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Introduction

GSDS offers four primary contraceptive methods and this page will outline those available for you. Information of the procedure for each method is detailed below. Any of the below devices can be inserted at the time of a termination of pregnancy or separately.

1. Copper IUD

A copper IUD (TT 380 or Multi-Load) is a small and flexible device with copper wrapped around its stem. The copper IUD prevents pregnancy when inserted into the uterus through the vagina as it releases copper ions which kill sperm and prevent fertilised eggs from implanting in the uterus. There are two types of TT 380 IUDs - one lasts for 5 years and the other lasts for 10 years. The Multi-Load IUD lasts for 5 years. The Copper IUD is 99.4% effective.

The Copper IUD does NOT contain hormones.

The copper IUD can also be used as an emergency contraception if inserted within 5 days of unprotected intercourse.

Note: Copper IUDs are not protective against sexually transmitted diseases.

2. IUD Mirena

The Mirena IUD is a small plastic T-shaped device that is inserted through the vagina and into the uterus. The Mirena prevents pregnancy by slowly releasing a hormone (progesterone) directly into the uterus which thickens the mucus at the cervix which prevents sperm from reaching an egg to fertilise. Additionally, by releasing progesterone into the uterus, the lining of the uterus changes so that a fertilised egg cannot implant. The Mirena can last up to 5 years and is 99.8% effective.

Note: The Mirena IUD does not protect against sexually transmitted disease.

IUD Insertion

Both the copper IUD and Mirena should be inserted between days 1 to 5 of your menstrual period to ensure that you are not pregnant. Alternatively, you can abstain from intercourse for at least 2 weeks prior to the insertion. If you have the IUD inserted on your period, the device is effective straight away. If you have the IUD inserted outside of your period, you have to use alternative protection for the first week following the insertion.

These devices can be inserted with or without sedation and patients return to fertility upon removal of the device almost straight away.

The cost does vary depending on whether you are wanting a sedation or not.

IUDs can be inserted at the time of a termination and are effective immediately.

Cervical Screening Test and STI Checks

Before the insertion of an IUD it is important for you to have an up to date CST check and STI check as having an IUD inserted with an infection can cause an array of issues in the future such as Pelvic Inflammatory Disease and issues with fertility. We offer bulk-billing CST and STI checks here which can be done on the day of the insertion.

3. Contraceptive Implant

The contraceptive implant (Implanon) is a thin, plastic rod (4cm x 2mm) containing the hormone progesterone. This device is inserted underneath the skin of the upper inner arm and provides protection against pregnancy for a three year period if left in place. The device works to prevent pregnancy by releasing small but constant amounts of progesterone via the bloodstream. The Implanon blocks ovulation and also thickens the mucus at the cervix so that sperm cannot reach an egg for fertilisation. The Implanon is 99.9% effective.

Note: The Implanon does not protect against sexually transmitted disease.

Implanon Insertion

The implanon should be inserted between days 1 to 5 of your menstrual period to ensure that you are not pregnant. Alternatively, you can abstain from intercourse for at least 2 weeks prior to the insertion. If you have the Implanon inserted on your period, the device is effective straight away. If you have the Implanon inserted outside of your period, you have to use alternative protection for the first week following the insertion.

A sedation is not offered for an Implanon insertion. A local anaesthetic will be used to numb the arm before insertion.

The Implanon can be inserted at the time of a termination and is effective immediately.

4. Contraceptive Injection

The contraceptive injection (Depo Provera) in an injection containing the hormone progesterone that slowly releases into the body to prevent ovulation. The Depo Provera is 99.9% effective and has to be administered every 12 weeks (every 3 months).

Note: The Depo does not protect against sexually transmitted disease.

Administering Depo Provera

The Depo injection should be given while you are on days 1 - 5 of your menstrual period to ensure that you are not pregnant. Alternatively, you can abstain from intercourse for at least 2 weeks prior to the injection. If you have the Depo injected on your period, it is effective straight away. If you have the Depo injected outside of your period, you have to use alternative protection for the first week following the injection.

Depo Provera can be provided at the time of a termination and is effective immediately.


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