Contraception

Contraception in gynecology: Choosing the best option for you

Contraception is a key component of reproductive health, allowing women to plan their lives, their families, and to protect themselves from unwanted pregnancies. Choosing a contraceptive method is personal and should adapt to your needs, lifestyle and health. Your Medento health center offers you an overview of the various contraceptive options available in gynecology, to help you make an informed choice.

Why is contraception important?

Contraception gives you control over your body and fertility. Whether you want to space out births, have no children at the moment, or simply want to manage your menstrual cycles, there is a method that can meet your needs. In addition to preventing unwanted pregnancies, some contraceptive methods can also offer health benefits, such as regulating periods, reducing menstrual pain, or even preventing certain diseases.

This exam becomes especially important at different times in life, such as at the beginning of sexual life, before pregnancy, or during menopause.

The different methods of contraception

1. Hormonal contraceptives

The contraceptive pill

A classic and well-known method, the pill is taken daily and prevents ovulation. There are two main types: the combined pill (which contains estrogen and progestin) and the progestin-only pill. The pill can also be used to regulate menstrual cycles and reduce premenstrual symptoms.

The contraceptive patch

This small adhesive patch is applied to the skin and releases hormones that prevent ovulation. It is changed once a week, making it a convenient alternative to the pill for those who prefer not to have to remember to take a pill daily.

The vaginal ring

A soft ring inserted into the vagina that releases hormones over a period of three weeks, followed by a week without a ring to allow for menstruation. It is a discreet and easy to use method.

The contraceptive implant

A small stick inserted under the skin of the arm, which releases hormones and provides contraceptive protection for three years. It is a long-term and very reliable option for those looking for long-lasting contraception without having to think about it daily.

Contraceptive injection

A progestogen injection that is given every three months. It is a practical solution for those who don't want to think about contraception every day.

2. Intrauterine contraceptives (IUDs)

The copper IUD

This T-shaped device is inserted into the uterus by a gynecologist. It does not contain hormones and can stay in place for 5 to 10 years. The copper released by the IUD prevents fertilization, offering effective long-term protection.

The hormonal IUD

Similar to the copper IUD, but it releases a low dose of progestin. In addition to preventing pregnancy, it can reduce heavy periods and menstrual pain. It is effective for 3 to 5 years, depending on the model.

3. Barrier methods

The male condom

In addition to preventing pregnancy, it is the only contraceptive method that also protects against sexually transmitted infections (STIs). Easy to use, it is available without a prescription.

The female condom

Inserted into the vagina before sexual intercourse, it offers protection similar to a male condom against pregnancy and STIs.

The diaphragm and the cervical cap

These silicone devices are placed in the vagina before sexual intercourse to block sperm. They should be used with spermicide for maximum effectiveness.

4. Natural methods

The temperature method

By tracking your body temperature each morning, you can determine which days in your cycle you are fertile and avoid unprotected sex during that time.

The calendar method

Based on the monitoring of menstrual cycles to identify fertile days. This method requires great regularity in the cycles and a good knowledge of your body.

Withdrawal (or interrupted coitus)

The partner removes his penis before ejaculation. Although this method is used by some couples, it is less reliable than other options.

5. Emergency contraception

The morning-after pill

In the event of unprotected intercourse or contraceptive failure, the morning after pill may be taken to prevent pregnancy. It is more effective if taken quickly after intercourse (ideally within 12 hours, but it can work for up to 72 hours or even 5 days depending on the type of pill).

The copper IUD in emergency

This device can also be used as emergency contraception if inserted within 5 days of unprotected intercourse. It is then left in place for long-term contraception.

How do I choose the right method?

The choice of contraception depends on several factors:

Your general health

Some methods are contraindicated in case of specific health conditions, such as hypertension or a history of blood clots.

Your lifestyle

If you have trouble remembering to take a pill every day, a long-term method such as an implant or an IUD may be more appropriate.

Your pregnancy plans

If you are planning to have children in the near future, a method that is quickly reversible, such as the pill or the vaginal ring, may be best.

Your personal preferences

Some women prefer to avoid hormones, while others are looking for a method that is discreet or does not require regular visits to the doctor.

Contraceptive monitoring: An essential part of women's health

Choosing a contraceptive method is a first step, but it's just as important to monitor your reproductive health on a regular basis. This includes annual consultations with your gynecologist to check that the method chosen is still appropriate for you, as well as to perform necessary screenings, such as a Pap smear and STI tests.

In summary:

Contraception is a powerful tool for taking control of your reproductive health. With so many options available, it's possible to find the one that best fits your needs and lifestyle. Remember that your choice may change over time and your personal circumstances. Don't hesitate to see your gynecologist to discuss your options, ask any questions you have, and make sure you're making the best choice for you.

Make an appointment