Contraception Counseling — The Right Method for Your Life Right Now
Contraception is not a one-size-fits-all decision — and it is not a permanent one. The method that was right at 22 may not be right at 35 or 42. Life circumstances change, health history evolves, reproductive goals shift, and the contraceptive landscape itself has expanded significantly. Choosing the right method requires a real conversation — not a checklist handed to you in a waiting room.
At Lapeer Women’s Health, contraception counseling with Dr. Andrei covers every available method category: short-acting hormonal methods, long-acting reversible contraception (LARC), barrier methods, permanent options, and emergency contraception. Dr. Andrei reviews your health history, reproductive goals, lifestyle, and preferences — and helps you identify the method most likely to work well for your specific situation.
IUD placement and Nexplanon insertion are performed in-office at both the Lapeer and Rochester Hills locations. Patients do not need a separate procedure appointment at a hospital or surgery center. Placement, management, and removal are all handled at LWH.
All Contraceptive Method Categories — Reviewed at Your Visit
Dr. Andrei discusses every method category relevant to your situation. These are the options covered during contraception counseling at LWH.
Hormonal IUDs — Mirena, Liletta, Kyleena, Skyla
Low-dose progestin released locally into the uterine cavity. 3–8 years of protection depending on device. Mirena and Liletta significantly reduce or eliminate menstrual bleeding — a major benefit for patients with heavy periods. Placed in-office at LWH without general anesthesia.
Copper IUD — Paragard
Hormone-free contraception effective for 10 or more years. Appropriate for patients who cannot or prefer not to use hormonal methods. Also the most effective form of emergency contraception when placed within 5 days of unprotected intercourse. Placed in-office at LWH.
Nexplanon — arm implant
A matchstick-sized progestin implant placed under the skin of the upper inner arm. Over 99% effective for 3 years. Estrogen-free — appropriate for patients who cannot use estrogen. Inserted and removed in-office at LWH under local anesthetic.
Combined oral contraceptives
Daily pill combining estrogen and progestin. Highly effective with consistent use. Benefits beyond contraception include cycle regulation, reduced cramping, lighter periods, and acne management. Multiple formulations reviewed based on your health history, tolerance, and goals.
Progestin-only options
Progestin-only pill (minipill), Nexplanon, and hormonal IUDs — for patients who cannot use estrogen due to migraine with aura, clotting history, hypertension, breastfeeding, or personal preference. Dr. Andrei reviews which progestin-only option best fits your lifestyle and health profile.
Patch, ring, injection, and permanent options
The contraceptive patch (weekly), vaginal ring (monthly or extended), DMPA injection (Depo-Provera, every 3 months), and permanent sterilization via tubal ligation are all discussed during counseling. Dr. Andrei provides referral for tubal ligation at McLaren or Henry Ford when this is the patient’s informed choice.
What Drives the Contraceptive Decision
Contraceptive method selection is guided by a set of clinical and personal factors that Dr. Andrei reviews at every counseling visit. The goal is a method you will actually use consistently — because the most effective contraceptive is the one that fits your life.
- Reproductive goals: done having children, undecided, planning to conceive within 1–2 years
- Health history: migraine with aura, clotting history, hypertension, liver disease — all affect estrogen candidacy
- Menstrual symptom burden: heavy periods, dysmenorrhea, PMS — some methods treat these while providing contraception
- Lifestyle factors: daily pill adherence, comfort with a device, frequency of intercourse
- Side effect history: prior method intolerance guides selection away from similar formulations
- Cost and insurance coverage: Dr. Andrei discusses coverage implications for each method category
“The contraceptive conversation should be about your life — what you need right now, what you might need in two years, and what has and has not worked before. There is always a good option. My job is to help you find the one that actually fits.”
- IUD placement and removal in-office — no hospital, no general anesthesia
- Nexplanon insertion and removal in-office under local anesthetic
- Emergency contraception — copper IUD or Plan B — discussed and available
- Contraception after 40 — perimenopause does not eliminate pregnancy risk; appropriate method selection matters
- Postpartum contraception counseling — timing and method selection for patients returning after delivery
- Tubal ligation referral coordinated at McLaren Lapeer, McLaren Flint, or Henry Ford Rochester
Questions About Contraception Counseling
The Right Method.
For Your Life Right Now.
Comprehensive contraception counseling with Dr. Andrei — all method categories reviewed, IUD and Nexplanon placed in-office. Same-visit placement available for qualifying patients.
The information on this page is intended for educational purposes only and does not constitute medical advice. Individual symptoms, diagnoses, and treatment options vary significantly. Reading this content does not establish a physician-patient relationship with Dr. Ramona D. Andrei or Lapeer Women’s Health. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately. Please consult a qualified healthcare provider for advice specific to your situation. Content reviewed by Dr. Ramona D. Andrei, MD PhD FACOG.
Gynecologic care for women of every age
Lapeer Women’s Health — Rochester Hills
2710 S Rochester Rd, Suite 2
Rochester Hills, MI 48307
Serving patients in Lapeer, Rochester Hills, and surrounding communities throughout Southeast Michigan.