I’ll just say that if your ego is out here telling you that looks and sexual performance should trump things like character and consistency, it is LYING to you. If you chose to heed the humble side of yourself, you would know that.
And this actually brings me to my next question.
How Stuck Are You in Your “Type”?
GiphyThe reason why I wrote “According To Experts, We All Have A ‘Type’” back in the day is because it’s true — pretty much all of us have a type which is pretty much a preference; there’s absolutely nothing wrong with that either. At the same time, I’m advising, from very up close and personal experience, that it’s a good idea to spend some time pondering “the origin story” of where your type came from.
Me? I’m always gonna be down for a very tall, hella chocolate, basketball (or soccer) build Black man. However, I’m a sexual abuse survivor and my molester looked a lot like that, so during the healing process of what he did to me, I had to factor in his influence. Plus, my first love also fits the physical mold and he definitely had quite an impact on my life. So…see what I mean? My type didn’t just come out of nowhere. Yes, sometimes your type may have some trauma or drama attached to it. And yes, that might be really uncomfortable to think about; still, that doesn’t mean it’s not true.
Now my late fiancé? He was right at about 6’ and, complexion-wise, he was lighter than I am. He treated me better than most of the men of my past, though — and even though he definitely pursued me for a while to get me to consider us beyond being friends, because I took a risk outside of my type, I learned what it was like to be loved in a healthy way. And what that did for me was it taught me to remain open outside of my standard type. I still like a tall-ass Godiva man, chile (and don’t let him have a beard and be in a tailored suit!). I don’t limit myself to that package, though. To do so would be severely limiting — potentially tragic even.
How Healed Are You?
Giphy“Healed” is a word that comes up A LOT in the social media space. When it comes to relationships, specifically, it’s important to ask yourself if you are healed from your past because, if you aren’t, you very well could be reliving it over and over…and over again, whether you realize it (or choose to accept it) or not.
Just so that we’re all on the same page, the word “heal” means things like healthy, sound, and whole. Synonyms for the word include improve, restore, mend, soothe, and rehabilitate. Signs that you have healed from past hurts of a relationship (or a series of relationships) include you don’t think of them with anger or bitterness; you can see the silver linings from the experience; you’ve forgiven them for things that they did wrong (or that simply hurt you — and no, that’s not always one and the same), and you don’t pick (or avoid) other people to be in your life solely based on what someone else did to you.
What I mean by that last one is an unhealed woman may say something like, “I don’t want to do [such and such] for a first date. That’s what my ex liked to do.” The new guy isn’t him, so why does he have to be beholden to your past? Or, “I don’t trust men who won’t let me go through their phone. That’s how I found out my ex was cheating.” You know, for all of the women who like to play a non-animated form ofInspector Gadget (the real ones know), they sure don’t want their phones inspected as much as they like to do all of the inspecting. SMDH. Anyway, I don’t go through phones. For what? I don’t pay the bill and I’m not anyone’s parent. And so, your next guy not preferring it either? That doesn’t automatically mean that he’s up to no good — he may just want his boundaries respected. An unhealed person may not accept that. A healed one tends to, though.
And how can being unhealed play a direct role in you choosing the same guys over and over again? It’s weird because, sometimes you will go back to what’s familiar to you — because the new guy is such a risk, you’d prefer to “stick to the devil you know” than take a chance on someone who rolls very differently. It’s a cryptic way of remaining the common denominator in your dating dynamics. Oh, but it happens all of the time, chile.
What Makes a Man WRONG for You? Specifically?
GiphyOkay, with a lot of the inner work out of the way, how do you even come to the conclusion that someone (or several people) is wrong for you? Because you know what? Once you’ve done some real healing (and serious maturing), you can oftentimes find yourself accepting the fact that just because someone may not be right for you, that doesn’t automatically or necessarily make them a bad person. No, not at all.
Although the word “wrong” can mean that something or someone isn’t morally right, wrong also means things like erroneous, not suitable or appropriate, not in accordance with certain requirements, or — and please catch it — out of order (which sometimes consists of the right thing happening at the wrong time). So, if it does seem like you keep choosing (because it is always a choice; that is also where accountability comes in) men who aren’t appropriate, aren’t in accordance with your needs or standards, or who aren’t what you need at the time — why is that? Is it rooted in fear? Impatience? Settling? What?
I have had enough clients go through this to know that it’s not good enough to be abstract about someone being “wrong” for you. You need to set aside one weekend, get some wine and a fresh journal, and really get into what wrong looks like. For instance, if you keep lowering your standards (which is the wrong thing to do, by definition), why is that? Because no matter how wrong the guy may ultimately turn out to be, what you have to be willing to accept is — again — you chose him. Why do you choose what’s wrong? Because, more times than not, some red (or at least orange) flags were waving long before the relationship came crashing down; oftentimes, they reveal themselves within the first couple of dates. You just chose to ignore them.
One more.
Do You Know a Good Man When You See One? You Sure?
GiphyAs we close all of this out, when you get a chance, please check out “Question: Is The Man In Your Life Good 'TO' You? Good 'FOR' You? Or...Both?” Learning the difference between “to” and “for” took my own relational processing to an entirely new and freeing level. And you know what? Back to the healing point, another way to know that you’ve healed is you don’t generalize men. Meaning, that if you’re out here declaring that there aren’t any good ones, that’s not true; you’re just jaded (I mean, it’s the truth), and that head and energy space is affecting your judgment and perspective.
That said, if you’re constantly selecting the wrong men, ask yourself if you even know what a good man looks like (cue India.Arie’s “Good Man”). Again, by definition, good means things like morally excellent, right, kind, friendly, benevolent, educated, financially sound (not rich, stable and responsible…goodness), genuine, reliable, dependable, responsible, attractive, warm, intimate — satisfactory to the purpose (yes, that’s a literal definition).
For a man to be good for you, you need to know what purpose he is to serve at this particular point in your life because if, for example, all men seem to do, in your eyes, is use you for sex, why are you prioritizing sex over an emotional connection if the latter is the purpose that you seek right now? A lot of women can stop being the common denominator when it comes to choosing the wrong man if they 1) become the good that they seek and 2) do not betray the purpose behind why they even desire a relationship in the first place.
____
I know. When things aren’t going your way when it comes to matters of the heart, it can be easy to always say it’s the man’s fault. If there’s a pattern, though, please be a bit more self-reflective than that.
Once you do, you’d be amazed by how much about you shifts — to where the wrong guys can’t even get close to you, in the way that they used to, anymore.
Because you cease to be the “common denominator” you once were.
And how wonderful is that?
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