With so many different types of contraception out there, how do you choose the best one for you?

My Contraception Tool can help you decide. Fill in the simple questionnaire below and it will suggest methods to suit you and your lifestyle. Whatever My Contraception Tool recommends, always use a condom to help protect yourself against sexually transmitted infections (STIs).

The Combined Pill

This is also known as “the pill”. It contains two hormones- oestrogen and progesterone. There are a number of different pills to suit your contraception needs.

It is important to take them regularly to protect you against pregnancy and to know what to do if you forget to take them. Please see missed pill advice or contact our clinic staff if you are not sure what you need to do.

Not everyone can use the combined pill for various medical reasons. Come and talk to our clinic staff if you are interested in starting the pill.

The Progesterone Only Pill

This is also known as “the mini pill” and only contains one hormone- progesterone. It works slightly differently to the combined pill and it is very important that it is taken regularly within the time limits. Please see the attached leaflet for what to do if you forget your pills and our clinic staff are happy to advise if you are uncertain.

The mini contraceptive pill is useful for women unable to take the combined pill for medical reasons and also if you are breast feeding. Our clinic staff will be able to discuss your contraception options with you.

Condoms

Male and female condoms are available free from the clinic. These are the only method that provide any protection from sexually transmitted infections. Our clinic staff will be happy to demonstrate how to use them correctly to avoid unwanted pregnancies and infections.

The Patch

The patch contains the same hormones as the combined pill- oestrogen and progesterone, but given through your skin. Each patch lasts one week, which can be a good option if you think you might be forgetful with pills.

Please see the attached leaflet with details of how to use the patch and what to do if it falls off. Our clinic staff will be happy to discuss the contraceptive patch with you.

The Vaginal Ring

The vaginal ring contains the same hormones as the combined pill- oestrogen and progesterone, but given through a thin (rubber) ring that stays in the vagina for three weeks at a time. It is held up by your pelvic floor muscles and you are not usually aware that there is anything there. It can stay in place for sex.

It is a good option to consider if you think you might be forgetful with contraceptive pills. Please see the attached leaflet with more information and our clinic staff will be happy to discuss this method with you.

The Intra-Uterine Device

This is also known as the IUD or copper coil and is a hormone free, long acting, reversible method of contraception. There are various different IUD’s offering up to 10 years contraceptive protection and they can be removed at any time.

Our clinic doctors will be happy to discuss these in more detail with you- please call us for an appointment if you are interested.

The Intra-Uterine System

These are a different type of long acting, reversible contraceptive device that contain progesterone hormone and can last up to 5 years or be removed at any time. They are a very effective contraception and are also useful in controlling heavy, painful periods.

We currently have 3 different types including the Mirena coil, Levosert and Jaydesse. Please see the attached leaflet for more information. Our clinic doctors will be happy to discuss this method with you in more detail- please call us for an appointment.

The Sub-Dermal Implant

The implant is another long acting, reversible contraception and only contains progesterone hormone. It is quick to fit under local anaesthetic and our clinic doctors will be happy to discuss this with you in more detail. It lasts for 3 years and is very effective but can be removed at any time. Please see the attached leaflet for more information.

The Depo-Injection

This is an injection of progesterone hormone given every 12 weeks approximately. We currently have 2 different options including Depo-Provera and Sayana Press. This is a very effective, long acting method of contraception and can help with heavy periods.

Our clinic staff are happy to discuss your contraception options with you. We also offer a text reminder service to remind you when your next injection is due.

Sterilisation

Female sterilisation and male sterilisation (vasectomy) are options if you are certain that you have finished your family. In Guernsey, female sterilisation is provided by the gynaecology consultants and vasectomy is provided by Mr Cole, consultant urologist at the Medical Specialist Group, and Dr Pearce at St Sampsons surgery. These procedures are done on a private basis- exact costs can be obtained from the providers but generally a vasectomy costs approximately £500 and a female sterilisation £3,200 (including consultation, tests, procedure and hospital charges). For more information or a referral, please contact Choices or your GP.

Diaphragms and Caps

These are barrier methods for females that fit inside the vagina and cover the cervix. They should be used with a spermicide. There are various different types and a new one size fits all diaphragm called ‘Caya’. With perfect use, they are 92-96% effective but in reality they are often less effective. If you are interested in this method then please contact Choices to book an appointment to discuss this with our staff.

Natural Family Planning

This is also known as fertility awareness and works by identifying times in your menstrual cycle where you are more likely or less likely to get pregnant. There are various different ways of doing this including monitoring temperature, cervical mucous and length of your cycle. Charts can be plotted to identify safe times and there are also bead bracelets that can be used. This method can potentially be up to 99% effective if used carefully. Please contact Choices for more information regarding this method and to discuss with our staff.