The progestogen-only pill works by thickening the mucus in the neck of the womb, so it is harder for sperm to penetrate into the womb and reach an egg. With clean hands, fill one-third of the cap with spermicide, but do not put any spermicide around the rim, as this will stop the cap staying in place. It works for between three and five years, depending on the type, so you don't have to think about contraception every day or each time you have sex. Binovum and Logynon are examples of this type of pill. If you have any concerns about your contraceptive pill, see your GP or practice nurse. If you have a baby, miscarriage or abortion, you may need to be fitted with a new size of cap. This may settle down after the first year, but may continue as long as the injected progestogen remains in your body. After that time, you take out the diaphragm and wash it (they're reusable). You will still be at risk of STIs if the condom breaks. Bleeding patterns often remain irregular. You have missed a pill when it is more than 24 hours since the time you should have taken it. This is to minimise the risk of developing complications (see below). If you have had a patch on for six days or less before it falls off, you may not be protected against pregnancy and should use additional contraception, such as condoms, for seven days. Back to top. It's very useful for women who find it difficult to take a pill at the same time every day. See your GP or nurse for advice if you are worried, or do a pregnancy test to check if you are pregnant. It can be much less effective than other methods of contraception. There's a risk that your body may expel the IUD. You can have sex and use tampons while the ring is in your vagina. If you have any questions about how to take the pill, ask your GP, practice nurse or pharmacist. Contraception is free to all women and men through the NHS. It can be uncomfortable when the IUS is put in, although painkillers can help with this. Some women don't always have a bleed in their patch-free week. Condoms are the only contraception that protect against pregnancy and STIs. Fewer than one in 100 women who are at low risk of STIs will get a pelvic infection. Contact your GP for advice if you are still experiencing considerable pain after taking painkillers. If you start the pill more than five days after a miscarriage or abortion, use additional contraception until you have taken the pill for two days. Following a vasectomy, you may develop a haematoma inside your scrotum. For example, periods may become lighter and more irregular or, in some cases, stop completely. The diaphragm must be left in place for at least six hours after sex. You change the patch every week for three weeks, then have a week off without a patch. This is because STIs can lead to an infection in the pelvis. Condoms come ready lubricated to make them easier to use, but you may also like to use additional lubricant, or lube. These speed up breakdown of progestogen by your liver, reducing the effectiveness of the ring. You apply a new patch once a week (every seven days) for three weeks, and then stop using the patch for seven days. This is another reason to think it over carefully. If there are no problems, you can be prescribed the patch for six months to a year. Some interactions are listed on this page, but it is not a complete list. The combined contraceptive pills may also take up to 3 months to lighten your periods, however even after this time you will continue to have a period -like bleed in between each pack. Therefore, after the operation, it is important to keep your genital area clean and dry to keep the risk of infection as low as you can. The contraceptive patch is not suitable for everyone. This is for you to practise with at home. Irregular bleeding and spotting are common in the first six months after having an IUS fitted. It will not affect the spontaneity of sex or interfere with sex. Your partner shouldn't be able to feel your IUS during sex. It's generally thought that when used correctly with spermicide, the cap is 92-96% effective at preventing pregnancy. You can use an IUD whether or not you've had children. If a blood clot develops, it could cause deep vein thrombosis (clot in your leg), pulmonary embolus (clot in your lung), stroke or heart attack. Always check your cap for any signs of damage before using it. In fewer than one in 1,000 cases, an IUD can perforate (make a hole in) the womb or neck of the womb (cervix) when it's put in. There will be no sperm in the semen, so a woman's egg can't be fertilised. They will provide you with contraception as long as they believe you fully understand the information you're given and are able to use the contraception safely. You may put on weight when you use the contraceptive injection, particulaly if you are under 18 years old and are overweight with a BMI (body mass index) of 30 or over. The injection lasts for eight, 12 or 13 weeks (depending on the type), so you don't have to think about contraception every day or every time you have sex. Okay, if your pack only has 3 weeks in it, then as soon as you are done with one pack, start the next pack the next day with out having the week off. Female condoms help to protect against many STIs, including HIV. This means that when a man ejaculates, the semen has no sperm and a woman’s egg cannot be fertilised. stops a woman releasing an egg every month (ovulation), thickens the mucus from the cervix (entrance to the womb), making it difficult for sperm to pass through to the womb and reach an unfertilised egg, makes the lining of the womb thinner so that it is unable to support a fertilised egg, have bleeding in between periods or after sex, have arterial disease or a history of heart disease or stroke, have a recent blood clot in a blood vessel (thrombosis), have breast cancer or have had it in the past, it's suitable if you can't use oestrogen-based contraception, such as the combined contraceptive pill, contraceptive patch or vaginal ring, you don't have to remember to take a pill every day, it's safe to use while you are breastfeeding, your fertility should return to normal as soon as the implant is removed, after the contraceptive implant has been inserted, you should be able to carry out normal activities, complementary remedies, such as St John's Wort, an antibiotic called rifabutin (which can be used to treat tuberculosis), an antibiotic called rifampicin (which can be used to treat several conditions, including tuberculosis and meningitis), most GP surgeries – talk to your GP or practice nurse as not all practices fit implants. 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