Long acting reversible contraception (LARC) – Implanon, Mirena and Copper IUDs
Implanon NXT is a 4cm rod containing progesterone which is inserted under the skin of the inner part of your non-dominant arm with local anaesthetic. It provides contraception for 3 years.
The Mirena intrauterine device (IUD) contains progesterone and provides contraception for up to 5 years. It’s effect is reversed immediately once removed and is a great option for women who are still considering a future pregnancy. It is also an effective treatment for heavy periods and endometriosis. Some women do not experience any periods (amenorrheic) once the Mirena is inserted.
Copper IUDs are suitable for women who wish to have non-hormonal contraception. The length of contraception depends on the brand and type of Copper IUD.
Permanent contraception
Tubal ligation
Tubal ligation provides permanent contraception through clips that block the and scar the Fallopian tubes, and is carried out under general anaesthetic. It is mostly performed laparoscopically (keyhole surgery) as a day procedure. It is immediately effective with no hormonal side effects, and is an extremely effective (>99.5%) method of contraception.
Salpingectomy (removal of Fallopian tubes)
Salpingectomy is performed under general anaesthetic, and is mostly performed laparoscopically. It is immediately effective and is irreversible. Salpingectomy is associated with a reduction in the incidence of a small percentage of ovarian cancers.
Non hormonal contraception:
- Barrier methods e.g. condoms, diaphragms
- Abstinence
- Withdrawal
Hormonal contraception (short acting):
- The oral contraceptive pill, injections and vaginal rings containing a combination of estrogen and progesterone can be taken to prevent ovulation, with a contraceptive effect.
