Barrier methods

  • Condoms – for men. This well known method not only prevents pregnancy, but is the only way to avoid sexual transmitted diseases. This method is highly recommended with new partners.
  • Diaphragm – for women. This is a rubber device that cover the cervix. It is inserted into the vagina before sex. It is then removed and washed after sex. The diaphragm needs to be fitted for each woman – to ensure the right size. Generally, the diaphragm is less effective than condoms.

Oral contraceptive pill

The oral contraceptive pill is most commonly used among women to prevent unwanted pregnancies. ‘The pill’, in all cases, needs to be taken at the same time each day.

With numerous oral contraceptive options available, Michael can help find the right pill for you. Here are the two main oral contraceptive categories.

  • Mini pill (progesterone only) – acts to thicken the mucus in the cervix and thin the lining of the womb (endometrium). This method is generally less effective than the combined pill.
  • Combined pill (oestrogen + progesterone) – this method stops the release of the egg each month (ovulation) and thins the lining of the womb. Women often experience reduced days of menstrual bleeding and in some cases, can receive benefits to the skin and pre-menstrual syndrome (PMS) / pre-menstrual tension (PMT).

Non-daily methods

You may have heard about the numerous non-daily contraceptive options. These can include injections, implants and intra-uterine devices (IUD). Each non-daily contraceptive provides a variety of benefits, timings and risks. Michael will walk you through the option that may best suit you.

  • Three-month – Depo Provera is an injection into the muscle that is repeated every 3 months. Generally, menstrual bleeding will reduce or may stop complete. This method is safe for breastfeeding mothers. Upon ceasing this method, it may take months before ovulation and your menstrual cycle return to normal.
  • Three-year – Implanon is a 40mm long rod that is implanted under the skin of the arm. The rod needs to be removed and replaced every 3 years. Most women notice a reduction in menstrual bleeding or no bleeding at all.
  • Five-year – intra-uterine device (IUD) is a device that is inserted through the cervix (neck of the womb) into the cavity of the womb. An IUD needs to be replace every 5 years. In Australia, there are two types of IUDs. Firstly Mirena, this IUD releases very small doses of progesterone into the cavity of the womb –it may reduce or completely stop menstrual bleeding. This method is one of the most effective reversible contraceptive options. Secondly Multiload, this IUD contains copper with no added hormones. This method may increase menstrual flow.

Permanent contraception

Permanent contraception can involve three options –sterilisation (for men), or for women tying the fallopian tubes or Adiana. Michael is experienced in both female options and can refer your partner to an urologist for sterilisation.

  • Sterilisation (vasectomy) is the procedure that closes the tubes that carry sperm from the testes.
  • Tying the fallopian tubes (laparoscopic tubal ligation) is when clips are applied across each fallopian tube. During this procedure a laparoscope (telescope) is passed through the belly button and two small incisions are made in the belly (abdomen). A general anaesthetic is used for this procedure.
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