Birth control

If you are not (yet) a client with us and want an IUD (intra-uterine device also know as spiral) or information about (other forms of) contraception, you can always contact us.

After pregnancy, we will provide you with information about birth control. We will discuss your previous experiences with birth control, how your cycle was before pregnancy and together we will look at which form of birth control best suits you and your lifestyle. We place IUDs (copper and hormone spirals), Implanon (hormone rod in your arm) and prescribe the pill. If you want a contraceptive with hormones, we will always first do a check-up to see if this fits your health.

Hormones are not recommended for some diseases or medication use. That is why we want to check this out first. If we have come to a suitable contraceptive, we will make an appointment to prescribe and / or place.

Birth control pill

The pill is the most commonly used method of contraception in the Netherlands. The pill contains hormones that prevent you from becoming pregnant. These hormones suppress your ovulation, causes that mucus in the cervix to become thicker, making it harder for sperm cells to get through and affecting the uterine wall. As a result, a fertilized egg cannot implant properly.

A pill strip has 21 tablets. You take a tablet every day for three weeks. After this week you have a stop week, during which you do not take a pill for 7 days. You will then get your period. After this you start a new cycle again. If you forget a pill, you can get pregnant. That is why it is important to handle this meticulously. Swallow the pill at a fixed time of the day, for example when getting up or brushing your teeth. Then the chance that you forget the pill is smaller.

+ easy to take
+ you can skip, postpone or shift your period
+ reliable form of birth control

– You must take the pill daily
– If you forget the pill, or if you are sick (vomiting or diarrhea) the pill is no longer reliable and you must take additional contraceptives to protect you from pregnancy
– Daily hormonal fluctuations

Cerazette

The Cerazette is a pill without the hormone estrogen. This is for women who are not allowed to use estrogens or if you are breast-feeding. There are fewer hormones in this pill, which reduces the chance of a decline in your milkproduction. You take this pill every day. There is no stop week. If you forget the pill, you may become pregnant. That is why it is important to handle this meticulously. Swallow the pill at a fixed time of the day, for example when getting up or brushing your teeth. Then the chance that you forget the pill is smaller.

+ Easy to take
+ Less change of a drop in your milk production
+ Reliable form of birth control

– You must take the pill daily
– If you forget the pill or if you are sick (vomiting or diarrhea) the pill is no longer reliable and you must take additional contraceptives to protect you from pregnancy
– Daily hormonal fluctuations
– Your menstrual pattern can change, you cannot regulate this as with the ‘‘normal’’ pill

Implanon (hormone rod in arm)

An Implanon is placed in your upper arm of the least dominant arm (if you are right-handed, it is placed in the left arm). Placement takes place under local anesthesia. As a result, you usually feel little about the placement. An Implanon can remain in place for 3 years.

+ Working for three years
+ Can’t ‘‘forget’’
+ Gradual hormone release, without daily fluctuations
+ Menstruation stays away in 1/5 women

– You cannot regulate the timing of your period
– 1/5 women have repeated and / or prolonged bleeding

IUD

A spiral is placed in your womb. Placement can sometimes be painful. This is especially the case with women who have never given birth. We recommend taking two paracetamol one hour before placement. We always make an ultrasound check before and after the placement. This is not reimbursed by insurance, but we find it very important, so you do not have to pay it yourself. After the installation we will schedule a telephone follow-up a few weeks after placement to see how you are doing and if you have any complaints. If you have any questions or complaints before that time, you can of course call us at any time!

Copper spiral
+ No hormones
+ Protects for 10 years against pregnancy
+ Can’t ‘‘forget’’
+ High reliability rate
+ Maintains natural cycle

– Placement can sometimes be painful (especially in women who have not given birth before)
– Sometimes more or longer blood loss during your period
– Sometimes you suffer from (more) abdominal pain during your period
– No possibility to skip menstruation or to shift

Hormone spiral (Kyleena or Mirena)

The Kyleena and Mirena both work the same, but the Kyleena has fewer hormones, so this spiral has our preference. After a conversation about your cycle and wishes regarding contraception, we will determine, in consultation with you, which spiral suits you better.
+ Protects against pregnancy for 5 years
+ Can’t “forget”
+ Gradual hormone release, without daily fluctuation
+ Most women have no more menstrual periods or less blood loss during menstruation

– Placement can sometimes be painful (especially in women who have not given birth before)
– Possible side effect due to hormones

Through this link you will find more information about the above contraceptives and other alternatives.