We prescribe oral contraception, the patch and the ring, emergency contraception, the contraceptive injection, and the diaphragm. We do not fit coils or implants.
Combined pills (oestrogen and progestogen)
Many brands, largely similar; the doctor picks one that suits your history. They are not safe for everyone, so the doctor checks (migraine with aura, smoking over 35, some heart risks, the first weeks after birth).
Progestogen-only pills (the mini pill)
For when you cannot take oestrogen, such as breastfeeding, migraine with aura, or smoking over 35. The modern mini pill forgives a missed pill by up to 24 hours.
Patch and ring
Combined hormonal methods that work like the pill without a daily tablet. The Evra patch is changed weekly; the NuvaRing monthly. The same safety checks apply as for the combined pill.
Contraceptive injection
Medroxyprogesterone, oestrogen-free. Sayana Press you inject at home every 13 weeks; Depo-Provera a doctor gives in clinic every 12 weeks (a £120 visit). Long-term use carries a small increased risk of a benign brain tumour, which the doctor talks through with you.
Cap (diaphragm)
A hormone-free barrier used with gel. The modern Caya is one size, so no fitting is needed. It is less reliable than the pill or a coil, but a good hormone-free option for anyone who will use it carefully.
Emergency contraception
Levonorgestrel works up to 72 hours after sex, ulipristal up to 120 hours and better later on.