There are lots of different type of contraception. Finding one that works for your body and lifestyle can help keep you safe and allow you to choose when, and if, you become pregnant.

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About contraception

Contraception is free to everyone through the NHS. Using contraception can stop you from getting pregnant, protect against some sexually transmitted infections (STIs) and help if you have very difficult or heavy periods.

There are many types of contraception, some are long-lasting, some permanent and some reversible. When choosing what to use, consider your own needs and preferences. Your doctor or sexual health clinic can help you to decide which one is right for you.

Emergency contraception

If you’ve had unprotected sex, or think your contraception might not have worked, it’s best to get emergency contraception to avoid becoming pregnant.

There are several types of emergency contraception. Some can be take up to three to five days after unprotected sex, but it’s best to get it as soon as possible. You can get it for free from a pharmacy or sexual health clinic.

All types of emergency contraception are suitable for trans and non-binary people.

Terminating a pregnancy

A termination of a pregnancy, also called an abortion, is a medical procedure that ends a pregnancy before birth.  It can involve surgery or taking medication.

Menopause and contraception

You cannot know for sure you’ve reached menopause if you’re using hormonal contraception. This is because hormonal contraception can affect your periods.

  • Using the combined pill with regular breaks usually schedules a withdrawal bleed; this is not your natural period.

  • Continuous use of the combined pill can hide menopausal symptoms, like hot flushes and night sweats, and you may have minimal or no bleeding.

  • The progestogen-only pill, IUS, contraceptive implant or contraceptive injection can make your bleeds irregular or stop completely.

When should I stop taking contraception during menopause?

Generally, you can stop contraception either:

  • one year after your last period if you’re over 50 years old,

  • two years after your last period if you’re under 50 years old, or

  • when you reach 55 years of age.

Some people using progestogen-only contraception have no periods, so it can be hard to know if you’ve started the menopause or not. You can continue to use contraception until 55 years old.

If you want to stop contraception before this, talk to your doctor about a blood test to see if you have reached menopause.

LGBTQ+

Trans and non-binary people assigned female at birth may choose to have a hysterectomy to prevent pregnancy. If you still have your uterus and ovaries and engage in vaginal sex, you should use contraception to avoid pregnancy.

How to live well

When using contraception keeping a diary of your mood, general health and any bleeding can help if you have any complications or want to change the type of contraception you use. For example, hormonal contraception can impact your mood, so if you experience a consistently low mood after starting, there could be a link.

Eating healthily and getting some form of physical activity five times a week can improve your general health. This can help ensure your contraception works effectively by supporting consistency and preventing certain health issues.

For further information on how to live well, visit Live Well Dorset:

Types of contraception

There are many types of contraception, some are long-lasting, some permanent and some reversible. When choosing what to use, consider your own needs and preferences. Your doctor or sexual health clinic can help you to decide which one is right for you.

The contraception that works best and is most suitable for you will change throughout your life, so it’s important to review or get advice from a doctor or sexual health clinic regularly.

Using the Brooks ‘best contraception for me’ tool below might help you to have a conversation with your doctor or give you an idea of what you might need when you visit the sexual health clinic.

Barrier contraception

Barrier methods of contraception, like condoms and diaphragms, prevent sperm from reaching an egg. When used correctly, condoms also protect against sexually transmitted infections.

Condoms

Condoms are a single use contraception worn over the penis when you have sex. They can be bought in pharmacies and supermarkets, or obtained for free from your local sexual health clinic.

Diaphragms

Diaphragms are worn inside the vagina and can be reused for up to two years (check for holes and tears before use). They can now be bought from a pharmacy or are free from your local sexual health clinic. Diaphragms should always be used with spermicide.

Hormonal contraception

Hormonal contraception is a safe and reliable way to prevent pregnancy. It includes pills, injections, implants, vaginal rings, some coils and skin patches.

Contraceptive injection

The contraceptive injection lasts for 12 weeks and is injected into the bottom, usually by a doctor.

Contraceptive patch

The contraceptive patch looks like a plaster that sticks to your skin. It is changed every week and is prescribed by a doctor.

Hormonal coil

The hormonal coil is a small T-shaped plastic device which contains progestogen and is put into your womb by a doctor. It lasts five to eight years.

Contraceptive pill

The contraceptive pill is a tablet prescribed by a doctor that is taken every day.

The combined pill contains two hormones: oestrogen and progesterone.

The progesterone only pill does not contain oestrogen.

You can find a pharmacy that offers the contraceptive pill without a prescription through the NHS website:

Long-acting reversible contraception (LARC)

LARCs are safe, hassle-free birth control options. They include:

Contraceptive implant

The contraceptive implant is a small rod a doctor puts into your arm and it lasts three years.

Non-hormonal coil

The non-hormonal coil or intrauterine device (IUD)  is also called a copper coil, this is a small plastic T-shape that a doctor or nurse puts into your womb. It does not use hormones and is 99% effective. It works as soon as it is put in and lasts for five to eight years.

Hormonal coil

The hormonal coil is a small T-shaped plastic device which contains progestogen and is put into your womb by a doctor. It lasts five to eight years.

Permanent contraception

Sterilisation involves blocking or sealing the fallopian tubes that link the ovaries to the womb. It is meant to be permanent.

Sexual Health Dorset does not provide this service, but you can talk to your doctor about it.

Local services

You can get most contraceptives from sexual health clinics, some GP practices and some young people’s services. You can also find a pharmacy that offers the contraceptive pill without a prescription through the NHS website.

Sexual Health Dorset

Sexual Health Dorset is a free service for all ages. It offers a wide range of confidential services including contraception and emergency contraception.

To make an appointment at Sexual Health Dorset for contraception or sexual health advice call 0300 303 1948. Opening times: Monday to Friday 08.15 – 16.45.

Young people

Sex workers

The Dorset Working Women’s Project (DWWP) provides free, non-judgemental sexual health services to sex workers in Bournemouth. The project offers a range of support to help people working in the sex industry including:

  • information on safer sex, contraception and sexual health testing

  • promotion of positive sexual health choices

  • transport to the sexual health service for sexual health check-ups, treatment and emotional support.

Clinics in Dorset

Sexual health clinics offer contraception advice and treatments.

Walk-in clinics for under 18s

Bournemouth and Weymouth offer walk-in check-ups and contraception advice for under 18s on specific days. You don’t need an appointment to attend this clinic, but you may need to wait to be seen. There’s no guarantee you’ll be seen on the day.

Weymouth walk-in clinic

Monday 13:30-16:30

Bournemouth walk-in clinic

Thursday 14:30-18:00