Which contraception is right for me?

Contraception is an important topic that many people deal with. Whether you are sexually active or not, knowing and understanding different forms of contraception is essential for everyone. But with so many options on the market, it can be difficult to determine which birth control method is best for you. In this blog we take a closer look at different forms of contraception and help you choose the right method.

Considerations when choosing contraception

When choosing the right birth control methods, there are several factors to take into account:

• 🤰🏽Effectiveness: How effective is the method in preventing pregnancy?
  
  
• ✅ Convenience: How easy is it to apply the method?
  
  
• 🥴 Side effects: What side effects may occur?
  
  
• 💸 Costs: What are the costs associated with the chosen method?
  
  
• 🍇 Lifestyle: Does the chosen method suit your lifestyle and needs?

It is important to weigh these factors carefully and seek advice from a medical professional if necessary. Every person has unique needs and preferences, so what works for someone else won't necessarily work for you.

Tips to help choose birth control:

Finding the right pill can sometimes be overwhelming. Fortunately, there are several ways you can determine which pill is right for you.

🧑🏼‍⚕️ 1. Consult a doctor

The first step in finding the right pill is to consult a doctor. A doctor can review your medical history and take into account other factors such as allergies, interactions with other medications, and possible side effects. Based on this, the doctor can propose appropriate treatment and determine which pill is most suitable for you.

📄 2. Read the package leaflet

Each medication comes with a package insert that contains important information about dosage, possible side effects and contraindications. Take the time to read the package leaflet thoroughly before deciding to take a particular pill. By being well informed about what to expect, you can better assess whether a particular pill is suitable for you.

🕵🏻‍♀️ 3. Research into the active substance

Behind each pill is an active substance that is responsible for the desired effect. By understanding which active ingredient is present in a particular pill, you can better assess whether it suits your needs. Do some research into the active ingredients and their effects to make an informed choice.

🔎 4. Consider alternatives

Sometimes there are multiple options available for treating a particular condition. It can be worthwhile to consider several alternatives before making a decision. Discuss with your doctor whether there are other medications or treatment methods that may suit you better.

🦻🏼 5. Listen to your body

Each individual responds differently to medication. While some people benefit from a specific pill, others may experience side effects or no improvement. Listen carefully to your body and pay attention to any changes after taking a new pill. If you experience negative reactions, consult your doctor immediately.

🕙 6. Give it time

Some medications take time to reach their full effect. Give the pill enough time to do its job before drawing any conclusions about its effectiveness. Talk to your doctor about how long it should take before you can expect results and be patient.

👩🏿‍⚕️ 7. Rely on professional advice

When it comes to medication, it is always wise to rely on professional advice. Always consult a doctor or other qualified healthcare provider before making any decisions about which pill is best for you.

Choosing the right pill can be a challenge, but with the right information and guidance you can make an informed decision. Take the time to research all available options and always consult a professional if you are unsure. By following these steps you can ensure that you find the right pill for your needs.

What contraceptives are there?

Hormonal contraception

A popular choice for many people is hormonal birth control. This includes methods such as the pill , hormone patches , hormone rings and hormone injections . Hormonal birth control methods work by regulating the natural hormones in your body to prevent pregnancy.

The benefits of hormonal contraception include: high effectiveness, ease of access and control over your menstrual cycle. However, it can also have disadvantages, including side effects such as weight gain, moodiness and decreased libido. In addition, you must be present every day to take the pill or remember to replace patches or rings every month.

Barrier methods

Another category of contraceptive methods are barrier methods. This includes condoms , diaphragms and cervical caps. These methods work by creating a physical barrier that prevents sperm from reaching the uterus.

A major advantage of barrier methods is that they provide protection against sexually transmitted infections (STDs) in addition to pregnancy. However, they also have disadvantages, such as the fact that they must be used correctly to be effective and some people may be allergic to latex condoms.

Sterilization

Sterilization is a permanent form of contraception that may be suitable if you are sure you no longer want to have children. It includes vasectomy in men and tubal ligation in women.

The benefits of sterilization include that it provides a permanent solution and is very effective in preventing pregnancy. However, the disadvantage is that it is not reversible and requires surgical intervention.

Hormone-free methods

For people who prefer not to use hormones, hormone-free contraceptive methods are also available. This includes copper coils and natural methods such as the calendar method or sympto thermal method.

Copper IUDs work by releasing copper into the uterus, which kills sperm and prevents fertilization. The calendar method and sympto-thermal method require that you closely monitor your menstrual cycle to determine when you are fertile.

Answers to the most frequently asked questions about contraception:

1. Which contraception is without hormones?

However, for some women, the use of hormonal contraceptives can cause unwanted side effects. Fortunately, there are alternatives available that do not contain hormones and are still effective in preventing pregnancy. Here the options:

Copper coil

A copper IUD, also known as an IUD, is a small T-shaped device that is placed in the uterus by a doctor. It contains no hormones, but has a copper wire that gradually releases copper ions. These ions make the uterus less suitable for fertilization and implantation of a fertilized egg. A copper IUD can remain in place for up to 10 years and provides long-term protection against pregnancy.

Copper-containing implant

A copper-containing implant is inserted under the skin of the upper arm and continuously releases small amounts of copper into the body. This prevents pregnancy by working in the same way as a copper IUD, namely by creating an unfavorable environment for sperm cells and fertilized eggs. The implant can remain in place for up to 5 years.

Copper diaphragm

A copper diaphragm is a form of barrier contraception that does not contain hormones. It is placed in the vagina and covers the cervix, preventing sperm from coming into contact with the egg. The copper on the diaphragm also has a spermicidal effect, meaning it kills sperm before it can reach the egg. A copper diaphragm must be inserted each time before intercourse and can be reused.

Condoms

Condoms are a well-known form of contraception that do not contain hormones. They are made of latex or polyurethane and form a physical barrier between sperm and the cervix. Condoms not only protect against pregnancy, but also against sexually transmitted infections (STDs). They are easily available and can be purchased without a prescription.

Natural methods

Natural methods of contraception rely on monitoring your menstrual cycle to identify days of increased fertility and avoiding sexual intercourse during this period. This includes methods such as the calendar method, cervical mucus method and symptothermal method. Although these methods do not involve hormones, they do require close monitoring and consistent use to be effective.

It is important to remember that each form of contraception has its own advantages and disadvantages. What works for one person may not work for another. It is always wise to talk to your doctor before making a decision about non-hormone birth control.

2. Which contraception helps against acne?

Are you tired of waking up every morning with a new pimple on your face? Have you tried everything from expensive creams to homemade masks, but nothing seems to work? Maybe it's time to look at another solution: birth control. Yes, you heard right. Not only can contraception help prevent unwanted pregnancies, but it can also be effective in the fight against acne. Below we tell you which contraceptive methods can help reduce acne and how they work:

Combination pill:

The combination pill is a popular form of contraception that contains both estrogen and progestin. These hormones can help regulate sebum production and reduce inflammation in the skin, leading to less acne. The combination pill is often prescribed by dermatologists for women with moderate to severe acne.

Hormone IUD:

The hormone IUD is a small device that is placed in the uterus and releases progestin hormones. Although this contraceptive is primarily intended to prevent pregnancy, it can also help reduce acne. The hormone IUD reduces sebum production and has anti-androgenic properties, which can make it effective in combating acne.

Contraceptive patch:

The contraceptive patch is a thin patch that is stuck to the skin and releases estrogen and progestin. It works in the same way as the combination pill, by regulating sebum production and reducing inflammation. The advantage of the contraceptive patch is that you only have to apply it once a week, unlike daily pills.

Progestin-only pill:

If you are sensitive to the side effects of estrogen, such as headaches or mood swings, a progestin-only pill may be a good option for you. Although this pill is less effective at reducing acne than the combination pill, it can still help with mild forms of acne.

It's important to note that birth control is not a miracle cure for acne. While it can help reduce breakouts, it won't solve all problems. In addition, each body has its own unique responses to hormones, so what works for one person may not work for another.

3. Which Contraception to use for Migraines?

Migraine is a common condition in which people suffer from severe headaches, often accompanied by other symptoms such as nausea, hypersensitivity to light and sound, and sometimes even visual disturbances. For women who experience migraines, choosing the right method of contraception can be a challenge.

It is important to note that migraines can be affected by hormonal fluctuations in the body. Some contraceptive methods contain hormones that can cause or enhance these fluctuations, which can lead to an increase in migraine attacks in women who are sensitive to them. That's why it's crucial to choose the right method of contraception when you have migraines.

Here are some options to consider:

Non-hormonal methods:

• Copper IUD: This is an effective form of contraception that does not contain hormones. The copper IUD works by releasing copper ions, which prevents sperm from moving and thus prevents pregnancy. It does not affect hormone levels in the body and should therefore be safe for women with migraines.
  
  

Low Estrogen Hormonal Methods:

• Minipill: The minipill contains only progestin and no estrogen. Because estrogen is often associated with hormone-related migraine attacks, the minipill may be a suitable option for women with migraines. However, it is less effective than combination pills and requires strict adherence to the intake schedule.
  
  
• Hormone coil: This is a small T-shaped device that is placed in the uterus and provides long-term protection against pregnancy. There are two types of hormone IUDs, one with progestin and one with levonorgestrel. Both contain low levels of estrogen and therefore may be safe for women with migraines.
  

Contraceptive patch or contraceptive ring:

• These methods contain both estrogen and progestin, but the hormones are absorbed through the skin (patch) or vagina (ring) instead of through the gastrointestinal tract. While there is still a risk of increased migraine attacks, using these methods can help avoid digestive problems that sometimes accompany oral contraceptives.
  
  

Low-dose estrogen oral contraceptive pills:

• Some women experience improvement in their migraine symptoms when they switch to lower estrogen pills. This type of pill is often referred to as a "low dose" or "mini pill". It is important to remember that this does not apply to all women and it is always advisable to consult with a doctor before switching to another method of contraception.
  
  

(source: Isabell Altmaier Illustration )

4. Which contraception is suitable during breastfeeding?

If you have just become a mother and are breastfeeding, it is important to think about contraception. Although breastfeeding in itself does not guarantee against pregnancy, it can influence the choice of contraceptive methods.

Hormonal contraception can affect the quality of breast milk

First of all, it is important to know that some hormonal contraceptive methods can affect the production and quality of breast milk. This makes it wise to choose a form of contraception that does not have a negative impact on the health of you and your baby.

The minipill - most commonly used method during breastfeeding

One of the most commonly used methods during breastfeeding is the minipill. The minipill contains only progestin, which is safe for the baby. This pill does not affect the quantity or quality of breast milk. However, it is recommended to take this pill at the same time every day as a delay may lead to reduced effectiveness.

The hormone IUD - Mirena IUD

Another option is the hormone IUD (also known as Mirena). This IUD is placed in the uterus and continuously releases a low dose of progestin. It has no negative impact on milk production and can last up to five years. The hormone IUD has a very low failure rate and is therefore a reliable choice.

Non-hormonal copper IUD

A non-hormonal option is the copper IUD. This IUD does not contain hormones and therefore has no influence on breastfeeding. The copper IUD can remain in place for up to ten years and is a reliable form of contraception. However, it can lead to increased blood loss during menstruation.

Other contraceptives with hormones

In addition to these methods, other hormonal contraceptives are also available, such as the injection pill, the contraceptive rod and the hormone implant. These methods also contain progestin and generally do not adversely affect breastfeeding. However, it is always wise to discuss this with your doctor before choosing one of these options.

Condoms for 100% safety

It is important to realize that condoms are the safest option if you do not want to risk pregnancy while breastfeeding. Condoms provide protection against both pregnancy and sexually transmitted infections (STDs). Using condoms in combination with another form of contraception, such as the minipill or the IUD, can provide extra protection.

We want to emphasize that every woman is unique and what works for one person will not necessarily work for another. It's important to discuss your options with a medical professional, such as your GP or gynecologist, to ensure you make the right choice based on your individual needs and health.

5. Which birth control doesn't make you fat?

A question that many women ask, because no one wants to experience extra weight gain as a result of using contraceptives. Fortunately, there are several birth control methods available that do not affect your weight. Here are some options so you can make an informed choice without worrying about extra pounds.

Copper coil:

The copper IUD is a hormone-free method of contraception that is placed in the uterus. It contains no hormones and therefore has no influence on your weight. This IUD works by creating an unfavorable environment for sperm, preventing fertilization.

Barrier Methods:

Condoms and diaphragms are examples of barrier methods that do not contain hormones and therefore do not cause weight gain. Condoms are also effective at preventing STDs, which is an added bonus.

Copper-containing implant:

The copper-containing implant is a small flexible rod that is inserted under the skin of your upper arm. Just like the copper IUD, this implant does not contain hormones and has no influence on your weight.

Natural methods:

Fertility awareness-based methods (FABM) such as the sympto-thermal method and the calendar method use monitoring your menstrual cycle to determine fertile and infertile days. These methods have no impact on your weight, but do require close observation and consistency.

Copper-containing intrauterine system (IUD):

The copper-containing IUD is similar to the copper IUD, but instead it is placed in the uterus. This method also contains no hormones and has no influence on your weight.

Sterilization:

If you are sure that you do not want to have any more children, you may consider having a sterilization procedure. This is a permanent method of contraception that ensures that the fallopian tubes in women or vas deferens in men are closed. Sterilization has no effect on your weight.

It is important to note that hormonal contraceptive methods such as the pill, patch, vaginal ring and hormonal IUDs can affect your weight. These methods contain synthetic hormones that can lead to fluid retention, increased appetite or changes in fat distribution. Although not all women experience this, it can be a factor to take into account for some.

If weight gain is a major concern for you, discuss with your doctor which method of contraception might be most suitable for you. They can advise you based on your medical history and personal preferences.

6. Which contraceptive has the fewest side effects?

One of the main factors that many people worry about is the potential side effects of birth control. Fortunately, there are several options available that have minimal side effects. Read them here:

The hormone IUD - Mirena IUD

One of the most popular and effective forms of birth control with minimal side effects is the hormonal IUD, also known as the Mirena IUD. This small T-shaped device is placed in the uterus and gradually releases a low dose of hormones that prevent pregnancy. The Mirena IUD is very reliable (more than 99% effective) and can remain in place for up to five years.

In terms of side effects, most women who use the Mirena IUD are very satisfied. The hormonal dose is low, so the risk of serious side effects such as weight gain, moodiness and reduced libido is relatively small. Some women experience temporary irregular bleeding or cramping in the first few months after IUD insertion, but this usually improves over time.

The copper IUD - IUD without hormones

Another option with minimal side effects is the copper IUD, also known as the T-Safe IUD. Unlike the hormonal IUD, this form of contraception does not contain hormones. Instead, it has a copper wire that prevents pregnancy by reducing sperm motility and making the uterine wall unsuitable for implantation.

The copper IUD is also very reliable (more than 99% effective) and can remain in place for up to ten years. As for side effects, some women experience temporary increases in blood loss and cramps during menstruation, but this usually stabilizes after a few months. The copper IUD does not affect your hormone balance, so it may be a good choice if you prefer not to use hormonal contraception.

The injection

In addition to IUDs, other contraceptives with minimal side effects are available. A good example of this is the injection pill, also known as Depo-Provera. This form of contraception involves receiving an injection every three months with a synthetic progestin hormone that prevents pregnancy.

The injection is very reliable (more than 99% effective) and has few side effects compared to other forms of hormonal contraception. Some women may experience temporary changes in their menstrual patterns, such as irregular bleeding or even missing periods. In general, however, side effects are mild and often go away as your body adjusts to the hormones.

The Implanon - the hormone rod

Another option that is becoming increasingly popular is the use of a hormone rod, such as Implanon NXT. This small wand is placed under the skin of your upper arm and gradually releases a synthetic progestin hormone that prevents pregnancy.

The hormonal contraceptive is also very reliable (more than 99% effective) and has few side effects compared to other forms of hormonal contraception. Some women may experience temporary irregular bleeding, headaches or breast tenderness, but these side effects usually disappear within a few months.

Conclusion: which contraception is right for me?

Contraception is important, but it can be difficult to determine which method is best for you. Consider factors such as effectiveness, convenience, side effects, cost and lifestyle. Consult a doctor, read the package leaflet and examine the active substance. Listen to your body and give it time. Rely on professional advice. Hormonal contraception, barrier methods, sterilization and hormone-free methods are possible options. Answers to frequently asked questions: hormone IUD and copper IUD are suitable during breastfeeding; minipill can help with acne; hormone IUD has minimal side effects; copper IUD does not cause weight gain; The injection pill and hormone rod also have few side effects.