Birth Control Consultation and Contraception Counseling

  • Share your health history, goals, and contraception preferences with a provider who listens
  • Compare every option, including the pill, IUD, implant, patch, ring, and shot
  • Walk away with a birth control prescription or a clear plan for your next steps, same day

Online and in-person care available in Los Angeles, San Francisco, New York and Scottsdale

What is a Birth Control Consult?

Your Birth Control Consultation is a personalized visit focused on finding the right contraception for you. We'll review your options, including pills, patches, rings, shots, IUDs, implants, and non-hormonal methods, and discuss how each works, its effectiveness, and possible side effects. Your provider will also review your medical history and reproductive goals to make sure your method is safe and a good fit.

Together, you and your provider will choose a birth control plan tailored to your health, lifestyle, and preferences. Please note that IUD or implant insertion and removal are scheduled as separate appointments.

Where to get a Birth Control Consultation?

Insurance and Pricing

Is this covered by insurance?

Yes, most insurance plans cover birth control. Please check with your insurance provider to confirm.

Who should book a Birth Control Consultation?

You should book this appointment if you're looking to start a new birth control method, need to renew a current prescription, or want to switch to a different type of contraception.

If you have never taken birth control before (or simply took a break from taking it), there are several reasons and symptoms that might make you a good candidate for contraception:

  • Pregnancy prevention
  • Irregular periods
  • Heavy or painful periods
  • Missed or skipped periods
  • Managing the symptoms of PCOS, like acne or hair growth

Available Birth Control options

Method
How It Works - Effectiveness
Pros & Cons
The Implant (Nexplanon)
Your provider places it under the skin of your upper arm. It has to be removed by your provider.

Effectiveness: >99%
Pros: Good for five years. You may not have a period at all.

Cons:It is possible to bleed for longer than desired amounts of time and the bleeding can be unpredictable.
IUD (Paragard, Mirena, Kyleena, Skyla)
Must be placed in the uterus by your provider. Your provider also needs to remove it.

Effectiveness: >99%
Pros: Effective for up to 12 years depending on which IUD you choose. Hormonal IUDs can decrease or stop bleeding. The copper IUD does not have any hormones.

Cons: You need an appt to get the IUD inserted and removed. Paragard, the 12-year IUD, can increase bleeding.
The Patch (Xulane, Twirla)
Apply a new patch once a week for three weeks. No patch needed for week four.

Effectiveness: >93%
Pros: No need to take a pill every single day.

Cons: Depending where it’s placed on the body, it can be visible. Not ideal for swimmers or those who have increased sweating.
The Ring (NuvaRing, Annovera)
Insert a small ring into the vagina each month or annually depending on the ring of choice.

Effectiveness: >93%
Pros: Easy to start and stop when desired.

Cons: You need to remove and replace the ring. Some might want to remove it for sex, though it can stay in the vagina during sex.
Depo Shot (Depo Provera)
Your provider will give you a shot every three months (13 weeks).

Effectiveness: >96%
Pros: You only need to think about it every three months.

Cons: It’s a shot! You need to come to the clinic every three months for it.
The Pill
Daily pill.

Effectiveness: >93%
Pros: You can control your bleeding by continuously cycling. You can start and stop the pill easily.

Cons: You need to remember to take it every day.

How a Birth Control Consultation appointment can help

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Make an informed decision

Get clarity on the pros, cons, and effectiveness of different birth control methods, so you can choose what feels right for you.

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Get a clear roadmap

Create a practical plan for your next steps, whether that's a prescription for the pill, a separate appointment for an IUD insertion, or guidance on non-hormonal options.

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Explore a wide range of options

Learn about hormonal and non-hormonal contraception, as well as the latest medical advancements in the field.

Frequently asked questions about Birth Control Consultation

Can I get a prescription for birth control at this appointment?

Yes, if you choose a method like the pill, patch, ring, or shot, your provider can send a prescription to your pharmacy on the same day.

Can I get an IUD or implant placed at this appointment?

No, IUDs and implants require a separate in-person placement visit after your consultation. Your Care Coordinator will help you schedule this follow-up appointment.

Will birth control impact my mood or weight gain?

Research shows that most birth control methods, including the pill, patch, ring, IUDs, and implant, do not cause weight gain. While some people may experience mood changes with hormonal birth control, it's not a severe effect for most, and for some, it may even improve PMS symptoms. Your provider can discuss potential side effects and help you find a method that aligns with your body and preferences.

Does birth control affect my fertility?

Birth control does not have long-term effects on your ability to conceive. With most methods, you can get pregnant right away after you stop using them. The one exception is the birth control shot, where it can take up to 10 months for fertility to return to normal.

Can I get birth control online?

Yes. Tia offers virtual appointments where you can meet with a provider to discuss birth control options, get a prescription for methods like the pill, patch, or ring, and have it sent to a pharmacy for pickup. You can also get a plan for a future in-person procedure, such as an IUD or implant insertion.

How long does birth control take to work?

It depends on the method and when you start it. If you begin the combination pill, patch, or ring within the first five days of your period, you are protected right away. Start outside that window and most methods take about seven days to become effective, so you'll want a backup method like condoms in the meantime. The IUD and implant work almost immediately when placed early in your cycle. Your provider will tell you exactly when you're protected based on the method you choose.

Do you still ovulate on birth control?

It depends on the type. Hormonal methods like the pill, patch, ring, implant, and shot work primarily by stopping ovulation, so most people do not ovulate while using them correctly. The hormonal IUD works mainly by thickening cervical mucus and thinning the uterine lining, so some people may still ovulate occasionally. The copper IUD does not affect ovulation at all. Your provider can explain how your chosen method works in your body.

Do antibiotics affect birth control?

For the vast majority of antibiotics, no. The long-standing belief that common antibiotics reduce birth control effectiveness has not held up in research. The main exception is rifampin, an antibiotic used to treat tuberculosis, which can lower the effectiveness of hormonal methods. Certain other medications and supplements can interact with birth control too, so it's always worth sharing your full medication list with your provider.

Why am I bleeding or spotting on birth control?

Spotting between periods is common, especially in the first few months on a new method as your body adjusts. Taking the pill at an inconsistent time or missing doses can also cause breakthrough bleeding. For most people, spotting settles down within three to six months. If bleeding is heavy, persistent, or new after a long stable period, it's worth checking in with your provider, who can determine whether an adjustment would help.

Can birth control cause depression or mood changes?

Some people notice mood changes on hormonal birth control, though research shows that most do not experience significant effects, and some find their PMS symptoms actually improve. Responses are highly individual, and if one method affects your mood, a different formulation or a non-hormonal option may suit you better. If you have a history of mood concerns, share that with your provider so you can choose a method together with that in mind.

How much does birth control cost without insurance?

Costs vary widely by method, from monthly pill packs to one-time IUD or implant placements. Under most insurance plans, FDA-approved birth control is covered at no out-of-pocket cost, and Tia will bill your insurance for your consultation. If you're paying without insurance, your care team can walk you through pricing and help you find the most affordable option for your situation.

How long does birth control stay in your system?

This varies by method. The hormones in the pill, patch, and ring leave your body within a few days of stopping, and the implant or IUD stops working as soon as it's removed. Fertility typically returns quickly after these methods. The birth control shot is the exception, as its effects can last several months and it may take up to 10 months for regular ovulation to return after your last shot. Your provider can walk you through what to expect when starting or stopping any method.

Book a Birth Control Consultation appointment

Choosing the right birth control is an important part of caring for your health and planning your future. A birth control counseling appointment helps you explore your options, from pills and patches to long-acting methods like IUDs and implants, so you can find what fits your body, your lifestyle, and your goals with personalized guidance from your care team.

What our patients say about Tia

Jessica O., Tia Patient
"I cannot tell you how much I truly valued my experience here at this clinic. From the minute I walked in, I felt safe, comfortable and welcomed. The exam room had so many amenities to make you feel at home, I have a hard time calling it a "exam room" - they had amazing robes to wear, drinks/snacks just in case, and even a little sitting area in the room. My nurse was the most incredible woman and held my hand throughout the exam...everything was just perfect. I highly recommend Tia to every woman who wants to have a better doctor experience. This is unlike anything I have experienced and will be recommending every woman I know to Tia!"
Stephanie S., Tia Patient
"It's always easy and I've never felt so taken care of in my life! I actually don't dread making appointments and I don't have to put on armor when I go see my doctor. It's a game changer!"
Katherine E. Tia Patient
"I can’t recommend Tia enough. As a woman who doesn’t like going to the doctor (white coat syndrome) and has been discounted and not listened to by doctors in the past, this experience is everything a doctors appt should be. I am so happy I am now a Tia patient and would highly recommend Tia to any female friend or family member that could benefit from the amazing staff and care here 💕"
Whitney K., Tia Patient
"I’ve never experienced such personalized, sensitive, thorough, and holistic women’s healthcare in my life. So grateful for this clinic!"