Choice of contraception

Although we now have many contraceptives, couples still have a negative perception of their personal choices. Many know little about methods other than the combined pill and the condom, and in particular, knowledge of long-acting methods is very poor. Methods that are very safe, such as barriers and natural family planning, are unfortunately not very effective. Meanwhile, the very effective methods—the hormonal contraceptives and intrauterine devices (IUDs)—raise more concerns about health risks and side effects. A woman's choice of contraceptive will be influenced by many factors, and her requirements will change with time. As prescribers, it is our responsibility to ensure that couples are given sufficient and appropriate information to enable them to make decisions.