Contraception Advice

We offer a range of contraceptive options and counselling on the devices most suitable for each individual having the least side effects and that is right for your stage of life.  You need to book an initial consultation with the doctor in the first instance to discuss the contraceptive device that would best suit you. Options that you may way to consider include

The Combined Pill. This is the best-known form of contraception. It is taken in the form of one pill orally every day for three weeks, then one week ‘pill-free’ interval. It is a very effective form of contraception if it is taken correctly. It should ideally be taken at the same time every day. You have 12 hours to remember to take it if you have forgotten. It works by stopping ovulation from occurring. It has few side effects and most young women can safely use it. It is not recommended for women over the age of 35 who are smokers or overweight.

The Mini Pill.  This is an oral form of contraception which contains only Progesterone. This is a slightly less effective form of contraception but is ideally suited for women who cannot take the combined pill, for instance, feeding mums, women who smoke over the age of 35, or overweight women. The minipill thickens cervical mucus and thins the lining of the uterus, preventing sperm from reaching the eggs.

The Patch. This is similar to the combined pill in its hormone content, but it is used once weekly as it’s a seven-day patch. This product has the advantage of not having to remember daily pills. Its effectiveness as a contraceptive is that of the combined pill. Its few side effects include a skin reaction to the patch adhesive in a very small number of patients. The product available in Ireland is called EVRA.

The Diaphragm. his is small, plastic dome – shaped device which is easily inserted into the vagina prior to intercourse. It must remain in the vagina for 6 hours after intercourse. It should always be used in conjunction with a spermicidal. Its effectiveness is less than that of the hormonal forms of contraception. The advantages of a diaphragm is that it is a barrier form which does not involve hormones, and it may be suitable for women who are having less frequent sexual intercourse and only want to use contraception occasionally.

The Vaginal Ring. The vaginal ring releases hormones similar to the pill and patch forms, is easy to insert by the patient and is removed after three weeks. Following a bleed, the new rings inserted. Its effectiveness as a contraceptive it that of the combined pill. The product available in Irelands is the Nuvaring.

Injective Contraceptive. High dose progesterone can be given as a three-monthly injection (Depo-Provera). This is a very effective form of contraception. It is suitable for most women and is ideal if remembering to take pills is proving difficult. Benefits include lightening or disappearance of periods. Disadvantages include a slight weight gain, and some irregular bleeding initially.