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Your options

Contraceptive Implant

  • Small plastic device that is inserted under the skin
  • Contains a hormone that is >99% effective at preventing pregnancy.
  • May help with heavy painful periods
  • Can be inserted straight after the birth of your baby

Contraceptive Pills

  • Progesterone only pill - ideally taken at the same time every day
  • >99% effective with perfect use, 91% effective with typical use
  • Can be started immediately after the birth of your baby
  • Safe whilst breast feeding
  • Can help heavy painful periods
  • Can cause irregular bleeding
  • Combined hormone pill
  • Contains two hormones: Oestrogen & Progesterone
  • >99% effective with perfect use, 91% with typical use
  • Cannot be started until 3-6 weeks after the birth of your baby
  • May not be suitable for some women
  • May help with heavy painful periods

Barrier Contraception

  • With perfect use male condoms are 98% effective and female condoms 95% effective
  • With typical use male condoms are 82% effective and female condoms 79% effective
  • Protects against STIs
  • Can be used any time after the birth of your baby
  • Diaphragms & caps are reusable methods that are between 71-88% effective with typical use
  • Used with spermicide
  • Requires practice to insert
  • Non latex containing alternatives are available

Permanent Contraception

  • Female sterilisation can be done at the time of a planned caesarean section
  • 1:200 risk of failure
  • Risk of regret
  • Increased risk of ectopic pregnancy
  • Male sterilisation is a short procedure carried out under local anaesthetic
  • 1:2000 risk of failure
  • Reversal of both procedures is not available on the NHS

Intrauterine Contraception

  • 2 types of coil used
  • >99% effective
  • Can be inserted immediately after a vaginal delivery or during a caesarean section
  • Safe with breast feeding
  • Lasts between 5-10 years depending of type used
  • The risk of expulsion is slightly higher than normal when inserted after giving birth
  • Effectiveness not altered by other medications

Injectable Contraception

  • Hormone injection that is >99% effective with perfect use
  • 94% effective with typical use
  • Can be given straight after the birth of your baby
  • Safe whilst breast feeding
  • Lasts between 8-13 weeks
  • Can be self-administered
  • Can help heavy painful periods
  • Return of fertility can be delayed for up to a year once stopping injections
  • Its effectiveness is not altered by other medications

Perfect use: Used correctly & consistently as advised, Typical use: Not used consistently as advised, STI: Sexually Transmitted Infection