For many young people, using contraceptives is not something to think about before having sex. Yet at the same time, young people are worried about an unplanned pregnancy, avoiding abortions, and catching STDs. In Nigeria 1 in 7 women have tried to have an abortion. Young women have been told by friends, boyfriends, and anyone really that instead of going on a contraceptive, it is better to use antibiotics such as ampiclox (aka Beecham) to prevent pregnancy. This is not true, it is drug abuse because ampiclox is an antibiotic that kills bacteria and so it cannot prevent or stop pregnancy.
What are Contraceptives?
These are drugs or medical devices used to prevent pregnancy (ie. conception). Contraceptives can be either temporary or permanent; since most people want temporary contraception, let’s discuss that. Most contraceptives contain hormones, while a few do not. The Hormonal Methods contain drugs that look like one or two of your natural female reproductive hormones called progesterone and oestrogen while there are two types of contraceptives that are non-hormonal-the IUD and the condom. If you are in Nigeria, these are the options available to you.
Your Zero-hormone options:
1. Intra-Uterine Devices (IUDs):
IUD is a small device that does not contain hormones and is placed by a specially trained health provider into your womb to prevent pregnancy. This method is very effective and a popular choice for many women with health challenges. It starts working immediately it is inserted and stops working once it is removed. Most of them can work for up to 10 years but can be removed whenever you like,
Condoms are great because they will prevent pregnancy and many sexually transmitted infections (STIs). As a bonus, there are many different types of condoms (Coloured, dotted, textured, flavoured…) so there’s fun in trying a different type every time you have sex. Remember, for protection against Sexually Transmitted Disease (STD), use a condom until when you know your partners’ sexual history and have gone for STI testing.
Your Hormonal options:
1. Daily contraceptive pills:
There are two types, the combined oral contraceptives which is a daily pill containing two low dose hormones, one estrogen, and one progestogen. There is also the progestogen-only contraceptives called the mini-pill which is also taken daily but contains only one low dose hormone. The mini pill works best if you’re breastfeeding a baby. One popular advantage of daily pills is they help women have regular menstrual cycles or to go period-free if they choose.
2. Contraceptive Injection:
Did you know that there are injections that can be used to prevent pregnancy for up to 3 months? Those who use the three month injection; it means you will only take 4 injections in a year. Contraceptive injections are very convenient and a good choice for women who usually forget to take their contraceptive pills daily. It is also good for women who because of their health status, should not take estrogen-containing medicines (eg. women breastfeeding babies younger than 6 months or women at risk of thromboembolism (blood clot in the veins). This injection is affordable so go through WHISPA if you want to so you can stop worrying about pregnancy for the next 3 months.
3. Contraceptive Implant:
This is a tiny flexible rod (smaller and thinner than a matchstick) that is inserted under the skin of your upper arm by a health professional and contains a progestogen hormone which is released slowly into your body system. This type of contraceptive can work for 3-5 years after insertion and you can ask your provider to remove it for you anytime you are ready to get pregnant.
4. Intra-Uterine Systems (IUS) also called the hormonal IUD:
This is a small T-shaped device that contains hormones and is placed by a specially trained doctor into your womb to prevent pregnancy and has some additional advantages.
All the contraceptive methods above are temporary. There are some contraceptive methods that are permanent and require a small surgery. The type for men is called a Vasectomy and the type for women is called Tubal Ligation.