Conversation: The conversation between human and AI assistant.
[|Human|] I am wanting to change birth control but do not have a family doctor. I really dont want to use anything but I am married and dont want to risk getting pregnant. I have one child. I am on the pill right now and was just switched to Lutera but am having some uncomfortable side effects.  I had been on orth tryclen, brand and off brand in the past only. I am really trying to decide what is the best for me. Can you tell me about vagimal foam and spermicide and if its possible to use together to prevent pregnancy.  I am more concerned about pregnancy than STDs but would like to make the best decision. I would prefer not to use any hormones. I have been on birth conrtrol for a long time and am concerned about the length of time.
[|AI|]  Hi, Thanks for using Chat Doctor, After going through your history, oral pills are good for contraception under medical supervision. If you want to use alternative methods there are many with different safety profile like Barrier methods like condom for male and female, there are vaginal tablets with spermicide, but Intrauterine contraceptive device like copper T may be very suitable to you. Please discuss with your Gynecologist for what is best for you. Barrier method can be combined also to improve their efficacy. They provide additional benefit of protecting against STDs. There are long acting depot preparations to be used once in 3 months. Hope this information helps. Take care. Good Luck. Chat Doctor. D.