The Voice of Choice


A summary of Megan’s contributions to the panel discussion about birth control options, access, education and culture.

The Primary
26 Broadway, 8th floor
New York, New York


Megan: What is the main issues you hear from women when it comes to their fertility?

When it comes to fertility, the main issue I hear from women in my practice is that they simply need support. 

In all areas — from choosing the right birth control, to pregnancy planning, pregnancy care, and postpartum care, there are global knowledge gaps in reproductive health, and that’s because (at least in part) we’re not talking about it or women have never been taught.


What I can say is that there tends to be a disconnect between our fertility and natural cycle. 

Many clients meet with me after many years of being on the Pill for instance and are out of touch with how their bodies work. How their hormones fluctuate throughout the month and how hormones play a major role in how we feel on a day to day basis. 

For many women, access to high-quality reproductive care is the biggest issue. For some that looks like PAPs and screenings, for others it’s the ongoing care and conversation similar to this. For instance:

What birth control makes sense for me?

When am I most fertile? 

What is ovulation? 

What foods do I eat for healthy periods?

That is in part what we do at HHC for a population of women, providing adjunct support and education so at the very least they can make an informed decision. 

Megan: What do you see as the biggest holes around birth control awareness, and how do you see these being resolved?

  1. Women need support.

  2. Women need access.

  3. Women need education. i.e. menstrual cycle and fertile days

For starters, given the global knowledge gaps in reproductive health, we can agree we can all do better in educating our patients. 

ACOG recommends all health encounters during a woman’s reproductive years to include health promoting behaviors to optimize fertility, pregnancy outcomes and prevent maternal mortality. This should also include contraceptive counseling. 

I also see Telehealth playing a significant role in closing many gaps in healthcare  — reproductive health included. 

Telehealth technology has opportunity to meet patients where they are, and address all three of those barriers — support, access, and education. Those are the three legs HHC stands on.

Let’s continue the conversation!

  1. Take a photo of your breakfast eggs and tag @naturalcycles

  2. Tell us about your experience with birth control, and

  3. Forward the question to your community to open up the conversation and remove taboos by asking them “How do you like #youreggs?

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