Your roadmap to choosing Contraception

Choosing the right contraception might feel overwhelming, but it doesn't have to be a maze. Remember, there is no one-size-fits-all when it comes to your reproductive health and finding the right fit might take trial and error, so here is leading general practitioner Dr Alisha Esmail’s (London Gynaecology clinic) top tips to help you navigate your way!

Tip 1: Consider hormonal vs. non-hormonal options

From natural methods like family planning all the way to the most invasive choices like surgical procedures, the spectrum of non-hormonal contraception varies in effectiveness and duration. They can be a great option if you’re averse to taking hormones or have other medical risk factors that make them unsafe for you to use.

Hormonal options include pills, injections, implants and certain coils (intrauterine devices) - they mimic the natural hormones in your body that control your monthly cycles to help regulate them. They offer many benefits like lightening periods, but they're not for everyone; it's about finding what suits your body best.

While all options carry their own small risks, especially hormonal, their benefits often outweigh them. Comparatively, risks are small when viewed against everyday activities like smoking or eating unhealthily. Always consult reliable sources or see one of our experienced GPs or consultants for personalised and accurate information.

Tip 2: Know the benefits of hormones

Don't discount hormonal methods - they can alleviate premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD), heavy or painful periods, and help with conditions like polycystic ovarian syndrome (PCOS) or endometriosis.

Certain hormonal methods, such as the pills and Mirena (hormonal) coil, hugely lighten bleeds, and make them less painful. The combined pill in particular allows you control over when you bleed - monthly, 3-monthly or not at all! Definitely speak to a doctor when thinking about these options to check if they’re safe for you.

Tip 3: Effectiveness differs

The effectiveness in preventing pregnancy differs based roughly on where it falls on the duration spectrum. Generally, the least invasive like natural family planning and condoms are the least reliable. Towards the other end, coils and surgeries are extremely effective. Standing out uniquely though, is the implant which ranks as the most reliable, offering over 99.9 per cent dependability.

Tip 4: Duration varies

Considering how long each method lasts is vital, especially if you’re planning a family soon or approaching menopause. Methods vary from daily pills to longer-term solutions like three-monthly injections, to three-yearly implants and then coils which can last three to 10 years depending on the type. The vast majority of contraception options are easily reversible, save surgical sterilisation which is considered permanent. A key tip around the perimenopause (the lead up to menopause) is that certain hormonal coils have the added benefit of providing a component of hormone replacement therapy (HRT) for your menopause! Speak to one of our doctors for further information.

Exploring different options does take patience, as your body also takes time to adjust to each one!

Tip 5: Protect yourself from STIs

Condoms are the only method that offer some STI protection, but they're not foolproof. Open conversations with your partner beforehand and getting tested regularly are important for safer sex.

At London Gynaecology, we provide comprehensive sexual health screenings, catering to both routine check-ups and urgent assessments. Our aim is to offer personalised advice and tailored treatment to address your specific needs.

We want to empower you

Ultimately, finding the right contraception is about aligning with your individual needs. Our experienced GPs and consultants strive to give you the most up-to-date and personalised knowledge to equip you, and to help fit you with the right option.

Keep exploring and stay informed by reading from reliable sources as the landscape constantly evolves. Your choice may change just as your life stages do, and that's perfectly okay!

Want to find the right contraception for you? Arrange a consultation with Dr Alisha Esmail via her .Top Doctors profile.