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Alternative Contraception Methods

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By Dr Helen Webberley MBChB MRCGP MFSRH | GMC no. 3657058

I am an NHS GP and a sexual health and hormone specialist. I can give advice on any medical matter, and I offer safe access to medical advice, prescription medication, blood tests and x-rays, and specialist referrals to your local private hospital as needed.

Are there any other methods of contraception available?

 

Other methods include natural methods and permanent methods – sterilisation

Natural Methods of Contraception

Natural family planning also known as fertility awareness and breast Feeding and fertility, known as Lactational Amenorrheoa

Some women may prefer to use natural methods to control fertility.
Natural family planning is a combination of knowing period cycles to calculate ovulation and recognising body changes around ovulation.
It can take several months for women to acquire these skills and is only suitable for women who have had a regular period cycle for a minimum of 6 months
Women can also use these markers when they are trying to conceive
If a woman is fully breast feeding, her baby is under 6 months old and she is not having periods then this is recognised as being 98% effective at stopping a pregnancy.
As soon as any of these criteria change alternative contraception is recommended.

What about permanent methods?

Should be regarded as a permanent method of contraception. Private reversal of some sterilisation procedures may be possible but future pregnancies may still not be possible

Female Sterilisation

  • A consultation to discuss the advantages and disadvantages of this method is required before the date of planned procedure
  • Sometimes known as tubal occlusion and can be performed via laproscope- keyhole abdominal surgery with a general anaesthetic when clips are put on the fallopian tubes to prevent eggs reaching the womb.
  • After the woman’s first period following this procedure no further contraception is required
  • Newer technique of hyteroscopic –keyhole surgery through the vagina and womb which is performed as a daycase under local anaesthetic
  • During this procedure a ‘plug’ is inserted into the fallopian tubes again to prevent eggs reaching the womb.
  • Hysteroscopic sterilisation is completely irreversible, and contraception must be continued for at least 3 months and until it has been confirmed that the tubes are closed

Male Sterilisation, Vasectomy

  • It is a local anaesthetic procedure performed by a suitably trained doctor to provide permanent contraception
  • Latest technique involves a local anaesthetic into the surface skin of the scrotum once the vas deferen tube( sperm carrying tube) has been identified
  • A no-scalpel procedure which is a small puncture wound in the scrotum to expose the vas deferens
    small section of tube, approx 1cm is cut away
  • Both ends of the tube are tied with dissolvable suture, with one end being folded back on itself to prevent rejoining
  • A man is not considered to be sterile and further contraception is required until a semen sample is analysed to be sperm free
  • This regime may vary in different areas but generally a sample is requested at 16 weeks post vasectomy
  • This is the most effective method of contraception although there is still a failure rate of 1 in 200

Tests

We can offer three packages for sexual health screening

Package 1

Basic Chlamydia/gonorrhoea urine test

Package 2

Test for 7 infections- Chlamydia, Gonorrhoea, Mycoplasma Genitalium, Ureaplasma, Trichomonas vaginalis, Herpes Simplex 1/11 and Gardnerella vaginalis

Package 3

Blood tests- HIV, Syphilis, Hepatitis B, Hepatitis C

Contact me now for advice, prescriptions, blood tests and referrals.

Please note that this service does not aim to replace advice given to you by your own doctor, it is meant to supplement your health knowledge and awareness.

It is never to be used in the case of a medical emergency.

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