naturegirl wrote:Does anyone know if NuvaRing is available here?
You could contact the company and ask them for details: http://www.nuvaring.com/Consumer/Global ... geID=67545
. I used to work for this company (Organon) up to May 2008 and know that NuvaRing has been introduced in some countries but not so many yet. It is a very successful product however where it has been introduced. The company does not have a big presence in Peru, but there is a regional head office in Santiago. So it may come to an InkaPharma near you soon...jajaja.
I have not seen this thread earlier and may be too late already, singlefather may have knocked up his new wife just yet...
However I just wanted to add my two cents from what I've learned from working for the inventor of the contraceptive pill and the NuvaRing.
With regards to the reliability of certain methods, not all advices are statistically correct. First, "the rythm" is the least reliable. How accurate you measure and all, the period is not always regular (and different for each woman) and the temperature swings very minor and therefore easy to misinterpret... it's easy to make a mistake. The pill is very reliable (> 99%) if taken correctly... but the problem is in that condition. Not only can a woman forget to take it one day, if she would have to vomit one day then the pill has lost its reliability for the next two weeks. Other very effective hormonal solutions are NuvaRing (once a month vaginal ring) and implants like Implanon (a single rod under the skin that works up to 3 years). The patch is a very easy application, but the reliability is only 96-97%, so it does not protect that well and it is under investigation for alleged higher than acceptable risks for thrombosis. The reliability of the rubber is between the before mentioned methods, about 98-99%. But it is the only contraceptive that protects against STD's (yes, HIV is also an STD). And there are still several other methods.
Regarding the health issues, it is absolutely something to watch. It is for that reason that it is available only by prescription in many countries. Unfortunately Peru is not so strict and you can buy the pills at each pharmacy. Side-effects of the hormone-based contraceptives can be things such as nausea, bloating etc resulting from swings in hormone-levels (similar as what happens when the woman gets her period, don't we all know that guys?), but more importantly it causes a higher risk of thrombosis. Later generations of the pill have reduced that risk by using different hormones, novelties like NuvaRing or Implanon reduce the side-effects my minimizing the dose of hormones through continuous release. There is no scientific proof that the use of any hormone-based contraceptives reduces the chance of becoming pregnant. The effect of age is much stronger though...
Why the Peruvian ladies do not like contraception is also for me an unknown. From what I've heard from my future Peruvian wife and many of her female friends I conclude that part of the problem is misinformation about the side-effects. One of them is that for sure you'll gain weight. You may, it is one of the possible side-effects, but you won't know until you try. Also, most of her friends do not know much about their own system, when they're fertile, how the cycle works etc. I think that that is the direct consequence of the fact that in a catholic society as the Peruvian still is talking about it is still not done. Well, singlefather, you should be glad that at least your wife is willing to go visit a specialist to discuss the option.. it is a good start.