Which Contraception Should I use?

The Pill? Condom? Injection?

These days contraception is all about choice! What works for your friends may be unsuitable for you!
What contraception gets the best results for them may not be the case for you!

With such a selection available, we’re confident we can help you find a contraception that suits you and your
lifestyle perfectly. For more detailed information we suggest that you make an appointment
to discuss the various merits of each contraception with a health professional.

Below is a listing of the more popular forms of contraception available from INP Medical Clinic.

The Pill

The most common form of contraception is used in the country and throughout the world.
The pill, or combined oral contraceptive comes in many different formulations, and we can advise which
one is the best suited to you. The major benefits of the pill are it’s effectiveness, it provides 100%
protection from unwanted pregnancy.
It can be taken at a time unconnected with intercourse, and it’s fully reversible – so once you
decide to start a family you just stop taking it!

The Condom

Condoms, the second most popular form of contraception, the only proven barrier to the transmission of HIV,
and good protection against other sexually transmitted infections.
Because of this, we quite often see condoms being used in association with other contraception.
Condoms alone are about 90 – 98% effective in preventing pregnancy. If a condom doesn’t work it can nearly always
be traced back to incorrect use of the condom, or use of lubricants that damage the rubber and lead to its rupture.
Always use condoms with a water based lube like K-Y Jelly, or Wetstuff.

Condoms are available FREE of charge at reception.

The Injection

Depo Provera is a simple injection that is given every 12 weeks and is a contraception that’s growing in popularity.
The injection deposits microcrystals of progesterone that slowly release into the bloodstream.
This acts on the pituitary gland to stop ovulation and thicken the cervical mucus which makes it difficult for
sperm to penetrate and makes the uterus thinner and less receptive to any fertilized egg. It’s the most effective form
of contraception, is ideal for people who forget to take pills, it’s non-intercourse related,
and though there is a delay it’s fully reversible when you want to start a family.

Implants (Implanon and Jadelle)

Implants are tiny rods which are inserted just under the skin of the forearm.
The rods contain small amounts of the hormone progesterone, which is slowly released over a number of years
to give excellent contraception.

There are 2 common types:
Jadelle : is 2 tiny rods which can stay in place for up to 5 years
Implanon : is 1 tiny rod which can stay in place up to 3 years

There can be side-effects. The most common side-effect is irregular bleeding which can be annoying.
Many women tolerate the side-effects because they find so many benefits in having
a contraception which is so effective and which they don’t have to worry about for years.

IUCDs (Intra-uterine Devices)

These are small plastic and sometimes copper devices which are inserted, by a doctor,
into a woman’s womb (uterus). These used to be recommended only for women who had already
had a baby, but now the research shows that even young woman can be safely fitted with an IUCD.
It can be a really good form of contraception for many young women too because it is reliable,
you don’t have to remember to take pills, and it can last for up to 10 years.

There are many choices – there are many decisions
contraception is all about you – and we’re here to help you make the right ones.

Free Emergency Contraceptive Pill Service [ECP] in Nelson / Tasman & Marlborough

Have you had an UPSI – unprotected sexual intercourse?

From 1st October 2015 a FREE ECP Service had been available for all eligible women through
Pharmacies, The Family Planning Clinic / Nelson INP Medical Clinic and participating General Practitioners.
The service is available to any woman eligible to access publicly funded healthcare in New Zealand.

You do not have to live in the area, be registered with a GP or enrolled with a PHO practice or hold an NHI number.
There are no age limits to FREE ECP. Patients less 16 years of age or those using the service more than 3 times
may be referred by the provider to an appropriate agency with the clients consent.

Postinor (levonorgestrel) 1.5 mg tablet is the medicine given for ECP.
It acts in the body to delay ovulation and thicken cervical mucus trapping sperm.
It is a contraceptive. It is NOT an abortifacient.
It is a very safe medicine and can be given to almost all women.
It is well tolerated. Common adverse effects include nausea and headache.

It is most effective within the first 72 hours following unprotected sexual intercourse and still has some effect at 90 hours.
At the consultation the practitioner will discuss with the client the requirement for ECP and if there are any reasons why
ECP can’t be given then talk about how it works, how to take it, what to expect and what to do in the following weeks.

Important information give to clients includes:
• the ECP does not provide contraceptive cover for subsequent unprotected sex
• if you vomit within 3 hours of taking the ECP you will need to take another pill
• if your period is more than 5 days late you will need to see a doctor
• 3 weeks after taking the ECP get a sexual health check up to test for pregnancy and sexually transmitted infections

Clients can visit a youtube site to find out more about the ECP: https://www.youtube.com/watch?v=7Vozr9vHeMo

Clients are encouraged to get a FREE sexual health check from a GP or at the Family Planning Clinic
using a voucher issued by pharmacies or through the Family Planning Clinic.
Clients are given a free pack in the consultation including a box of 12 condoms, and information leaflets
about sexual health, sexually transmitted infections and the different types of contraception available including contact
details of the Family Planning Clinic / INP.