Information about contraception for your sexual health

Contraceptive options

This would be discussed with you in detail when you attended a clinic. For information about contraception please click here

Sexwise have produced a series of light-hearted myth busting films which provide information about different methods of contraception & STIS - watch them below. 

The implant

Fitting the implant

Implants are a very popular choice of contraception.  Before you book an appointment we suggest you read the FPA Implant leaflet which contains lots of useful information about this method.  In order to have an implant fitted we need to be very sure that there is no chance that you could be pregnant. 

  • If you have not had sex since your last period and if you continue to abstain (this means not even sex with a condom) then you can ring reception to book a procedure slot
  • If you are already on a pill or injection for more than 3 weeks and have not missed any pills or been late with an injection, then please ring reception to book a procedure slot

If you are unsure whether you suitable for this method then please make an appointment and we will discuss this further with you.

Relapcing the implant

Implants are a very popular choice of contraception.  Before you book an appointment we suggest you read the FPA Implant leaflet which contains lots of useful information about this method. 

If your implant is still in date please ring reception to book a procedure slot to have your implant changed.  There is no need to abstain from sex before hand and the new implant will work immediately

  • If your implant has expired
  • and you have either not had sex at all since it expired or have used another method since e.g. pill / condom then please ring reception to book a procedure slot to have your implant changed. Please note that the new implant will take 7 days to work so you will need to use alternative contraception (e.g. pill or condom) during this time
  • if you have not used an alternative method since it expired then please attend one of our walk in clinics to discuss further

Removing the implant

If it has expired or you are planning a pregnancy, please ring to book a procedure slot.  If you are having any side effects from the implant such as bleeding problems, mood changes, pain around the implant or any other untoward side effects please attend one of our walk-in clinics to discuss further before booking a procedure slot.

The coil

Fitting the coil

Coils are very popular methods of contraception. There are two main types of coils

 

If you would like a coil fitting then you need to attend make an appointment for a pre-coil discussion.   We will talk about the two different types of coils and help you decide if either of these methods is suitable for you.  We will also go through the consent form with you.  It is likely we would request a swab for chlamydia (an STI that we like to exclude before we go ahead with the fitting of the coil)

In order to have a coil fitted we need to be very sure that there is no chance that you could be pregnant. 

  • If you have not had sex since your last period and if you continue to abstain (this means not even sex with a condom) then after discussion we could book a procedure slot for a coil fitting
  • If you are already on a pill or injection for more than 3 weeks and have not missed any pills or been late with an injection, then after discussion we could book a procedure slot for a coil fitting

Consent forms: 

IUD insertion consent form (Copper Coil) [docx] 136KB

IUS insertion consent form (Hormonal Coil) [docx] 144KB

Removal of subdermal contraceptive implant. Consent form [docx] 109KB

Removal and refit of subdermal contraceptive implant. consent form [docx] 132KB

 

Replacing the coil

If your coil is in date and has not expired then you can ring reception and book a procedure slot to have the coil changed. Even if your coil is in date we need you to abstain from sex (even with a condom) for 7 days before the fitting

If your coil has expired then we request that you arrange an appointment.  Be aware that once expired, you will not be protected from pregnancy if you have sex. 

 

Removing the coil

Coil removal if done by a very simple procedure where we insert a speculum to look at your cervix and locate the threads. We then gently pull on the threads to remove the device.  To ensure no chance of pregnancy we request that you abstain from sex for 7 days prior to the removal.

The contraceptive injection

Firstly we would advise you read the FPA Leaflet. This contains lots of really useful information about this popular method of contraception and who it is suitable for.  If we are happy it is the method for you then if you have had no sex since your last period then we could give you an injection and we would advise you use extra-precautions for 7 days. (If you have the injection in the first 5 days of your cycle then it will work immediately).

If there is any chance of pregnancy then we would not give the depo that day. We may suggest you either abstain from sex for 3 weeks after your last unprotected sex and then return for a pregnancy test and if negative we can give you an injection. We may also suggest you go on a pill for 3 weeks and then return for a pregnancy test and if you have reliably used the pill and not missed any and your pregnancy test is negative then we would give you an injection. In both cases the depo would not work for the first 7 days and therefore we would be suggesting you either have no sex, use a condom or continue your pill for this time period.

The contraceptive pill

There are two types of contraceptive pills.

The combined pill The combined pill is usually just called the pill. It contains two hormones – estrogen and progestogen. These are similar to the natural hormones produced by the ovaries.   If the combined pill is always used perfectly, according to instructions, it’s over 99% effective.

The progestogen only pill (POP) Progestogen-only pills (POPs) contain a progestogen hormone. This is similar to the natural progesterone produced by the ovaries. POPs are different to combined pills because they don’t contain the hormone estrogen. If the POP is always used perfectly, according to instructions, it’s over 99% effective. This means that less than one POP user in 100 will get pregnant in one year. If the POP is not always used according to instructions, about nine in 100 POP users will get pregnant in one year.

I have missed my pill. What should I do? 

Missing pills or starting the pack late may make the pill less effective. The chance of pregnancy after missing pills depends on:

  • when pills are missed and
  • how many pills are missed.

Missing one pill anywhere in your pack or starting the new pack one day late isn’t a problem. You’ll still have contraceptive cover. Missing two or more pills or starting the pack two or more days late may affect your contraceptive cover. 

How many pills have you missed?

Emergency Contraception

If you have had sex without using contraception or not used a method properly, such as missing pills, or a condom splitting then you may need emergency contraception. Emergency Hormonal contraception can be taken up to 72 hours after unprotected sex. Some pills can be used up to five days afterwards. A copper coil can be inserted up to five days afterwards to prevent implantation. If you think you need emergency contraception you should contact a local service as soon as possible.

For more information visit;

Local Sexual Health Service

NHS Choices

Sex Wise - Family Planning Association 

Your Guide to Emergency Contraception - FPA 

Click here for list of Pharmacies that can offer Emergency Hormonal Contraception, please contact the pharmacy before attending to ensure the pharmacy is open and the pharmacist is able to dispense this to you.

Condoms (C-card scheme)

The C-card scheme provides an opportunity for young people to get free condoms from trained staff.  This is to help young people keep safe and reduce teenage pregnancy and sexually transmitted infections.

Young people (up to and including 19 years of age) meet with a trained worker who discusses their relationship and when appropriate gives condoms. 

All staff have experience of working with young people and are trained before giving condoms. Everything remains confidential, unless (on rare occasions) someone is at significant harm or risk, then safeguarding guidelines will be followed.  

If you are a professional please see the professionals tab on the sexual health website homepage for more information.