Sex – forget it

Diaphragms and caps work by covering the cervix – the entrance to the womb – and preventing sperm from getting through to meet an egg. If you used a diaphragm or cap before your pregnancy you will need to check that it still fits because your cervix and vagina change shape during pregnancy and birth. If you gain more than 3 kg you must get the fitting checked again. Watch this space – because new caps are being introduced during 2001.

Natural family planning (NFP)
NFP allows you to identify the infertile and fertile times in your menstrual cycle so you can plan or prevent a pregnancy. It’s not Russian roulette and when properly taught and used well, it is very effective. NFP can be more difficult to learn and use just after you have had a baby so get advice from a trained NFP teacher. There are also a number of devices, recently on the market, which can help you calculate when your ‘safe’ times are. Ask your local chemist for details.

Long-term methods of contraception

If you don’t want to get pregnant for some time, one of the following long-term methods might suit you. They have the added advantage that you don’t have to think about them once they’re in place. Because of this they are extremely effective.

Injections
These slowly release progestogen (like the hormone in the progestogen only pill) and last for twelve or eight weeks depending on which you use.

Implants
A tiny, flexible tube which slowly releases progestogen is inserted in the arm (it doesn’t show). It lasts for up to three years.

IUD (Intrauterine device)
Today’s IUDs (used to be called coils) offer many choices; they last from three to ten years depending on type.

IUS (Intrauterine system)
A progestogen-releasing IUD which is fitted inside the womb and works for up to five years.

Permanent methods of contraception

Sterilisation
Only a good idea if you are absolutely sure you never want any more children. Find out more about female sterilisation and vasectomy.

Information and advice on all methods of contraception or any issue relating to sexual health can be obtained from the fpa helpline on 0845 3101334 or the Family Planning Association website.