I’ve invited Laura Seymour to contribute some of the lists she’s prepared to help you with your Christmas Gift shopping. Here is the first.

Funny Christmas Gift Ideas For Boyfriends for $15 or Less

On the hunt for funny or unique Christmas gift ideas for boyfriends?

Perhaps you’ve just begun dating and you aren’t sure about the type of gift you want to get him. Alternatively he may be the kind of guy who has everything so you aren’t sure what will really get his attention.

If you identify with either of these scenarios then the way to go is to surprise him with out-of-the-box gift ideas. Give your boyfriend the type of gifts that he ordinarily wouldn’t know existed.

Here are some of my favorite unique and funny Christmas gift ideas for a boyfriend who has everything that will cost you $15 or less.

If he’s a fan of Batman or at the very least enjoyed the movie then he won’t be able to wait to try the ‘Batman Comics BOOM WHAK Briefs’ for men on! These exciting cotton briefs feature Batman delivering punches in true Bat-tastic spirit.

Not only is he delivering blows, it’s accompanied by screaming letters that say ‘Boom’ in the front and ‘Whak’ at the back. The waistband has trademark ‘Batman’ lettering. Your boyfriend will get a real kick wearing these!

All men secretly now or really want to believe that they superheroes. You can indulge your boyfriend in his fantasy by gifting him Superhero Cufflinks that come in their own gift box. He’ll loving wearing these since he gets to show off his strength both at work and at play.

You can tickle your boyfriend’s funny bone by gifting him a metal cheesecake magnet in the shape of a voluptuous woman - in this case ‘Wendy’. Wendy is a steamy magnet decked out in fluffy underwear who’ll look gorgeous on any refrigerator door.

Accompany this gift with magnets spelling out what you’d like to say to your boyfriend and you’ll have a gift on your hands that’s going to thoroughly woo him!

These are just a few of funny Christmas gift ideas that I find are perfect for boyfriends. For more suggestions do check out –

Gifts For Boyfriend

Gift Ideas For Boyfriend

Gifts For Boyfriends

Gift For Boyfriend

Presents For Boyfriends

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You might think that Christmas benefits have little to do with birth control. I won’t make any ironic comment about that except to mention that those who take contraceptives also have families. Christmas is a time of giving and goodwill, so here is an opportunity for you to pause and simply feel good.

With Christmas fast approaching, now is the time to start considering your Christmas Gift List - those lucky people who will receive the fruits of pondered, considered, carefully thought out gift buys. You have been thinking about it, haven’t you?

To give you bit of a hand, I’ve rounded up few lists of what is selling for Christmas 2009. These are for a number of different categories, so have a quick look and see what suits you best.

I’ll start with a few of the cheaper items. naturally, this doesn’t mean poor quality. It just means that this is the group who appreciate receiving something from you and it doesn’t have to be expensive.

It could also mean that your budget is a bit tight and you’d still like to find something nice.

I’ve also has a look at gift ideas for special groups - in this instance, Boys, Boyfriends, and Dad. Luckily males to to have a lot of common interests, so it is handy to group them.

The Boys referred to here tend to be the pre-teens as I’ll deal separately with the older boys in a later post. However, there is some overlap, as most younger males (and some older ones) are into video and computer games. Usually when they should be studying.

Boyfriends deserve special consideration. A lot depends on the stage of the relationship. Usually a touch of romance is appreciated, although you can never go wrong with the latest technology. You’ll see some examples below.

What can you say about Dads? These can be the hardest to buy for as many reach the stage of having just about every thing they need and you’re left struggling to find something for the man who already has everything.

OK, no more chatter, check them out for yourself:

Cheap Christmas Gifts

Cheap Christmas Gift Ideas

Christmas Gifts For Boyfriend

Christmas Gifts For Boys

Christmas Gifts For Dad

Birth control, the overall concept is not understood by many till date and still many questions arise about it and its related issues. Fertility awareness is a major issue of family planning as the population of the world is boosting considerably every moment.

The minds still crave for information as the proliferation of knowledge has not been so effective through the years. The various artificial methods like the oral pills, contraceptive devices, hormonal preparations and surgical methods are little complicated and the in depth information about the same is extremely essential.

Various FAQs about birth control
People have tried to seek maximum information about birth control and the under mentioned are few prominent questions that have been popped time and again.The most commonly asked question is about how the artificial pills work and how do they act as contraceptives.

The answer to this question lies in the fact that these pills are hormonal preparations and alter the levels of hormones in order to avoid pregnancy. These basically stop the process of ovulation. People even crave to know about the routine and when and how about the consumption of these hormonal contraceptives.

These are expected to be consumed on a frequency that has been prescribed by the doctor and the normal dietary regimen should be healthy. The big question is about conceiving after the intake of these oral contraceptives. It takes less time for a woman’s body to set back to normal and a female can become fertile once again.

The various queries about the risk factors and side-effects of contraceptive devices and pills have always been the vicinity of this topic. There is a certain amount of risk involved in consuming oral contraceptives but the physical methods like the usage of condoms, intrauterine devices, vaginal sponges and cervical caps are a harmless way to promote birth control.

The subjects of the different birth control methods available also arise often. A health specialist can well acquaint one with all the methods that are available and feasible and can be executed easily by both the man and the lady.

Conclusion
All these as well as the extra queries should be clarified so that no doubt remains in one’s mind regarding any issue related to birth control. The specifications and the requirements are explained well by the health specialists and hence seeking professional advice in such cases is surely a thoughtful proposition.

1000s of Affordable Health,Medical,Fitness and Beauty Products here -World Health Pages,World Fitness Pages,Early PlanetandTrade Planets

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By articlespan.com

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If you are struggling with depression, or have at one point in your life, it is important to learn more about how the birth control pill may affect your depression. Depending on the type of depression you have, birth control pills can improve it or make it worse.

PMS or Menstrual related depression can be improved by using the birth control pill. Depression that only sets on during “that time of the month” is caused by hormonal changes in your body. Those rapid changes can be “mellowed” by taking the pill. Many women with menstrual or PMS related depression see an improvement in the way the feel after being on the pill for a couple of months.

If you constantly suffer from depression, it is probably not hormone related, at least not related to the hormonal changes associated with your period. Taking the pill in this case can make things worse instead of helping relief your depression. Many women feel increased depression after being on the pill. There are also some who don’t start feeling depressed until they start taking the birth control pill. Usually using an alternate form of birth control in addition to some natural or prescription medication will get you back out of depression.

Different types of birth control pills seem to affect depression in different ways. In general pills with higher levels of progesterone are most likely to worsen your depression.

If you are currently suffering from depression talk to your health care professional about treatment options prior to starting on the pill. If you are already on an antidepressant, you may want to discuss birth control with your physician to see which option will have the least effect on your mental health and to make sure there isn’t any interaction or reaction with your depression medication.

If you are feeling depressed and think it may be caused at least in part by your birth control pill, make an appointment with your physician to discuss how the two of you can get you back out of depression and feeling better.

For more information about depression, its causes and treatment options, as well as other women’s health issues, visit http://www.healthandbeautyinfo.com

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Having a child is a big adjustment in a woman life. Birth control methods are adopted by a woman if she feels she is not ready for a child. She has to ask herself the question, Am I prepared to have a child? Am I ready?

There are several methods to avoid a pregnancy. These methods can either give temporary or permanent prevention. Temporary or reversible method can be used to prevent conception without any effect on fertility. Permanent prevention is where the process is irreversible as this method involves surgery.

Types of Methods

Natural method

This method does not involve any hormonal intake or surgery. It is essential to study a woman menstrual cycle and make efforts to watch out for signs and symptoms for ovulation. During ovulation period, sexual intercourse should be avoided as the woman is highly fertile. The egg is ready to be fertilized by the sperm. These methods can also be called as fertility awareness methods.

Withdrawal

The man withdraws his penis from the vagina before ejaculation so that the sperm does not enter the vagina. This method is however not completely effective as the sperm can be released even before the man reaches orgasm. The man can also lose self control and delay withdrawal

Breastfeeding

A nursing mother may not ovulate during breastfeeding. She may become fertile only 10 to 12 weeks after her delivery. But sometimes the nursing mother may start ovulating even before her menstrual cycle resumes. Care must be taken to have protected sex during this time.

Barrier methods

These are methods which bar the entry of the sperm into the vagina. The methods may include condoms, female condoms, contraceptive sponge, and other doctor prescribed methods like diaphragm and cervical cap. Spermicides are also contraceptive agents which kill the sperm and do not allow any contact with the egg.

Hormonal methods

The hormones can be estrogen or progesterone. They can be taken orally, implanted into the tissue, injected, absorbed from a patch or placed in the vagina.
A nursing mother however cannot take a combination of estrogen and progesterone. She will not be able to use the patch, vaginal ring or take combination pills. Estrogen will affect the baby and also the milk supply. A nursing mother can resort to only progesterone control methods. These can be mini pills, DepoProvera.
If you do not find these methods worth the risk, you can always utilize other pregnancy prevention methods.

Intrauterine Devices

These devices are inserted by the doctors into the vagina. None of these devices affect lactation. Women can easily resort to this method after their delivery.

Permanent contraceptive methods

Surgical sterilization is permanent birth control methods where the partners have decided not to have children in future. The surgeries may be performed on the man or the woman. They include vasectomy, tubal ligation, selective tubal occlusion procedure and hysterectomy (removal of the uterus).

Abstinence

Abstinence is where the man and woman refrain from having
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Traveling always force women to think about their monthly menstrual cycle. It sometimes becomes very difficult and frustrating if you know that your periods are coming close to your traveling dates and you can not change or postpone your travel dates. Due to long hours of journey, hectic traveling schedule and limited time at the disposal could cause exhaustion, frustration, which may cause menstrual period to come early or even occur irregular bleeding.

What you will do then?

Well, you do not need to panic as you have solution in the form of birth control pills, condoms and other birth control products, which will help you to enjoy your vacation or travel. First, you will need to know when your “days” are coming in. If you do not wish to have period, you can avoid it by continuing the birth control pills once you have consulted with your doctor.

If you plan for long vacation (more than two weeks), you will need to take personal hygiene products, specially birth control pills, condoms, spermicidal creams, sponges, patch etc., which may not be easily available at all places whenever you need them in short period of time. If you encounter with unprotected sex, you will need emergency contraceptive pill like Plan B ready with you to avoid unwanted pregnancy, but Plan B might not easily available in the area where you stay.

Following list of birth control products you may consider taking with you always whenever you travel or go for vacation.

1. Emergency contraception

As said earlier, this is very important to have emergency contraception with you if you are sexually active during your travel or you are going out with your new partner on travel. Emergency contraception like Plan B, will protect you immediately against unwanted pregnancy. It will also help you when your contraception plans have failed. Please remember that emergency contraceptive pills like Plan B, may not be available everywhere and it has to be taken immediately as soon as unprotected sex has occurred or contraceptive measures have failed. It must be included in your birth control plans and specially, when you are traveling.

2. Condoms

Condoms are the most convenient way of birth control method. Perhaps, this is the only method which can protect against STDs/HIV to the greater extent. Please insist your partner to use condoms no matter how intimate relationship you are having. Condoms will also help you to protect you and your partner from urinal and vaginal infections, which might occur during intercourse. It is very necessary to be adamant in the beginning than regretting for this “irreversible” mistake later in the life. Condoms are cheap and easily available but if you use any particular brand then it is advisable that you must include them.

3. Birth control patch

Some women prefer to use birth control patches like Ortho Evra. If you are using patch, please remember the due date for the change. If it is coming near to your travel dates, you can have additional patches in stock. It might be possible that you don’t find them near you will be residing. You must also need to take care of birth control patch and ensure that it is properly stick to the skin as prescribed, specially when you are going out for sight-seeing, swimming, bathing, doing exercise etc.

It also implies to birth control ring, like NuvaRing, if that’s your birth control choice. Such birth control methods may not be easily available everywhere.

4. Birth control injection like Depo Provera

If you are using contraceptive injection then you must check the due date for next shot. Depo Provera shots are usually taken every 11-13 weeks. It is generally prescribed for 12 weeks maximum. If your travel dates coincide with your next due shot date, please consult your doctor or medical practitioner and get your shot immediately. Pfizer, the manufacturer of Depo Provera do not recommend to wait longer than one week than your due shot. It would be fine if you could take your next shot one week earlier than due date if you going on travel or may take one week later maximum than due date. In case of failure of shots, you will need to take help of other birth control methods like contraceptive pills, condoms, patches, spermicides etc

5. Barrier birth control methods

Some of the barrier birth control methods like diaphragm, cervical cap and contraceptive sponges are also recommended to be included in your travel list, in case if you are more comfortable using them. According to your traveling plans, you can keep enough stock of spermicidal creams, jellies, diaphragm, sponges etc. It might be possible that your choice of barrier birth control method could not be available where you will reside. If you are planning to visit foreign countries then you may need to take good stock of them as barrier form of birth control might not be so popular and available there.

6. Additional birth control tips on travel

Besides taking birth control pills, patches and other barrier birth control methods with you while traveling, you may also need to take precautions like

- if you are going for long hours travel journey and have been taking contraceptive pills or dependent upon hormonal contraception methods, you may be at high risk of contraception failure. Do not remain in sitting position for long, keep moving around and stand if possible, stretch your legs and keep changing your position many times.

- Drink enough water rather than coffee, soda or soft drinks

- Do not go for physical relationship without discussing before contraception, STDs etc. Insist your partner to use condom as unprotected sex may not only increase your chances of becoming pregnancy, it may also put your life in danger by getting infected from life-threatening STDs or even HIV viruses.

- Keep the contraceptive pills, condoms and other products in cool and dry place. Do not expose them in heat, bright sunlight or air for longer time. Some people of the habit of keeping condoms in the pocket or wallet in the back-pocket. Do no keep the condom so unless you are going to use it shortly.

- Surveys have revealed that 20% birth control pills users have found to be irregular in taking pills while they are on travel and 25% of them reported to have negative impact on their health and even got pregnant afterwards. So, if you are regular contraceptive pill user then please continue to take on time as you have been. It will not only protect you from unwanted pregnancy but also make you confident and make your vacation or travel happy and memorable.

The above article is for general information on birth control measures you can take while on travel and should not be taken as medical advice. If it is so, please consult your doctor or healthcare provider for treatment purpose.

You may also visit at [http://www.mybirthcontrolstore.com]birth control to know more about the general information on emergency contraception and other birth control methods. The above article is for general information on birth control and should not be taken as medical advice. If it is so, please consult your doctor or healthcare professional for treatment purpose.

Linda Crowford is an author for many successful articles and ebooks written on women’s health, birth control, pregnancy issues and human relationship specially romance, dating, marriage divorce. She is also associated with [http://www.mybirthcontrolstore.com]birth control pills. She gives helpful advices to her clients on birth control and oral contraceptive methods.

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Causes of Acne

The following are the lead causes of pimples and acne:

- Puberty and related changes (activation of sebaceous glands or the oil glands) - Hormonal imbalance - Dirt - Skin types (oily skin is more prone to acne) - Highly stressful lifestyle - Vitamin and mineral deficiency - Rare cases of heredity - Cosmetics

Link between Birth Control Pills and Acne Demystified

Birth control pills are effective for acne treatment only in the cases where the main cause for acne is hormone related. Sometimes, an excess secretion of androgen from the ovaries is the leading cause of stubborn pimples and acne. Androgen has the property of activating the oil glands that leads to and increased occurrence of acne.

Certain combinations of birth control pills help by suppressing the level of androgen in the body. Testosterone (male hormone) is also associated with the increase in the activity of oil glands, thereby promoting acne. Oral contraceptives, especially those containing Estrogen and Progestin, reduce Testosterone in the body.

Not all types of oral contraceptives are flatly effective on everyone. You need to decide upon the right combination suitable to your physiology. Of course, this has to be done under the guidance of a medical practitioner. In addition, other acne specific drugs, including antibiotics should be used as supplements to enhance the efficacy of the medication, for instance, benzoyl peroxide, alpha hydroxyl acids, and retinoids.

Preferred Combination and Commercially Available Products

Medicinal formulations containing the hormones Estrogen and Progestin (synthetically manufactured Progesterone) are usually beneficial in the therapy. Estrogen helps in maintaining the hormonal balance and regulates the level of Testosterone. Progestin is added to prevent any side effects caused by excess Estrogen. Lower Estrogen drugs such as Alesse should be preferred, as they do not have lesser repercussions related to the hormone. Ensure that the progestins in the medicine are anti-androgenic and not androgenic. Some of the commonly available brands are:

YAZ Ortho Tri-Cyclen Estrostep Yasmin

Birth Control Pills: Last Resort!

Oral contraceptives are resorted to only after exhausting all the other options, due to the reactions of hormone replacement therapy. If you do not intent to go in for contraception, use of birth control pills for acne treatment is a bad choice. The known side effects of oral contraceptive pills are:

Nausea Irregular menstrual cycles Cyst in the bust area Tendering of breasts Heart ailments Clotting of blood Cancer

While taking the risk of above side effects, you should be aware of the fact that oral contraceptive pills do not necessarily treat acne. Therefore, exercise a lot of prudence in adopting birth control pills for acne cure and try to keep it as last choice, rather than a preferred option.

Copyright (c) 2009 Rod Hoss.  Precision Trials offer physician research based birth control clinical trials and HPV Research.

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There are many contrasting kinds of birth control. The most popular is the pill, the shot, and also the patch. Though these are capable it may be challenging at times for women to remember to utilize them when needed. One birth control has the ability to make this a little bit easier by helping you to keep from needing to remember any of these things.

The IUD is a small, t shaped item that is situated inside of the women’s uterus. It is constructed using flexible plastic that holds copper or hormones inside of it. At the lower part of the IUD are two strings which are transparent and fall down into the vagina. This is used for women to feel that it is still there and to withdraw it when it is time.

One of the better things about utilizing an IUD is how long it will stay within the women. Betting on the kinds that you select you might be protected anywhere between two to twelve years. These are very capable and are great for families who want to hold back in starting their family until they are ready.

All IUDs function in the same way. They keep the egg from fertilizing by changing the movement of both the sperm or the egg. This does not prevent the woman from ovulating at all. The IUD that contains hormones will aid to thicken the cervical mucus and make a barrier that will keep the sperm from entering. They also work to keep the egg from bonding to the uterus.

One of the biggest advantages to using an IUD and what makes it so common is how long it has the ability to function. It is better for the woman to be protected without truly having to make an appointment every few months or to remember to take the pill each day. It also gives her the choice to utilize something that is not made with hormones by picking out the copper IUD.

An IUD is a great form of birth control that women are considering. Learn how it is easier and why more and more teens are considering Abstinence Birth Control.

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A subject very near and dear to my heart is the subject of birth control in all its forms. Condoms are the oldest form of effective birth control (second only to abstinence of course), but of course there are many others, most of them for women. This seems to be a source of tension between the sexes as I have met many women who are displeased with the fact that most birth control methods place the responsibility on them. To this I say: what’s your point? I’ll admit it’s unfair, but there’s not much else we have to work with at the present time. We’ve been hearing talk of a male birth control pill for many years and it still isn’t here so we have to do the best with what we have. And hey, if and when that male pill comes out I’ll be first in line to get that sucker.

The responsibility, however, is shared by all of us to some degree. As a man I feel it is my responsibility to wear a condom to prevent both pregnancy and the transmission/contraction of disease. As a woman your job is to make sure the man is wearing a condom for the aforementioned reasons, or to be taking some type of birth control measures yourself. Quite honestly, in this day and age there is really no reason why there should be any unwanted pregnancy. Birth control methods are proven and tested for both sexes, they are readily available, and for the most part very affordable. At this point I can not stress enough that “pulling out” is about as effective at preventing pregnancy as driving with your eyes closed is at preventing an accident. Also, forget all the little stories and rumors you’ve been told or hear around the gymnasium: If you have sex unprotected you will eventually get pregnant. Here’s some “tales” I have heard in my life:

Rumor: If a woman is on top she cannot get pregnant
Verdict: FALSE

Rumor: If it is a woman’s first time she cannot get pregnant
Verdict: FALSE

Rumor: If a woman is on her period she cannot get pregnant
Verdict: FALSE

Rumor: A woman cannot get pregnant from pre cum (the fluid that comes out of the penis prior to ejaculation)
Verdict: FALSE

Rumor: Mountain Dew lowers your sperm count
Verdict: Seriously, do people still think this one? FALSE Rumor: Having unprotected sex for a long time (multiple sessions) reduces the risk of pregnancy/means you cannot get pregnant Verdict: Nothing can be further from the truth. Unless you have been told by a doctor that you cannot get pregnant: you WILL get pregnant. Having unprotected sex for a year with your boyfriend and not getting pregnant doesn’t mean anything other then you’ve been lucky and haven’t gotten pregnant YET.

In addition to these I should stress that 9 times out of 10 when a guy insists on not wearing a condom because he claims that he’s sterile he’s lying. And double that if he’s under 25. He just doesn’t want to wear the condom. Girls please do not be fooled by this. Your average 16 year old guy is very stupid and very hormonally driven. Try to imagine a realistic reason why a 16 year old guy would A. Be sterile, and more importantly B. Have ever had a reason to have that checked out in the first place. Men ( and typically women as well) only figure out they’re sterile when they’re having a difficult time trying to conceive and seek out a fertility specialist who will then run tests to determine fertility/sterility. (1)

One form of birth control that I feel gets very little attention is emergency contraception, often called “the morning after pill.” This pill, (and there are a few different kinds), works by preventing ovulation so that fertilization never occurs. It is NOT an “abortion pill,” although there are types of emergency contraception that are essentially just that. If you’re opposed to that - make sure you get the right one.

Having the morning after pill around “just in case” is like having jumper cables in your car. You may never need to use them but if you’re ever stuck without it you’d wish like hell you had them. In my personal opinion the morning after pill should be kept in your medicine cabinet just the same way you’d keep jumper cables in the car or a fire extinguisher in the closet. Better to have it and not need it then need it and not have it. If. Check with your doctor for proper storage techniques and effective life span of the pill.

Other methods of female birth control available include: “The Pill,” which can be any number of pills typically taken once a day, Depo shots (typically taken once every few months), IUD’s, the patch, etc.. there are more and more all the time that you hear about. Perhaps it is simply easier to develop birth control methods for women as opposed to men. Not being a doctor I cannot say for sure.

I’ve spent enough time talking to the ladies, now it’s time for me to dig into the men for a sec. Guys: Keep a condom handy. Don’t be an idiot and keep it in your wallet, the condom can and will (often) overheat thereby decreasing its effectiveness and making it more prone to breaking. Guys: Do NOT be a jackass and refuse to wear a condom because “it doesn’t feel good.” First off I never understood that argument. I’ve worn plenty of condoms in my lifetime and have never found a condom to feel bad. Of course sensitivity is decreased but in my experience it’s never been decreased by much and never enough to make me want to roll the dice and take a chance without wearing one.

And trust me guys, if you think a condom is uncomfortable that’s nothing compared to the discomfort you’ll experience when you realize you just got someone pregnant, or the discomfort your bank account will experience when your earnings are garnished for child support for the next 18 years because you were worried about having 10% more sensation in your penis. Doesn’t sound so great when you say it out loud like that, does it? Roll it down over the head of the penis and down the base of the shaft. Always hold it securely when pulling out to prevent “slipping out” of it and spilling. Yes there is a risk of pregnancy even then. Oh, and condoms are like eggs: they have an expiration date. Don’t push it!

So in short, my friends, Birth Control = Good. I’m not going to sit here and espouse the virtues of remaining abstinent until marriage (though it’s not a bad idea, just sayin’). Odds are most of you reading this are too late for that and that’s not my personal viewpoint either. Go out and have fun, but do it responsibly. Birth control is everywhere, it’s readily available, and in most cases very affordable. Sometimes your insurance will cover it.

Oh and please no one give me that “I’m against birth control due to my religion” argument. If your religion prohibits birth control it probably also prohibits pre-martial sex and marital sex for any other reason than contraception. Don’t tell me your religion prohibits you from wearing a condom but is okay with you having sex in the backseat of your dad’s Buick after the Junior Formal. Hypocrisy abounds with that argument.
In addition, I don’t want to hear any woman tell me they don’t want to go on the pill because it’ll make them gain weight so they’ll just not use ANY form of birth control. Weight gain is a potential side effect of some of the female birth control pills however I would just like to point out that while you MAY gain weight on the pill it’s nothing compared to the weight you WILL gain if you become pregnant. Don’t want to go on the pill? That’s fine. But make sure someone’s using something. Don’t just do nothing.

Planned Parenthood can provide you with more information as well as set you up to begin a birth control routine. Check them out at http://www.plannedparenthood.com or call toll free at 1-800-230-PLAN. Contrary to popular belief they employ board certified physicians, registered nurses, social workers, etc. And do a lot more than just perform abortions. Note: Dave is not a doctor and his opinions should not be taken as a substitute for medical opinion/diagnosis. Medical information in this column was obtained from common knowledge, http://www.plannedparenthood.com , The American Society for Reproductive Medicine ( http://www.asrm.org ), and personal experience. Always check with your doctor before starting/taking any medications. Read labels on all packages and consult your doctor immediately if side effects/problems occur. Read condom package for detailed instructions on storage, use, and shelf life, and disposal.
(1) According to the American Society for Reproductive Medicine: Infertility affects about 6.1 million people in the U.S., equivalent to only TEN percent of the reproductive age population. Male infertility only accounts for one third of total infertility cases.

Dave Trouson is an advice columnist for Ask Nat and Chris Free Advice Message Boards.

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I have given birth to four children, in three different states. Each hospital had different policies and procedures, and each birth experience was unique.

My last delivery, just a few months ago, was to boy/girl twins.

I started my pregnancy with a new-to-me doctor I disliked, who was ready to schedule a cesarean in my first trimester. About halfway through the pregnancy, we moved, and I found an absolutely wonderful doctor. I expressed to him my desire to do everything humanly possible to deliver these twins vaginally. I had never had a c-section before, and really didn’t want to have one.

He respected my decision, and agreed to only mention a c-section if an emergency situation occurred.

At the start of my third trimester, I had the opportunity to tour the hospital I was to deliver in. While on the tour, I asked if twin deliveries were required to be in the operating room, which is standard in most hospitals, and the touring nurse said to me, “How else would you have a c-section?” She seemed shocked that I would even consider giving birth to twins in any other way.

On the delivery day, I was able to labor in a birthing room and was transferred to the OR for the delivery only.

I had a normal labor, and they finally wheeled me into the OR. There were about six medical personnel in the room, busy preparing for the delivery and awaiting the doctor. I was concerned that the first baby was on his way out, and kept saying to the nurses “I think the baby is coming”, but for the most part, they ignored me. I said this maybe five times. Finally, one nurse told me not to worry, that they would catch him should he decide to make an appearance.

Amidst all this activity, I suddenly had a thought, and announced, “Oh, by the way, under no circumstances whatsoever do I want an episiotomy.”

Immediately, the six people in the room froze, and dropped everything they were working on to turn and look at me. So I repeated myself. They looked at me as though I was growing horns out of my head. Finally one nurse told me that she would make sure that the doctor knew.

The delivery went well. The second twin decided to turn breech at the last moment, but my doctor, respecting my decision to do everything possible to avoid a c-section was able to manually turn her. I avoided the episiotomy as well, which proved to be completely unnecessary.

The next morning, as I was walking around trying to regain my strength, I saw several other new mothers sitting on ice packs, moaning and groaning. They had not realized the episiotomy was a choice.

All the nurses who cared for me after the delivery treated me oddly. It was as though I were some sort of celebrity. Finally, one nurse spilled the beans. It seemed that I was the first mother to deliver twins vaginally in that hospital in over ten years.

Ten years.

It amazes me how much hospitals and doctors take certain situations for granted. No vaginal twin deliveries in a decade? How many of those mothers were lead to believe their bodies wouldn’t do what came naturally to them? How many of them had unnecessary surgeries, higher risk of infections, and major recover for nothing?

You have a lot more control over the birth of your child in a hospital setting than you are aware of.

–An episiotomy is optional, but if you do not speak up and vocalize your desire not to have one, it may happen to you.

–A c-section is optional in some cases. There are circumstances where it is necessary, but many are done for convenience when other options are available.

–Pain medications and even IVs are optional. If you chose not to have any pain medications, then you do not need to be hooked up to an IV at all.

–Lying flat on your back in a bed is optional. If you do not have an epidural, you do not need to remain in bed through labor and delivery. Feel free to move about, take a shower, and try different labor positions that you would like to get more comfortable.

The birth of your baby should be a happy experience. It should not be one of fear and disappointment. Simply talk with your doctor and hospital staff about your desires. Do this early in the pregnancy. If it seems like your doctor does not take your concerns seriously, find a new doctor.

Rayven Perkins has spent 7 years implementing cost-cutting tips that allow her family to live comfortably on one-income. Her site http://www.stay-a-stay-at-home-mom.com examines resources and tips on Reducing Expenses, Stretching Your Dollar, and Supplementing Income in order to stay a SAHM.

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