Contraception

What is contraception?
Contraception is used to prevent pregnancy. There are a number of different methods of contraception and it is important to choose the right one that best meets your needs.  It is best advised that you talk to your doctor or health professional to discuss the different contraceptive options that are available and which one suits you best also a method you are happy with means you will be able to enjoy sex without the worry of an unplanned pregnancy.

Remember only condoms offer protection from both unintended pregnancy and STIs, even if you are using another method of contraception.

When choosing contraception you should consider:

  • its effectiveness
  • your lifestyle
  • ease of use
  • side effects
  • cost and availability 
  • health issues which may limit some choices

 

Oral Contraceptive Pill 
The Oral Contraceptive Pill (‘The Pill”) is taken once daily and contains low doses of two hormones – oestrogen and progestogen. These are similar to the hormones naturally produced by the female body. The Pill is only available on prescription from a doctor and ranges in price from about $3.00 anywhere up to $20.00-$25.00 from the chemist.

There are many types of combined pills available. They differ in the level of hormones and the type and level of the progestogen they contain.The Pill works by: preventing ovulation (release of egg from the ovary); thickening the mucus of the cervix so that sperm cannot enter the uterus; changes the lining of the uterus, making it unsuitable for pregnancy.

The Pill is 97-99% effective when taken correctly. This means that if 100 women take the Pill, between one and three of those women could become pregnant in a year. It is less effective than this if not taken according to instructions. Some of the advantages of oral contraception are if you suffer from heavy periods, painful periods  “the pill” may assisted in reducing these side affects,  Fertility after stopping oral contraception returns soon after. The Pill does not protect from Sexually Transmitted Infections (STI’s).


The Contraceptive Vaginal Ring –NuvaRing
NuvaRing is a soft contraceptive vaginal ring which releases a small daily dose of the hormones oestrogen and progestogen which is absorbed by the walls of the vagina which distributes the hormones into the bloodstream, preventing ovulation (the release of an egg from the ovary). These hormones are similar to those naturally produced by the female body and the same as those used in oral contraceptive (‘The Pill’).

NuvaRing works by: preventing ovulation (egg release from the ovary); thickening mucus in the cervix so sperm cannot enter the uterus; hanges the lining of the uterus, making it unsuitable for pregnancy.

NuvaRing is inserted by squeezing the ring between your thumb and index finger into the vagina where it is left for 3 weeks out of 4 weeks and removed for 1 week where a period is had similar to the sugar pills in the oral contraceptive then a new NuvaRing is inserted. If inserted correctly, most women cannot feel the ring once it is in their vagina but who see your doctor to show you how to insert the NuvaRing correctly. If you forget to insert the NuvaRing you have a 24 hour window to insert it, or if you remove it at any time for longer than 3 hours, insert it as soon as you remember and use another form of contraception for seven days (eg condoms).

If used correctly, NuvaRing is around 99% effective at preventing pregnancy. If inserted on the first day of the menstrual cycle, or immediately after ceasing use of the combined oral contraceptive pill, Implanon or Depo, it is effective immediately. If inserted later in the cycle, NuvaRing takes seven days to become effective.

NuvaRing is suitable for most women. Women who have difficulty remembering to take daily contraception may prefer this method. It is also a good alternative for women who are uncomfortable using more invasive methods of contraception such as implants or intrauterine devices. NuvaRing is available on a prescription only from your doctor and is priced from about $20-$30 at the chemist. The NuvaRing does not protect from Sexually Transmitted Infections (STI’s).


Depo Provera and Depo Ralovera
Depo is a chemical similar to the hormone progesterone, which is naturally produced by the female body. Depo is given by injection every 3 months (12 weeks) and is slowly absorbed into the blood stream to prevent pregnancy. Depo Provera and Depo Ralovera are the brand names of Depo available in Australia.

Depo works by: preventing ovulation (egg release from the ovary); thickening of the mucus of the cervix so that sperm cannot enter the uterus; changes the lining of the uterus, making it unsuitable for pregnancy. Most women can use depo. Periods often become irregular and sometimes last longer, but heavy bleeding is not very common. You could have continual light bleeding for some weeks or find that your periods stop altogether. The longer you use Depo the more likely it is that your periods will stop, or you may just have an occasional light period.

If you decide to use Depo after having a baby, it is best to have your first injection five to six weeks after the birth. If it is given earlier than that, bleeding may be heavy or last longer. It is safe to use Depo while you are breastfeeding, 'though you should be aware that small amounts of the hormone will go through to the baby in the breast milk but will not affect the quality or quantity of the breast milk.

It is important that you keep on having injections every 12 weeks to make sure you do not get pregnant. After the 12 weeks, you have two weeks to have your injection before there is an extra risk of pregnancy. Depo is only available on prescription from your doctor and costs between $10-25 from the chemist. Depo does not protect from Sexually Transmitted Infections (STI’s).


The contraceptive implant – Implanon
Implanon is a small flexible rod about the size of a match stick, which is inserted under the skin of the upper arm. Once inserted it slowly releases a progestogen (similar to the hormone progesterone, which is naturally produced by the female body) into the blood stream to prevent pregnancy for up to 3 years.

Implanon works by: preventing ovulation (egg release from the ovary); thickening of the mucus of the cervix so that sperm cannot enter the uterus; changing the lining of the uterus, making it unsuitable for pregnancy.

Some of the side effects of Implanon are: periods stopping completely; rregular periods or spot bleeding; rolonged bleeding (this is usually light, but can cause inconvenience to women; heavy bleeding; small weight gain in some women; headaches & acne; decreased sexual interest for some women; mood changes; breast tenderness.

Implanon is around 99.9% effective. The Implanon implant needs to be replaced with a new implant every three years. After three years, the effectiveness reduces and there is a small increase in the risk of a pregnancy occurring in the Fallopian tube.
Implanon is only available on prescription from a doctor or gynaecologists but only doctors or gynaecologists who have had special training in inserting the implant can insert the implant. The Implanon costs around $30.00 from the chemist but as stated above a doctor who has had special training can only insert the Implant and there maybe a larger than usual doctors fee involved. Implanon does not protect from Sexually Transmitted Infections (STI’s).


IUD (Intra Urine Device)
The IUD is a small T-shaped device. There are three main types of IUD’s used the Merina, Multiload and Copper-T. The IUD is placed inside the uterus, The Merina is an effective form of contraceptive for up to 5 years, Multiload and Copper-T can be effective for 5 or 8 years respectively.

The IUD works by: thickening the mucus of the cervix so that sperm cannot enter the uterus ; changing the lining of the uterus, making it unsuitable for pregnancy; preventing sperm from moving through the uterus and from fertilizing ova (eggs); preventing implantation of a fertilized ovum (egg); It is best advised that you talk to your doctor as to whether not the IUD is suitable for you.

The IUD is suitable for women who: have heavy painful periods; wish to use an effective long-term method of contraception in particularly  if you have already had a child but to have a space of 2 or more years between pregnancies; are approaching menopause.

The IUD is only available on perscrption from a doctor or gynaecologists but only doctors or gynaecologists who have had special training in inserting IUD’s can insert the device. The IUD device itself costs around $30.00 from the chemist but as stated above a doctor who has had special training can only insert the device and there maybe a larger than usual doctors fee involved. The IUD does not protect from Sexually Transmitted Infections (STI’s).


Diaphragm
The diaphragm is a barrier method of contraception that is placed inside the vagina that covers the cervix at the entrance of the uterus and tucks in behind the pubic bone, held in position by the pelvic muscles. A diaphragm is a dome-shaped latex rubber cap that stops the sperm getting into the uterus to help prevents pregnancy. The diaphragm is left in place for a further six hours (or longer if wished) during which time any sperm in the vagina die.

Diaphragms are generally only available from any Family Planning Clinic and also available for purchase at around $65-$80 in various different sizes and it is extremely important that you are fitted by a professional (this service is available from any Family Planning Clinic). Diaphragms do not protect against Sexually Transmitted Infections (STI’s).


Female condom
The female condom is a polyurethane sheath, which is inserted into the vagina before sexual intercourse. It is about 15cm long and has two flexible rings to keep it in place in the vagina. It acts as a barrier that stops body fluids (eg semen and vaginal fluids) passing between sexual partners to prevent pregnancy and STI’s. It can only be used once.

When used correctly, the female condom can be up to 95% effective as a contraceptive method. If not used correctly and consistently, the failure rate will be higher. Availability of female condoms is limited. Contact a Sexual Health or Family Planning clinic for information on availability.


Male condom
The male condom is a sheath made of thin, strong latex rubber or polyurethane, which is rolled onto the erect penis before vaginal, anal, or oral sex. It can only be used once. When used correctly and consistently, it can be 96-99.6% effective as a contraceptive method. If not used correctly and consistently, the failure rate will be higher.

Condoms are the only contraceptive method that offers protection from both unintended pregnancy and STI’s. Male condoms work by acting as a physical barrier that stops body fluids (eg semen, vaginal fluids) passing between sexual partners
Male condoms are available from clinics, pharmacies, supermarkets service stations and vending machines. They come in different shapes, thickness, flavours, textures, sizes and colours.


Sterilisation
This form of contraception is both effective but also permanent method Female sterilisation involves blocking the Fallopian tubes to stop the passage of the ovum. Both surgical and non-surgical methods are available. Male sterilization (vasectomy) involves an operation on the vas deferens to prevent the passage of sperm.

More information about sterilisation is available from a health professional or doctor. Sterilisation does not protect you against Sexually Transmitted Infections (STI’s).


Natural methods of contraception
Natural methods of contraception do not rely on the use of hormones or devices and include the following:

Natural Family Planning (NFP) is a method of predicting or calculating fertile phases and non fertile phases in the menstrual cycle to indicate when sexual intercourse should be avoided to prevent pregnancy.
Natural methods of contraception do not protect you against Sexually Transmitted Infections (STI’s).

“The withdrawal method”
The withdrawal method is when a man withdraws his penis from a woman's vagina before he ejaculates. This is meant to prevent sperm entering the vagina, reaching an egg and causing pregnancy. This is not safe. Pregnancies often occur when “The withdrawal method” is used. The penis produces some fluid ('pre-cum') after it becomes erect and before ejaculation. Often there is sperm in the pre-cum and this can cause pregnancy.  Also, this method relies on the man judging when he is going to ejaculate, and it is quite common for a man to ejaculate before he withdraws his penis. There are more effective forms of contraception and this method is generally not recommended. “The withdrawal method” does not protect you against Sexually Transmitted Infections (STI’s).

Unsafe sex and what to do
If you have had unprotected or unsafe sex, such as sex without using any contraception, it is possible that you may become pregnant, and you need to work out what to do as soon as possible.
Emergency Contraception (the 'Morning after pill') can be very effective if started within 72 hours after unprotected sex.

 

Information on this page has been sourced from: 

http://www.fpq.com.au
http://www.fpahealth.org.au
http://www.nuvaring.com
http://www.organon.com.au
www.nfpprog.com
www.acnfp.com.au



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Last Updated on Tuesday, 04 March 2008 17:50