Choosing the right contraceptive: A guide to modern methods and options

Written in association with: Dr Marjorie Quinlan
Published: | Updated: 30/10/2024
Edited by: Conor Lynch

Selecting the right contraceptive is a highly personal decision that depends on factors such as lifestyle, health, family planning goals, and comfort with different methods. With a wide range of modern contraceptives available, it's important to understand the pros and cons of each option to make an informed choice.

Hormonal methods

Hormonal contraceptives are among the most popular options, including birth control pills, patches, vaginal rings, and injections. These methods work by preventing ovulation or thickening cervical mucus to block sperm from reaching the egg.

 

Birth control pills, for instance, are effective when taken consistently, but they require daily commitment. Patches and rings offer more convenience, needing to be replaced weekly or monthly, while injections, like Depo-Provera, are administered every three months.

 

For women seeking longer-term contraception without daily maintenance, intrauterine devices (IUDs) are a great option. Hormonal IUDs, such as Mirena, can last between three to six years and also reduce menstrual bleeding and cramps. Non-hormonal copper IUDs are another choice, lasting up to 10 years, and are ideal for those who prefer to avoid hormones.

Barrier methods

Barrier methods, such as condoms, diaphragms, and cervical caps, physically prevent sperm from reaching the egg. Condoms have the added benefit of protecting against sexually transmitted infections (STIs), making them a dual-purpose option. However, they must be used consistently with each sexual encounter to be effective.

Permanent options

For those who are certain they do not want children in the future, permanent contraception is an option. Tubal ligation (for women) and vasectomy (for men) are surgical procedures that provide permanent solutions by blocking or cutting the pathways for eggs and sperm. These are highly effective but irreversible methods, so careful consideration is necessary.

Consulting a healthcare provider

Choosing the right contraceptive involves assessing personal needs and health factors. Consulting with a healthcare provider can help navigate the options, ensuring the method selected aligns with individual preferences, health conditions, and long-term goals. With so many choices available, finding the right contraceptive is easier than ever with the right guidance. 

By Dr Marjorie Quinlan
GP (general practitioner)

Dr Marjorie Quinlan is a highly experienced private general practitioner with a specialist interest in women’s health and menopause. She currently practises at the Vitalis Health Belfast, and is a communication skills tutor at Queen's University Belfast. Her other main areas of expertise include contraceptive methods, sexual health, health screening, and lifestyle medicine

Impressively, Dr Quinlan completed a MBBS with distinction at Queen's University Belfast in 2002, before going on to undertake rigorous training in various medical specialties in Belfast, Sydney, and Dublin. Following this, she would go on to complete her GP training in London.

After settling in London, Dr Quinlan developed a specialist interest in women’s health. She has a high level of expertise in menopause management and advice. She is a member of the Faculty of Sexual and Reproductive Health and, notably, is an experienced coil and contraceptive implant fitter. 

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