Contraception.

Choosing the right contraceptive option is an important part of reproductive health. There are many safe and effective methods available, ranging from daily medications to long-acting reversible contraception (LARC) and permanent surgical options.

Your choice will depend on your lifestyle, medical history, and future fertility plans.

Types of Contraception

Medication (Short-Acting Contraception)

These methods rely on taking medication regularly to prevent pregnancy.

Combined Oral Contraceptive Pill (“The Pill”)

• Contains oestrogen and progesterone

• Regulates periods, reduces bleeding and pain

• Also improves acne and PMS symptoms

• Must be taken daily for best effectiveness

Progesterone-Only Pill (“Mini Pill”)

• Suitable for women who cannot take oestrogen

• Safe while breastfeeding

• Must be taken at the same time every day

Depo-Provera Injection

• A progesterone injection given every 12 weeks

• Very effective

• Can cause irregular bleeding initially

• Periods and fertility may take several months to return after stopping

Long-Acting Reversible Contraception (LARC)

These are the most effective reversible options. Once inserted, they provide long-term contraception without needing daily action.

Mirena® (Levonorgestrel Intrauterine System)

• Lasts up to 5 years

• Reduces bleeding by up to 90%

• Commonly used to treat heavy periods, adenomyosis, and endometrial protection

• Suitable for most women, including those who have not had children

Kyleena® IUS

• Slightly smaller version of Mirena®

• Lasts up to 5 years

• Releases a lower dose of hormone

Copper IUD

• Hormone-free option

• Lasts 5–10 years

• Can make periods heavier or more painful in some women

• Provides effective emergency contraception if inserted within 5 days of unprotected sex

Implant (Jadelle®)

• A small rod placed under the skin of the upper arm

• Lasts 5 years depending on the type

• Very effective

• May cause irregular bleeding but generally well tolerated

Permanent Contraception (Surgical Options)

A suitable option for women who are certain they do not want future pregnancy.

Bilateral Salpingectomy (Permanent Sterilisation)

• Surgical removal of both fallopian tubes

• Over 99% effective

• Can be performed laparoscopically (keyhole surgery)

• Also reduces the future risk of ovarian cancer

• Not reversible, so careful consideration and counselling are essential

How to Choose the Right Method

When selecting contraception, it helps to consider:

• How effective you need the method to be

• Whether you prefer hormonal or non-hormonal options

• How often you want to think about contraception

• Your plans for future pregnancy

• Your medical history, including migraines, blood pressure, or risk of clots

• Period symptoms such as heavy bleeding or pain

Together, we can discuss the benefits and possible side effects of each option to help you make an informed choice.