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Hi,
You found a great starting place to talk about your anxieties, as many of us have "been there", and can offer helpful advice and information.

Many women are "natural worriers", and now is a great time to begin some better stress management and coping techniques in general, and I can provide some factual information for your specific question.

To lessen your worry (about anything in life, really), get to know the facts, and make a decision about what to do with this information. Give yourself permission to "worry" or "feel anxious", then make a conscious decision that you can feel confident about with your new wisdom: talk about your options with a trusted loved-one, discuss the information with experts, vent to a loved-one about your feelings... and then take action! You have choices to make in life, and worrying on a chronic basis will not provide you with the healthiest responses, and can actually lead to stress-related illnesses. So...just take action, know you might make mistakes, and feel confident in yourself!

That was the pep talk! Here is the information you are seeking.

The facts about birth control and pregnancy risk:
1. You are correct: time will eventually help you overcome your anxieties, as you begin to trust in the effectiveness of your birth control methods.
2. Do you know the effectiveness of each method you are using? Combination hormonal contraception pills are 99% effective at preventing pregnancy when used with perfect use (sounds like you are). Condoms are up to 98% effective when used alone. Since you are doubling-up on your birth control, you are highly protected from pregnancy.
3. Your partner can "linger" inside your vagina after intercourse as long as he withdraws his penis while it is still erect, and while he holds the base of the condom firmly against the base of his penis. When his penis begins to become soft...it is time to pull out (the semen can spill out of the condom if the penis is too soft).
4. If you are worried about condom breakage, be sure to learn how to use a condom properly. Use lubrication on the outside of the condom to help prevent breakage (condoms should not break...it is user-error when they do 99.9% of the time!)
5. Do you know it is actually difficult to become pregnant? I think we are all so scared into thinking there is a possibility of becoming pregnant, that we don't know the chances are highly unlikely we will (when using birth control properly). With each cycle, you have only a 20% chance of conceiving WITHOUT using birth control.
6. You can also learn about your body, and predict the day(s) when you are most fertile. On those days, you can decide to include the withdrawal method (pulling the penis out of the vagina before ejaculation) in addition to your other methods.

Feel free to ask more questions, either about birth control specifically or how to cope with anxiety/stress/worry. It is an important skill to learn how to effectively worry less, and there are many techniques you can try!

May 15, 2011 - 8:34pm

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