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THE COMBINED PILL
Oral contraceptive
99.70% effective with careful use
HOW IT WORKS
Contains two hormones - oestrogen and progestogen. Taken regularly it stops ovulation (the release of a woman's egg each month). Healthy non-smoking women can now take the combined pill up until the age of 45.
Comments
Not as effective if taken over 12 hours late, or if there is sickness or diarrhoea, when extra precautions must be used. Some drugs may stop the pill working - a doctor will advise. The pill is prescribed by a doctor. Pill users should try not to smoke.
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THE MINI PILL
Progestogen-only pill
98% effective
HOW IT WORKS
The hormone progestogen taken regularly (everyday at the same time) causes changes making it difficult for sperm to enter the womb. It also prevents some ovulations.
Comments
Must be taken at same time daily or no more than three hours late. Sickness, diarrhoea and some drugs may reduce it's effectiveness when extra precautions must be used. Can be taken up until the menopause
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INTRAUTERINE DEVICE
IUD Coil 98% effective
HOW IT WORKS
A small copper device - which is inserted into the womb by a doctor. It works mainly by preventing fertilisation. Newer IUDs are effective for 8 years or longer.
Comments
Best in the over 30's. Inserted by a specially-trained doctor. Not suitable for those at risk of sexually transmitted infection. Generally not suitable for nulliparous (no previous pregnancies) or young single women.
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DIAPHRAGM OR CAP
98% effective, with careful use. Not as effective for young single people
HOW IT WORKS
A soft rubber device, put into the vagina before intercourse, to cover the cervix (entrance to the womb), and form a barrier which prevents sperm from meeting the egg. Must be used with a spermicide and left in place for six hours after intercourse.
Comments
A spermicidal cream or jelly must be used with the diaphragm. Caps - cervical, which are smaller devices that only cover the cervix, are also available, but are not quite as good as the diaphragm. Diaphragms must be fitted by a doctor or nurse.
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SPERMICIDES
(for use with diaphragm, cap or condom)
HOW IT WORKS
Spermicides inactivate sperm.
Comments
Essential for use with diaphragm or cap.
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CONDOM
Sheath, Protective French Letter
96% effective, with careful use. Not as effective for young single couples. There is a female condom available also, called the femidom.
HOW IT WORKS
Made of thin rubber and worn over the erect penis, a condom prevents sperm from entering the woman. The woman can use spermicide for extra safety in case any sperm are spilt. Make sure you read the instructions.
Comments
Must be put on (using a new one each time) before the penis touches any part of the woman's genital area and must be held in place when the penis is withdrawn. Approved condoms carry a British Standards Institution 'Kitemark'. If it breaks or leaks ask for the Emergency Pill.
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