Contraception
Choosing contraception is a personal decision, and what works well for one person may not be right for another. Your age, health, lifestyle, medical history and future pregnancy plans can all influence which method may suit you.
At West Wales Women’s Wellbeing, we offer personalised contraception consultations to help you understand your options and make an informed choice. Whether you’re considering contraception for the first time, looking to change your current method or need advice about a coil or implant, our Consultant Gynaecologist can help guide you.
We offer a range of contraceptive options, including hormonal and non-hormonal methods, with coil and contraceptive implant fitting and removal available.
Exploring your contraception options
There are several types of contraception available, each with different benefits, considerations and levels of effectiveness.
During your consultation, we can discuss the options available, including:
- Hormonal coils (IUS) – small devices placed inside the womb that release a hormone to prevent pregnancy. Some types can also help reduce heavy periods and menstrual pain.
- Copper coils (IUCD) – a non-hormonal method of contraception that can provide long-term protection against pregnancy.
- Contraceptive implant – a small, flexible rod inserted under the skin of the upper arm that releases a hormone to prevent pregnancy.
- Other hormonal contraception – including the pill, patch, vaginal ring and injection, where appropriate.
- Non-hormonal contraception – including barrier methods and other options that do not involve hormones.
Your consultant can explain how each method works, how effective it is, potential side effects and what to consider when choosing between them.
Coil fitting and removal
Intrauterine contraception includes hormonal coils (IUS) and copper coils (IUCD). Both are small devices placed inside the womb to provide effective, long-acting contraception.
A coil may be suitable if you:
- Want reliable contraception without having to remember a daily pill.
- Prefer a long-acting method.
- Would like to explore non-hormonal contraception.
- Experience heavy periods and want to discuss whether a hormonal coil may help.
- Need your existing coil checked, replaced or removed.
Coil fitting: Coil fitting involves placing the device through the cervix into the womb. The procedure is usually straightforward, although some women experience period-like cramps or discomfort.
Your consultant will explain what to expect, discuss pain relief options and answer any questions before proceeding.
Coil removal and replacement: If you have an existing coil that needs removing, replacing or is no longer suitable for you, we can discuss your options. Removal is usually a short procedure, and a replacement coil may be fitted during the same appointment. We can also offer ultrasound guided coil removal if you have had a failed removal attempt previously.
Contraceptive implant fitting and removal
The contraceptive implant is a small, flexible rod inserted just beneath the skin of the upper arm. It releases a hormone that prevents pregnancy and provides long-acting contraception.
An implant may be suitable if you:
- Want highly effective contraception without taking a daily medication.
- Prefer a method that does not involve a coil or procedure inside the womb.
- Would like a long-acting method that can be removed when you choose.
- Want to discuss an alternative to your current contraception.
Implant fitting: The implant is inserted under the skin of the upper arm using local anaesthetic. The procedure is usually quick, and you will be advised about caring for the area afterwards.
Implant removal: If your implant is due for replacement, you wish to stop using it or would like to change to another contraceptive method, removal can be arranged.
Your consultant can also discuss whether you would like a replacement implant or prefer to explore other options.
What happens during a contraception consultation?
Your appointment is an opportunity to discuss your current contraception, medical history and what you would like from a contraceptive method.
Understanding your needs
We will discuss your menstrual cycle, previous contraception, medical history, medications and any concerns you may have.
Exploring your options
Your consultant will explain suitable methods, including their benefits, possible side effects and any relevant risks or precautions.
Planning your next steps
If you decide on a coil or implant, your consultant can discuss fitting arrangements and any preparation needed. Depending on your circumstances, fitting may be possible during the same appointment or may require a separate visit.
Changing or stopping contraception
Your circumstances and preferences can change over time. You may wish to stop using hormonal contraception, change to a non-hormonal option, replace an existing device or start planning for a pregnancy.
Thinking about trying to conceive?
If you are planning a pregnancy, we can arrange removal of your contraceptive coil or implant. Fertility can return quickly after removal, so you can begin trying to conceive when you feel ready.
Your consultant can also discuss any questions you may have about your menstrual cycle, reproductive health and preparing for pregnancy.
If you are not ready to conceive immediately, we can also talk through alternative contraceptive options and help you plan the transition safely.
It is important to consider when contraceptive protection ends and whether you need alternative contraception during any change of method. Your consultant can advise on this and discuss your individual circumstances.
Is contraception right for me?
There is no single contraceptive method that suits everyone. Some methods may not be appropriate depending on your medical history, medications or individual risk factors.
You do not need to have decided which method you want before booking. Your consultant can talk through the options and help you make a choice that reflects your needs and preferences.
Book a contraception consultation
Whether you are considering contraception for the first time, looking to change your current method or need a coil or implant fitted or removed, West Wales Women’s Wellbeing can help.
Our consultant-led service offers personalised advice and a range of contraceptive procedures in a supportive setting.