Tag Archives: Birth Control

Polyamory and Pregnancy: Contraception and Fertility

I removed gendered language from this post, cleaned up my phrasing and fixed a few typos. On a personal note, I gave up on abstinance eventually, and my fourth child is now a year old. I have plans to get an IUD this month, fingers crossed it works as advertised. After some debate I decided not to add detailed info on different contraceptive methods. This post is meant as a general overview of issues that can crop up in polyam relationships, and I think it does that well. Revised Feb 8, 2017.

Oops–one last thing. Please excuse all the ‘yelling’. I was apparently feeling very strongly about these issues when I wrote this post.

I touched on this one briefly in my discussion of unexpected pregnancies, but it probably deserves some special attention.

To start, I am not an expert on contraceptive methods, because once it was established that the most common methods don’t work for me, I pretty much stopped bothering, aside from using condoms. So I’m not going to be throwing around statistic this and study that. (If you are interested in what is more or less effective, WebMD has a comparison chart. In comparison, you are considered to have fertility problems if are trying to get pregnant for a year and can’t.)

Instead of going into those details, I’m going to be looking at some fundamentals of how contraceptives work, and how this can impact your polyamorous relationships. (Oh, and why is this under pregnancy? Because if you aren’t careful with your contraceptives, you are probably going to end up needing the rest of the pregnancy stuff sooner of later.)

Contraceptives

So . . . first off, the open secret of contraceptives that no one talks about: the person with internal genitalia is in control. Yup. It sucks, but it is true. Except for the most failure prone contraceptives (withdrawal and condoms), all contraceptive medication and devices are designed for people with internal genitalia. Which I’m sure many of us don’t see a problem with – it’s our bodies if we get pregnant. Kind of a foolish and one-sided view, but hey people are people. However, if you espouse that view, and you are polyam, stop and think for a minute how you feel about the fact that your partner with external genitalia has no access to effective contraceptives when with their other partners. Yup, it sucks.

Now, I am not saying that people with external genitalia are excused from responsibility for doing everything they can to protect against unplanned pregnancies. They damn well should be using condoms and doing everything possible to reduce the likelihood of pregnancy. But, reality is .  . .

However, if you have external genitalia you can still be involved in contraception. Ask the people you are involved with what kind of contraceptives they are using, be aware of their schedule, stay informed, if you know a person you are with is forgetful, bad with schedules, whatever, then offer to help them remember the next pill/shot/ring/whatever. Hell, if they are using the ring, make putting it in and taking it out a part of your sex play! Whatever it takes STAY THE FRICK INVOLVED.

And for those of us with internal genitalia, our externally-equipped partners have every fricking reason to want to be involved and aware of what we’re using and how effective it is. For the love of chocolate, do not tell them it is none of their business – if we get pregnant, it’s their kid too! Keep them aware, keep them informed, keep the communication going!

Fertility

Next up: fertility. Personally, I think if it’s affordable (which it isn’t for me or most people) everyone who can, should get their fertility levels checked at least once. Why? Because knowing how fertile you are has a big impact on what contraceptives you should consider and how much you need to worry. Me? I am walking fertility drug. I kid you not, my partner was told his sperm count was so low he was infertile, and I got pregnant. Same thing happened to two of my aunts. And my mother has had 11 pregnancies (6 full term) half of them on various kinds of birth control. I’m told that I am too fertile to get my frigging tubes tied! (I’d end up with ectopic pregnancies – not good.)

A friend of mine had to jump through hoops like a circus dog to get pregnant. If she’d known that years ago, she could have fretted a lot less about the possibility of becoming pregnant before she was ready.

Since fertility testing is so expensive, at the very least, do what you can to check the family history. That can give you some clue as to what you might be able to expect out of your little swimmers or floaters.

Tubal

Number 3: Getting your tubes tied is not a guarantee!!!! A female friend of my had her tubes cut and tied, and a uterine ablation (her UTERUS cauterized) and still got pregnant. A male friend of my mother’s? Had his tubes tied, got his wife pregnant – it turned out that he had THREE tubes, and they missed one. Again, if it’s possible, get your fertility checked after your tubes are tied if you want to be sure.

Plan B

Fourth and ten – three words MORNING AFTER PILL!!!!! If you have any reason to believe that your birth control may be off, may have failed or may just be fricking useless, stock up on this little gem. If you have it you can always choose not to use it. The reverse is entirely not true.

 

Now, folks with internal genitalia jumped on the pill with cries of ‘hallelujah!’ for a reason – overall, the thing works. Since its introduction, there have been thousands, if not millions of people who have happily made like rabbits for years without getting pregnant. My point here is not to be crying sexual Armageddon, and if you are one of those lucky stiffs who can take the pill regularly, have your fun for as long as you want, and then get pregnant as soon as you decide you are ready? My hat’s off to you (and as a side note, I hate you). But please be aware of the facts, options, and what not to make educated decisions about what you and your partners do.

As for me? I am fricking paranoid for a reason (see above), and I am abstaining until further notice. (Michael, the blessed saint, is willing to put up with it too!)