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Sarum House Surgery
 Sarum House Surgery

Reception: (01432) 265422
Prescriptions (01432) 271736
Fax: (01432) 271 610
sarum.web@nhs.net
Thursday 14th June 2018 - We have a problem with our telephones this morning. The telephone provider has been informed and is working on the problem. Please accept our apologies for any inconvenience.

SARUM HOUSE SURGERY

 

A GUIDE TO LONG ACTING CONTRACEPTION

 

 

Intrauterine devices (IUDs)

 

What is it?

A small plastic and copper device that is placed in the womb by a doctor trained to do this and a nurse.

  

How effective is it?

Over 99 per cent effective.

  

How does it work?

Can work by preventing sperm from fertilizing an egg, or by stopping a fertilized egg from implanting in the womb.

  

How long does it last?

Up to 10 years for the most effective types of IUD, which contain 380mm2 of copper.  But if you are 40 or older when an IUD is fitted, it may stay in place until you no longer need contraception after the menopause.  Your doctor will discuss this with you.

  

Could it affect my chance of getting pregnant in the future?

No

 

How might it affect periods?

Periods might become heavier or more painful.

 

What checks will I need while using it?

You will need to see  your doctor or nurse for a check up about 6 weeks after fitting.   IUDs have short threads which can be felt through the cervix in the top of the vagina.  It is suggested that you check these threads after each period.    The IUD can be easily removed by a doctor or a nurse.

 

 

 

Intrauterine  system (IUS) Mirena

 

What is it?

A small plastic and copper device that is placed in the womb and slowly releases Progesterone.

 

How effective is it?

Over 99 per cent effective.

 

How  does it work?

Mainly by preventing a fertilized egg from implanting in the womb.  In some women it prevents sperm from fertilizing an egg.

 

How long does it last?

5 years.   If you are 45 or older when an IUS is fitted it can stay in for 7 years.

 

Could it affect my chance of getting pregnant in the future?

No

 

How might it affect periods?

There may be irregular bleeding and spotting for the first 6 months.

Periods usually become less frequent or stop after about a year.

 

What checks will I need while using it?

The checks are the same as for the IUD.

 

You should see your doctor or nurse if you think there is a problem related to the IUS.

 

 

Contraceptive injection (Depo Provera)

 

 

What is it?

An injection that slowly releases Progesterone.

 

How effective is it?

Over 99 per cent effective.

 

How  does it work?

Mainly by stopping the ovaries releasing an egg each month.

 

How long does it last?

12 weeks

 

What checks will I need while using it?

None.  

 

Disadvantages:

 

Some women report 2-3 kgs weight gain, but this can be controlled by healthy eating.

Can take up to 1 year for periods/fertility to return to normal after the last injection.  

However, you still need to use contraception even if your periods have not restarted.

 

 

 

Female & Male Sterilisation

 

Vasectomy (male)

 

A simple quick operation for which you can be referred to Mr A Jha (Consultant Urologist from Hereford Hospital)

 

Failure rate:   1 in 2000


Please see your doctor or nurse for more details.

 

Sterilisation (female)

 

Not as popular as in the past as other methods such as IUS/IUD are more commonly used.  It is performed as a day case in the hospital.    

 

Failure rate:   1 in 200

 

Please see your doctor or nurse for more details.

 

   

Contraceptive Implant (Implanon)

 

What is it?

A small flexible rod that is placed under the skin, usually on the upper arm, and slowly releases Progesterone.

 

How effective is it?

Over 99 per cent  effective

 

How  does it work?

By stopping the ovaries releasing an egg each month.

 

How long does it last?

3 years

 

What checks will I need while using it?

None, you should see your doctor  or nurse if you think there is a problem related to the implant or you want to stop using it, or it is time to have it removed.

 

 

Disadvantages:

 

Periods are often irregular, much longer or stop.

Acne may occur.

Some women report having mood changes and breast tenderness.

It requires a small procedure to fit and remove it.

 

 

 

 

 

 

 

 

 

 

 

 


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