3b) Is it safe to use a contraceptive method for as long as 2 years?

What if Eve has

another miscarriage, making her over 30 years by the time she’s pregnant for the
third time?
- In the case of Eve and Lamar, they must consider the contraception that their doctor has
recommended for them, to make sure that it is safe for Eve's and Lamar's condition as heavy smokers
because many contraceptives can increase Eve's risk of blood clots, heart attacks, or strokes while taking
contraceptives. These can be the possible contraceptives that are advisable for a smoker like Eve that
can be last for more than 2 years

• The IUD Mirena, which is highly recommended for a smoker,

• Progestin-only implant, and the minipill, also known as the progestin-only birth control pill

• Any hormone-free method, such as condoms, is safe for Eve.

Yes, it is safe to use contraception for as long as couples want. There are a variety of long-acting
contraceptives available and can restore fertility immediately if wanted. However, it restricts their
alternatives, particularly for smokers. Ex: Copper IUD's, Condoms, Injectables Natural contraceptives,
and combination pills are not highly recommended for the case of Eve and Lamar. Natural
contraceptives have a higher rate of conceiving a child while combination pills are not suitable for heavy
smokers. Risk of experiencing blood clots, heart attacks, or a stroke is significantly higher when
combined with smoking and taking hormonal pills.

A woman's ability to conceive begins to decline slightly at the age of 27, and her chances of becoming
pregnant decrease by about 3% each year after the age of 30. That must be considered by Lamar and
Eve after the second miscarriage, which puts Eve in her 30s, but more importantly, there's a higher
chance that Eve and Lamar's third attempt at pregnancy will be fine if they seek care from a genetic
specialist or an infertility specialist to guide them in their third pregnancy.

 Since there is a high possibility that eve has an underlying medical condition, especially
considering her age that is at risk of pregnancy problems, this will uncover and let give a
diagnosis to recurrent miscarriage.
 Older women ages 30 and above are more likely to have eggs with chromosomal irregularities
(such as low egg supply).
 Other ways to test for underlying issues for multiple miscarriages are genetic screening,
ultrasound, hormone tests, hysterogram, and endometrial biopsy.
 women in their 30s are at risk of many things, especially if they have a history of usage of
smoking, some problems may not be limited to miscarriage, birth defects, high blood pressure,
and difficult labor.
 The cessation program will help the mother and the husband to know the significance of
quitting smoking in order to prevent if not lessen the risk to the mother (health issues) and this
will also give chance to have a high chance of not getting a miscarriage again.