The Doctor Says
The Pill in special situations
Looking at factors that can affect a woman’s health when she’s on the combined oral contraceptive pill.
Mature contraception
Whilst the likelihood of pregnancy is less in the mature woman, it is important to remember that as long as there is menstruation, the possibility of pregnancy exists.
Emergency contraception
Emergency contraception is not a substitute for other contraceptive methods. It is to be used only when there is an episode of unprotected sex, or there is potential contraceptive failure.
Sterilising a woman
As a vasectomy (male sterilisation) is simpler and has fewer risks, it should always be considered first before female sterilisation.
Making him sterile
A man can be sterilised by blocking or cutting the vas deferens, a tube-like structure that carries sperm from the testicles to the penis.
Caps, diaphragms and spermicides can be effective methods of contraception
ALTHOUGH condoms are popular, there are other barrier contraceptives, ie caps, diaphragms and spermicides.
Coil to prevent pregnancy
The intra-uterine contraceptive device is made of plastic and/or copper, and is inserted into the uterus to help prevent pregnancy.
Fertility awareness
Fertility awareness methods of contraception include all methods that are based on the identification of the fertile days of the menstrual cycle.
Implants and injections
These are two useful contraceptive methods that can be used by most healthy women.
Advantages and disadvantages of barrier contraceptives
Barrier contraceptives are effective means of contraception, as well as preventing sexually transmitted infections, provided they are used properly on every occasion when there is sexual contact.
One ring to stop them all
Tired of remembering to take the Pill? Try this contraceptive device with similar hormonal effects.
Considering POP
Progestogen only Pill (POP) can be used at any age, even if the user is aged 35 years and above and/or is a smoker. It can also be used if there are health conditions that make the users unsuitable for the oestrogen found in the combined Pill.
Planning families
The combined Pill is a very effective and convenient method of contraception. When used according to instructions, less than one in 100 women will get pregnant in a year of use.
Place of birth?
You need to thoroughly check whether the intended place of birth and attending obstetrician and midwives have the necessary measures in place to ensure a safe childbirth.
Such a clot
The likelihood of blood clots forming in veins – venous thromboembolism – increases in pregnancy.
Bleeding after giving birth
The degree of blood loss after birth determines what measures should be taken by the treating doctor.
A ‘distressed’ foetus
Non-reassuring foetal status in labour is usually something that just happens without any foreseeable reason. There is nothing that the mother could have done to prevent it.

