<div class="OutlineElement Ltr SCXW204332757 BCX0"> <p class="Paragraph SCXW204332757 BCX0"><span class= "TextRun SCXW204332757 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class= "NormalTextRun SCXW204332757 BCX0">In this episode,</span> <span class="NormalTextRun SCXW204332757 BCX0">Dr. Eleanor Bimla Schwartz and Dr. Kelly</span> <span class= "NormalTextRun SCXW204332757 BCX0">Treder</span> <span class= "NormalTextRun SCXW204332757 BCX0">discuss</span><span class= "NormalTextRun SCXW204332757 BCX0">&nbsp;misconceptions about</span> <span class="NormalTextRun SCXW204332757 BCX0">tubal sterilization</span><span class= "NormalTextRun SCXW204332757 BCX0">, including debunking notions that is it 100% fool-proof,</span> <span class= "NormalTextRun SCXW204332757 BCX0">that the surgery is reversible, that it is more</span> <span class= "NormalTextRun SCXW204332757 BCX0">effective</span> <span class= "NormalTextRun SCXW204332757 BCX0">than other contraceptive options,</span> <span class="NormalTextRun SCXW204332757 BCX0">or that there is little to no pain post-surgery.</span> <span class= "NormalTextRun SCXW204332757 BCX0">“I think we do have</span> <span class= "NormalTextRun AdvancedProofingIssueV2Themed SCXW204332757 BCX0">fairly widespread</span> <span class= "NormalTextRun SCXW204332757 BCX0">misunderstanding of what it means to have your tubes tied.</span> <span class= "NormalTextRun SCXW204332757 BCX0">A lot of people</span> <span class="NormalTextRun SCXW204332757 BCX0">seem to have</span> <span class="NormalTextRun SCXW204332757 BCX0">the understanding that that would be something you could easily untie and that it would be a procedure that you could undo,” Dr. Schwartz</span> <span class= "NormalTextRun SCXW204332757 BCX0">says</span><span class= "NormalTextRun SCXW204332757 BCX0">.</span> <span class= "NormalTextRun SCXW204332757 BCX0">They highlight how important it</span> <span class="NormalTextRun SCXW204332757 BCX0">is for providers to share information with patients about other</span>&nbsp;<span class= "NormalTextRun SCXW204332757 BCX0">long-acting contraception options (arm implant, IUD</span><span class= "NormalTextRun SCXW204332757 BCX0">, vasectomy)</span> <span class= "NormalTextRun SCXW204332757 BCX0">and</span> <span class= "NormalTextRun SCXW204332757 BCX0">their</span> <span class= "NormalTextRun SCXW204332757 BCX0">effectiveness</span> <span class="NormalTextRun SCXW204332757 BCX0">with preventing pregnancy, side effects, cost</span><span class= "NormalTextRun SCXW204332757 BCX0">, accessibil</span><span class= "NormalTextRun SCXW204332757 BCX0">ity, an</span><span class= "NormalTextRun SCXW204332757 BCX0">d</span> <span class= "NormalTextRun SCXW204332757 BCX0">longevity</span> <span class= "NormalTextRun SCXW204332757 BCX0">compared to surgery.</span> <span class="NormalTextRun SCXW204332757 BCX0">Because of this, it is crucial for providers to be informed about the nuances of different contraceptive options</span><span class= "NormalTextRun SCXW204332757 BCX0">.</span> <span class= "NormalTextRun SCXW204332757 BCX0">Dr. Schwartz and Dr. Treder</span> <span class= "NormalTextRun SCXW204332757 BCX0">provide</span> <span class= "NormalTextRun SCXW204332757 BCX0">firsthand insight into what difficult conversations</span> <span class= "NormalTextRun SCXW204332757 BCX0">surrounding contraceptives</span> <span class= "NormalTextRun SCXW204332757 BCX0">with patients can</span> <span class= "NormalTextRun SCXW204332757 BCX0">loo</span><span class= "NormalTextRun SCXW204332757 BCX0">k like.</span> <span class= "NormalTextRun SCXW204332757 BCX0">“I think it's just our obligation to make sure that they know about all available options, that they're not arriving at this decision that they need to have a surgery because they think it's the only thing that's safe for them or the only thing that will work well for them,” says Dr. Schwartz.&nbsp;</span></span><span class="EOP SCXW204332757 BCX0" data-ccp-props="{}">&nbsp;</span></p> </div> <div class="OutlineElement Ltr SCXW204332757 BCX0"> <p class="Paragraph SCXW204332757 BCX0"><span class= "TextRun SCXW204332757 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class= "NormalTextRun SCXW204332757 BCX0">This episode is a follow up to</span></span> <a class="Hyperlink SCXW102105634 BCX0" href= "https://captc.libsyn.com/lesser-known-forms-of-birth-control-and-downplayed-side-effects-providing-empowering-contraceptive-care" target="_blank" rel="noreferrer noopener"><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW102105634 BCX0" data-ccp-charstyle="Hyperlink">S4 E5 Lesser-Known Forms of Birth Control and Downplayed Side-effects: Providing Empowering Contraceptive Care</span></span></a><span style= "font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">with Dr. Karlin and health educator Mariana Horne.</span></p> <p class="Paragraph SCXW204332757 BCX0"><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0"><a href= "https://californiaptc.com/wp-content/uploads/2025/04/Transcript-of-Is-Permanent-Contraception-Always-Fool-Proof-Find-out-with-Dr.-Schwartz-and-Dr.-Treder.pdf"> Click here to view the episode transcript</a>.</span></span><span class="EOP SCXW102105634 BCX0" data-ccp-props="{}">&nbsp;</span></p> <div class="SCXW102105634 BCX0"> <div class="OutlineElement Ltr SCXW102105634 BCX0"> <p class="Paragraph SCXW102105634 BCX0"><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0">Resources recommended in the episode:</span></span> <span class="EOP SCXW102105634 BCX0" data-ccp-props="{}">&nbsp;</span></p> </div> <div class="ListContainerWrapper SCXW102105634 BCX0"> <ul class="BulletListStyle1 SCXW102105634 BCX0" role="list"> <li class="OutlineElement Ltr SCXW102105634 BCX0" role="listitem" data-leveltext="-" data-font="Aptos" data-listid="5" data-list-defn-props= "{"335552541":1,"335559685":720,"335559991":360,"469769226":"Aptos","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1"> <p class="Paragraph SCXW102105634 BCX0"><a class= "Hyperlink SCXW102105634 BCX0" href="https://www.bedsider.org/" target="_blank" rel="noreferrer noopener"><span class= "TextRun Underlined SCXW102105634 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0" data-ccp-charstyle= "Hyperlink">Bedsider.org</span></span></a> <span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW102105634 BCX0">is an online resource designed to help individuals explore, compare, and access birth control options.</span> <span class= "NormalTextRun SpellingErrorV2Themed SCXW102105634 BCX0">Bedsider</span> <span class="NormalTextRun SCXW102105634 BCX0">offers a comp</span><span class="NormalTextRun SCXW102105634 BCX0">rehensive description of various contraceptive methods, such as IUDs, implants, pills, and sterilization</span> <span class= "NormalTextRun SCXW102105634 BCX0">using interactive tools, real-life stories, and educational content.&nbsp;</span></span><span class="EOP SCXW102105634 BCX0" data-ccp-props="{}">&nbsp;</span></p> </li> </ul> </div> <div class="ListContainerWrapper SCXW102105634 BCX0"> <ul class="BulletListStyle1 SCXW102105634 BCX0" role="list"> <li class="OutlineElement Ltr SCXW102105634 BCX0" role="listitem" data-leveltext="-" data-font="Aptos" data-listid="5" data-list-defn-props= "{"335552541":1,"335559685":720,"335559991":360,"469769226":"Aptos","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1"> <p class="Paragraph SCXW102105634 BCX0"><a class= "Hyperlink SCXW102105634 BCX0" href= "https://advancingaccess.ucsf.edu/" target="_blank" rel= "noreferrer noopener"><span class= "TextRun Underlined SCXW102105634 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0" data-ccp-charstyle= "Hyperlink">Advancing Access</span></span></a> <span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW102105634 BCX0">is a UCSF resource that provides clear, evidence-based information on long-acting reversible and non-reversible birth control methods, including costs, benefits, and where to access care</span><span class= "NormalTextRun SCXW102105634 BCX0">.&nbsp;</span></span><span class="EOP SCXW102105634 BCX0" data-ccp-props="{}">&nbsp;</span></p> </li> </ul> </div> <div class="ListContainerWrapper SCXW102105634 BCX0"> <ul class="BulletListStyle1 SCXW102105634 BCX0" role="list"> <li class="OutlineElement Ltr SCXW102105634 BCX0" role="listitem" data-leveltext="-" data-font="Aptos" data-listid="5" data-list-defn-props= "{"335552541":1,"335559685":720,"335559991":360,"469769226":"Aptos","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1"> <p class="Paragraph SCXW102105634 BCX0"><a class= "Hyperlink SCXW102105634 BCX0" href= "https://www.cdc.gov/nchs/nsfg/index.htm" target="_blank" rel= "noreferrer noopener"><span class= "TextRun Underlined SCXW102105634 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0" data-ccp-charstyle= "Hyperlink">https://www.cdc.gov/nchs/nsfg/index.htm</span></span></a> <span class="TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0">- National Survey of Family Growth&nbsp;</span></span><span class="EOP SCXW102105634 BCX0" data-ccp-props="{}">&nbsp;</span></p> </li> </ul> </div> <div class="OutlineElement Ltr SCXW102105634 BCX0">&nbsp;</div> <div class="OutlineElement Ltr SCXW102105634 BCX0"> <p class="Paragraph SCXW102105634 BCX0"><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0">CAPTC related trainings and resources</span></span><span class="EOP SCXW102105634 BCX0" data-ccp-props="{}">&nbsp;</span></p> </div> </div> <div class="OutlineElement Ltr SCXW102105634 BCX0"> <p class="Paragraph SCXW102105634 BCX0"><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW102105634 BCX0">-</span></span> <a class= "Hyperlink SCXW102105634 BCX0" href= "https://californiaptc.com/training/shared-decision-making-in-contraceptive-counseling/" target="_blank" rel="noreferrer noopener"><span class= "TextRun Underlined SCXW102105634 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0" data-ccp-charstyle= "Hyperlink">Shared Decision Making in Contraceptive Counseling</span></span></a><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW102105634 BCX0">&nbsp;</span></span><span class= "EOP SCXW102105634 BCX0" data-ccp-props= "{"335559685":0}">&nbsp;</span></p> </div> <div class="OutlineElement Ltr SCXW102105634 BCX0"> <p class="Paragraph SCXW102105634 BCX0"><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW102105634 BCX0">-</span></span> <a class= "Hyperlink SCXW102105634 BCX0" href= "https://californiaptc.com/training/person-centered-contraception-counseling-for-family-pact-clients/" target="_blank" rel="noreferrer noopener"><span class= "TextRun Underlined SCXW102105634 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0" data-ccp-charstyle= "Hyperlink">Person-Centered Contraception Counseling for Family Pact Clients</span></span></a><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW102105634 BCX0">&nbsp;</span></span><span class= "EOP SCXW102105634 BCX0" data-ccp-props= "{"335559685":0}">&nbsp;</span></p> </div> <div class="OutlineElement Ltr SCXW102105634 BCX0"> <p class="Paragraph SCXW102105634 BCX0"><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW102105634 BCX0">-</span></span> <a class= "Hyperlink SCXW102105634 BCX0" href= "https://californiaptc.com/training/same-day-placement-of-larc-solutions-to-common-barriers/" target="_blank" rel="noreferrer noopener"><span class= "TextRun Underlined SCXW102105634 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0" data-ccp-charstyle= "Hyperlink">Same-Day Placement of LARC: Solutions to Common Barriers</span></span></a><span class="TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW102105634 BCX0">&nbsp;</span></span><span class= "EOP SCXW102105634 BCX0" data-ccp-props= "{"335559685":0}">&nbsp;</span></p> </div> <div class="OutlineElement Ltr SCXW102105634 BCX0"> <p class="Paragraph SCXW102105634 BCX0"><span class= "EOP SCXW102105634 BCX0" data-ccp-props="{}">&nbsp;</span></p> </div> <div class="OutlineElement Ltr SCXW102105634 BCX0"> <p class="Paragraph SCXW102105634 BCX0"><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0">Brief Bio&nbsp;</span></span><span class="EOP SCXW102105634 BCX0" data-ccp-props="{}">&nbsp;</span></p> </div> <div class="OutlineElement Ltr SCXW102105634 BCX0"> <p class="Paragraph SCXW102105634 BCX0"><span class= "TextRun SCXW102105634 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0"><a class= "Hyperlink SCXW102105634 BCX0" href= "https://zsfgdgim.ucsf.edu/people/eleanor-bimla-schwarz" target= "_blank" rel="noreferrer noopener"><span class= "TextRun Underlined SCXW102105634 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW102105634 BCX0" data-ccp-charstyle= "Hyperlink">Dr. Eleanor Bimla Schwartz</span></span></a> Dr. Schwartz, MD is a professor of medicine at UCSF</span> <span class= "NormalTextRun SCXW102105634 BCX0">and</span> <span class= "NormalTextRun SCXW102105634 BCX0">the chief of the Division of General Internal Medicine at the San Francisco General Hospital.</span> <span class="NormalTextRun SCXW102105634 BCX0">She has a particular interest in</span> <span class= "NormalTextRun SCXW102105634 BCX0">identifying</span> <span class= "NormalTextRun SCXW102105634 BCX0">ways to