What are the advantages of LAM as a method of contraception? Expand no financial outlay it will not interfere with the establishment of breastfeeding delays introduction of alternative methods there are health benefits for both the woman and child from breastfeeding
What are the disadvantages of LAM as a method of contraception? Expand it requires an ongoing commitment to breastfeeding the contraceptive effect is limited beyond 6 months after birth therefore women should be aware of alternatives
Where can I get more information about LAM? Expand Natural methods of birth control information is available from True clinics as well as gynaecologists and some general practitioners. Contact a True clinic or your general practitioner (GP) for more information or advice.
What is withdrawal? Expand Withdrawal is a method of contraception where the man takes his penis out (withdraws) from the woman’s vagina before he ejaculates (comes). It is also known as coitus interruptus.
How effective is withdrawal? Expand Very little research has been done into the effectiveness of this method. Many people find it difficult to use withdrawal effectively. As sperm can be present in pre-ejaculation fluid there is the risk of pregnancy even if a man withdraws before ejaculation. Other methods of contraception offer greater effectiveness. However, some couples have used it successfully for many years and find the method acceptable.
What are the advantages of withdrawal as a method of contraception? Expand it is freely available to anyone who wishes to use the method does not require any medical involvement
What are the disadvantages of withdrawal as a method of contraception? Expand the risk of failure may be unacceptable to some couples it requires the willingness and skill of the male partner to withdraw before ejaculation
Where can I get more information about withdrawal? Expand Contact a True clinic or your GP for more information or advice.
What is Caya®? Expand Caya® is a single size silicone diaphragm with an oval contoured shape, and a flexible rim. The manufacturer recommends using a lactic-acid-containing gel as a lubricant. The gel is applied to the diaphragm, the rim is squeezed and the diaphragm is inserted into the vagina. It sits across the vagina and covers the cervix. One end of the rim sits high up behind the cervix and the other tucks under the pubic bone in front.
How does the diaphragm work? Expand The diaphragm prevents the sperm from entering the uterus and swimming up to meet the egg and joining together to become a pregnancy. After intercourse the diaphragm must be left in place for six hours. During this time any sperm in the vagina die due to the normal acid environment in the vagina.
What are the advantages of Caya® as a method of contraception? Expand It is a non-hormonal method It can be inserted well before sexual activity It can be purchased from a pharmacy or a True clinic without a prescription, and you can insert the device yourself It can be used in a regular relationship or for intermittent sexual activity It can be used by men and women who have a latex allergy
What are the disadvantages of Caya® as a method of contraception? Expand The Caya® does not fit all women – it is designed to fit 80% of women It requires consistent and careful use to be effective It does not protect against sexually transmissible infections
Using a Caya® Expand The lactic-acid-containing gel should be applied to the diaphragm within two hours of intercourse. If there is any longer gap, then more gel should be used. The gel is not a spermicide. After inserting the Caya®, check that the cervix is covered by feeling with your fingers. When it is time to remove the diaphragm, insert a finger into the vagina just behind the pubic bone to hook down and remove the diaphragm. Wash the diaphragm after use and dry thoroughly. Do not use any other products on the diaphragm. If well-cared for, the diaphragm can last two years.
What is NuvaRing®? Expand NuvaRing® is a soft plastic ring which is inserted by the woman into the vagina. Once inserted the ring slowly releases low doses of two hormones, oestrogen and a progestogen, into the bloodstream. These hormones are similar to those naturally produced by the female body and the same as those used in the combined oral contraceptive pill. How does NuvaRing® work? It prevents ovulation (egg release from the ovary) It thickens mucus in the cervix so sperm cannot enter the uterus (womb) It changes the lining of the uterus, making it unsuitable for pregnancy
How effective is NuvaRing®? Expand The ring is 99% effective when used perfectly. If 100 women use the ring, one woman could become pregnant in a year. It is less effective if not used according to instructions.
What are the disadvantages of Nuvaring®? Expand Important to remember to remove/reinsert new ring at correct intervals Medical review required each year for ongoing prescriptions More expensive than most other methods Does not protect against sexually transmissible infections
What are the possible health benefits of NuvaRing®? Expand Periods may be lighter, shorter and more regular with less discomfort Similar to the combined oral contraceptive pill, there may be benefits such as reduction of symptoms for endometriosis, benign breast problems, recurrent ovarian cysts, premenstrual syndrome
What are the possible side effects of using NuvaRing®? Expand The ring has few side effects. Most side effects tend to settle within two or three months of first using the ring. During this time some women may experience: Nausea Breast tenderness or enlargement Mood changes Breakthrough bleeding Headaches
Other possible side effects that may occur over time include: Expand Skin changes including acne or chloasma (patchy brown skin discolouration of the face) Change in sexual desire
Are there serious risks of using NuvaRing®? Expand Thrombosis is a rare but very serious complication occurring when blood clots form in major blood vessels. It is important to recognise the warning signs and seek immediate medical help if any of the following are experienced: Sudden severe chest pains Severe calf pain or swelling in one leg Sudden severe headache Sudden onset of blurred vision or loss of sight
Does the NuvaRing® suit all women? Expand Most women can safely use NuvaRing®.Your doctor will review the suitability of the method with you prior to providing a prescription and will ask you about: History of clotting disorders or thrombosis for you or in the family History of stroke or heart attacks Cardiovascular risk factors including smoking, high blood pressure, high cholesterol levels or being overweight Certain types of migraine headaches Liver or gall bladder disease Diabetes Breast cancer Unexplained vaginal bleeding (this should be investigated before using the ring) Medications that you are taking
How do I use the Nuvaring®? Expand Insert the first ring on any day from day 1 to 5 of your normal cycle. Day 1 of the cycle is the day your normal period starts so day 5 is 4 days later. If you insert the first ring during day 1-5 of your cycle then you are protected against pregnancy immediately If the first ring is inserted at any other time in your menstrual cycle, you will be protected from pregnancy only after it has been in place seven days. To insert the ring, squeeze the ring between thumb and index fingers, then insert into the vagina. Your vaginal muscles will keep it in place, even during exercise and sex. You do not feel the ring once in place A new ring is inserted into the vagina every four weeks. After insertion the ring is left in place for three weeks, then removed and a new ring inserted a week later A monthly bleed (a withdrawal bleed) occurs in the week when there is no ring in place. It is important to replace with a new ring no more than seven days after removal of the previous one. While many women prefer to have a regular period it is possible to delay or avoid a withdrawal bleed. This can be achieved by using the ring continuously, and inserting a new ring straight after taking out the old one Though it is not recommended, the ring can be removed during sex if desired. If removed it must be reinserted within three hours to maintain contraceptive protection.
Nuvaring® may not be effective if: Expand You forget to insert a new ring after the seven day break You remove it at any time for longer than three hours The same ring is left in for more than four weeks Certain medication may interfere with the effectiveness of NuvaRing®. Always ask your doctor if you need extra precautions Some non-prescribed medication, such as St Johns wort (or hypericum), can make NuvaRing® less effective. Check with the pharmacist. Emergency contraception may be required if you do not use NuvaRing® according to instructions, and sexual activity occurred without a condom being used More detailed information about the use of the ring is provided in a booklet included in each NuvaRing® packet.
What is the POP? Expand Sometimes called the mini-pill, the POP releases progestogen, the synthetic version of progesterone, a hormone which is naturally produced by the body.