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Birth control is designed to prevent you from getting pregnant. It is reversible and comes in many different forms, both hormonal and non-hormonal. Some examples include:

• Condoms
• Birth control
• pills
• Patch
• Vaginal ring
• Injection
• Intrauterine devices (IUDs)

The method you choose depends on you, your personal needs and current health. When used correctly, all methods of birth control are safe and effective. We recommend speaking with your healthcare provider to determine which method suits you best.

We offer comprehensive contraceptive services and will work with you to find the method that best suits your preferences and your medical needs.

An intrauterine device (IUD) is a form of birth control that is placed in your uterus by your doctor during an office visit. IUDs have been used for decades and are among the most popular forms of birth control in the world. They are among the safest, most effective and easiest to use forms of birth control.

There are two main types of IUDs:

• The hormonal IUD, with a lose-dose progesterone hormone (levonorgestrel), works for up to 7 years depending on the type. Some brand names are Mirena, Liletta, Kyleena, and Skyla.
• The copper IUD works for a maximum of 12 years. Paragard is the brand name for the copper IUD in the United States.

There are a few types of sterilization procedures, which typically require minor surgery for women. All methods are safe and effective.

We offer surgical and medication abortion. More information can be found here.

In the State of Hawaii, minors ages 14+ have the right to confidential family planning services. If you are a minor, please call our office to discuss our policies.

The “morning after pill” is a form of emergency contraception intended for use after sex. You may want to take it if you have had sex without using birth control or have had trouble with your regular method (for example, broken condom or missed pills). It is most effective when taken within five days of unprotected intercourse and can be obtained at many pharmacies without a prescription if you are 17 or older.

If you have an unplanned pregnancy, you may choose to have a termination. Some of the options are:

• Medical abortion, in which medications are taken to end a pregnancy
• D&C (or D&E, or aspiration abortion), in which a procedure is done to remove the pregnancy tissue from the uterus

Both options are safe. The one you choose depends on your preferences and how far along in your pregnancy you are. See Pregnancy Termination/Abortion options for more details. If you are unsure about your decision, we can provide a consultation visit to discuss your options for continuing the pregnancy, parenting, adoption, or abortion.

Rhogam (Rho(D) Immune Globulin) is an injectable medication (a shot) that is often given at the time of abortion if you have an Rh-negative blood type (O negative, A negative, etc.). We will recommend it for you if you have an Rh-negative blood type and are past ten weeks into the pregnancy, and we may recommend it earlier in pregnancy for other reasons. Rhogam helps prevent a condition called isoimmunization. Isoimmunization does not affect your health but it can seriously harm the health of any pregnancies you may have in the future. The chance of you developing isoimmunization during an early abortion if you have an Rh-negative blood type is very low.

Yes, our physicians are able to do telemedicine appointments with you if you are in Guam. If you are early enough in the pregnancy that you can have a medication abortion, we can mail you the medications. If you want to have an abortion procedure you would need to travel to Hawai’i and we can assist you with planning.