Contraception

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Contraceptive Options Available at Our Clinic​

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We offer a variety of contraceptive methods to suit different needs. Here are some common options we discuss with patients:

Oral Contraceptive Pills (The Pill)

The oral contraceptive pill is a widely used, convenient method of contraception. There are two main types: combined pills (which contain both estrogen and progestogen) and progestogen-only pills (also known as the mini-pill). The pill works by preventing ovulation (the release of an egg) and thickening cervical mucus to block sperm.

Benefits:

• Highly effective when taken as directed

• Regulates menstrual cycles

• Reduces menstrual cramps and heavy bleeding

Considerations:

• Must be taken at the same time every day

• Not suitable for women who smoke and are over 35, or those with certain health conditions
   

Intrauterine Devices (IUDs)

IUDs are small T-shaped devices inserted into the uterus by a healthcare provider. There are two types: copper IUDs and hormonal IUDs. Copper IUDs work by releasing copper, which is toxic to sperm, while hormonal IUDs release progestogen to thicken cervical mucus and prevent ovulation. Hormonal IUD (Mirena) is by far the most common type  used now.

Benefits:

• Long-acting (5-10 years, depending on the type)

• Highly effective and reversible

• Low maintenance once inserted

• Cost effective

Considerations:

• Insertion can be uncomfortable for some women

• Some women may experience heavier periods or spotting with a copper IUD
   

Hormone Implants

A contraceptive implant is a small, flexible rod that is inserted under the skin of your upper arm. It slowly releases progestogen, which prevents ovulation and thickens cervical mucus.

Benefits:

• Long-lasting (up to 3 years)

• Convenient, no daily action required

• Highly effective

Considerations:

• Requires a minor procedure to be inserted and removed

• May cause irregular bleeding for some women
   

Contraceptive Injections

The contraceptive injection (Depo-Provera) is an injection of progestogen that provides protection against pregnancy for three months. It works by preventing ovulation and thickening cervical mucus.

Benefits:

• Effective for 12 weeks

• Convenient for women who do not want to take daily medication

Considerations:

• Can cause changes in menstrual bleeding patterns

• May take some time for fertility to return after stopping the injections

• Regular injection every 3 months

Barrier Methods (Condoms, Diaphragms, and Cervical Caps)

Barrier methods prevent sperm from reaching the egg. Male condoms are the most common and are also effective in preventing sexually transmitted infections (STIs). Female condoms, diaphragms, and cervical caps are other options.

Benefits:

• Can be used on demand

• No hormones involved

• Provide protection against STIs

Considerations:

• Less effective than hormonal methods

• Requires use during each act of intercourse
   

Natural Family Planning (Fertility Awareness)

This method involves tracking the menstrual cycle and avoiding unprotected intercourse during the fertile window (when you're most likely to conceive). It relies on careful monitoring of temperature, cervical mucus, and cycle length.

Benefits:

• No medication or devices required

• Can be empowering for those who prefer natural methods

Considerations:

• Requires consistent and accurate tracking

• Significantly less effective than other methods, particularly for women with irregular cycles
   

Sterilisation

Sterilisation is a permanent method of contraception. For women, this involves a procedure called tubal ligation, where the fallopian tubes are either blocked or sealed to prevent eggs from reaching the uterus.

Benefits:

• Permanent solution for those who do not want any more children

Considerations:

• Irreversible, so it’s important to be certain about the decision

• It is and operation with an anaesthetic and some risks associated
   

Vasectomy

Vasectomy is a popular Choice for couples who no longer want children. .  It is a permanent form of contraception for a male.  It  much and less invasive and has lower risks than the equivalent female sterilisation procedure.
Benefits:

• Permanent solution for those who do not want any more children

• Easily accessible in the community and offered in our practice. 

• One-hour procedure under local anaesthetic

Considerations:

• Irreversible, so it’s important to be certain about the decision

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How to Choose the Right Contraception

Selecting the best contraceptive method for you depends on various factors, such as:

• Your health and medical history

• Your lifestyle and preferences

• How often you plan to have sex

• Whether you want to have children in the future

• Any side effects you may be concerned about

 

We work with you to discuss your options and help you make an informed decision. We also offer ongoing support and monitoring to ensure that your chosen method is working for you.

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If you have any questions about contraception or need help choosing the right method, don't hesitate to book an appointment with one of our experienced doctors. All the  doctors at Paddington Medical Centre are  qualified to give you advice on contraception.

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