About service
Why is it Important to Choose the Right Contraception Method?
Choosing the right contraceptive method is a crucial aspect of sexual and reproductive health. Here are several reasons why this issue is of great importance:
• Pregnancy Planning. If you are not planning to become a parent or wish to postpone having a child, the correct contraceptive method will help you control your reproductive health and allow you to decide when to have offspring.
• Infection Protection. Some contraceptive methods, such as condoms, help prevent the contraction of sexually transmitted infections.
• Convenience and Efficacy. Every person has different preferences and needs, so the right contraceptive method should fit your lifestyle. Some people prefer long-acting contraceptive methods (e.g., an intrauterine device (IUD)) that do not require daily monitoring. Others prefer using condoms or hormonal preparations.
• Safety and Side Effects. The correct contraceptive method must be safe and suitable for your health status and medical indications.
• Psychological Well-being. Using the right contraceptive method can boost your psychological confidence and improve your sexual and reproductive well-being. Knowing that you are protected from unwanted pregnancy or infections allows you to enjoy intimacy without unnecessary worries.
The choice of a suitable contraceptive method should be based on the individual needs, preferences, and indications of each woman.
Barrier Methods
Barrier contraceptive methods are a form of protection based on the use of a physical barrier between the glans penis and the uterus. Barrier contraceptives prevent sperm from entering the vagina by creating a barrier that blocks the sperm and prevents its union with the egg cells. Barrier contraceptive methods include:
• Male Condoms. These are the well-known thin rubber or latex sheaths that are placed on the penis before sexual intercourse. They prevent sperm from entering the partner's vagina.
• Female Condoms. Recently, a female version of condoms has appeared on store shelves. These are flexible plastic rings that are placed inside the vagina and cover the cervix. They create a barrier to prevent sperm from entering the uterus.
• Diaphragm. This is a thin rubber cervical cap that is partially placed in the vagina, with its upper end positioned in the area of the urethra. The diaphragm has a large diameter and is placed in the vagina immediately before sexual intercourse (about 30 minutes prior) and removed after 7-8 hours. This type of contraception provides 80-85% protection.
• Spermicides. These are chemical substances that contribute to the death of spermatozoa in the vagina. They are best used by women who are not at the peak of their fertile activity. They can be used alone or in combination with other barrier methods.
Hormonal Methods
As for contraceptives containing hormones, they suppress ovulation. Consequently, an egg is not released, and the dominant follicle does not mature. The vaginal mucus becomes thicker, and the endometrium does not proliferate to the necessary extent. Hormonal contraceptives come in three forms:
• Pills. They may contain both estrogens and progestins, or pure progestins. They are taken continuously for 21-24 days, followed by a break, during which menstruation occurs.
• Transdermal Patch. It looks like a regular wound-healing patch. However, this type of hormonal contraception is saturated with hormones and is adhered to the woman's body (shoulder, lower abdomen) for a week. Then it is changed. In total, the patch is on the woman's body for 3 weeks per month. Menstruation occurs during the patch-free week.
• Vaginal Ring. This is a flexible, elastic ring composed of an ethylene-vinyl acetate polymer. Its diameter is 5 cm, and its thickness is 4 mm. Upon contact of the ring with the vaginal wall, 15 µg of ethinyl estradiol and 120 µg of etonogestrel are released per day. The ring is inserted into the vagina for 21 days, then removed for 7 days. During this time, the hormones are absorbed, providing the contraceptive effect.
Injectable Methods
This method is rarely used in Russia, but it should be mentioned. A progestagen-based preparation is injected subcutaneously or intramuscularly every 12 weeks. During this time, the woman does not need to worry about protection against unplanned pregnancy. The injection is given into the gluteal muscle or the arm muscle. After the injection, progestagens are released into the bloodstream on a regular basis. The substances included in the injections do not interact with other medicinal products. Injectable contraception makes it difficult for sperm to reach the unfertilized egg, thickens the mucus in the uterus, and also thins the endometrium.
Intrauterine Devices (IUDs)
Modern intrauterine devices are T-shaped and are either hormonal or non-hormonal. The hormonal IUD contains either progesterone or levonorgestrel. The IUD exerts a local effect and has a number of advantages:
• Minimal doses of the hormone are used.
• A high concentration of the hormone is achieved precisely in the uterine mucosa.
• The sensitivity of endometrial receptors to progesterone and estrogen is reduced.
• The process of mucosal proliferation in the uterus is suppressed.
• It can be used during lactation.
• The system can be removed at the woman's request at any time.
A hormonal IUD can be effective for 3-5 years, depending on its type. Many specialists are also confident that the IUD can help reduce menstrual bleeding and the symptoms of premenstrual syndrome (PMS). The non-hormonal IUD is made of copper, plastic, or even gold and does not contain hormones. Such materials create aseptic inflammation in the uterine cavity. Because of this, the environment in which spermatozoa multiply loses its activity. If fertilization still occurs, due to the increased contraction of the fallopian tubes, the egg cell enters the uterine cavity too early, when the endometrium is not yet ready for implantation. Therefore, the process of fertilization does not occur. The IUD is effective in preventing pregnancy and can be used for 3-12 years, depending on the IUD type. The IUD is implanted by a doctor during a gynecological examination. The doctor inserts the IUD into the uterus through the cervix using a special instrument. The procedure may be slightly unpleasant and cause minor spasms or bleeding, but it usually does not cause serious problems. The IUD is a very effective contraceptive method, but it does not protect against sexually transmitted infections, so additional protection methods are recommended if there is a risk of infection. Before using an IUD, you need to consult a doctor so that they can select the most suitable type of IUD and evaluate contraindications.
Emergency Contraception
Emergency contraception should be used only in extreme cases: after unprotected sexual contact, if a contraceptive method was used incorrectly (condom broke, hormonal contraceptive pill was missed, patch was not applied, or contraceptive ring fell out). An emergency contraception package may contain one or two pills. To choose a specific drug after unprotected sex, it is advisable to visit a gynecologist. The doctor will help select the pills that are right for you. To achieve the desired result, the pills must be taken strictly according to the instructions.
Combined Methods
Combined contraceptive methods are a combination of several forms of contraception simultaneously to achieve the highest efficacy. The most common combined contraceptive method is Combined Oral Contraceptives (COCs), also known as birth control pills. They contain two hormones—estrogen and progesterone—which suppress the natural cycle of ovulation in women. Furthermore, these hormones make the cervical mucus less permeable to sperm, preventing the implantation of a fertilized egg. These pills must be taken every day at the same time. The efficacy of combined oral contraceptives is about 99%. Another combined contraceptive method is the contraceptive patch, which contains the same hormones as oral contraceptives. The patch is adhered to the skin and changed every week for three weeks, followed by a break. The patch's efficacy is also about 99%. Contraceptive rings or IUDs can also be considered combined methods. The contraceptive ring is inserted into the vagina and remains there for three weeks. The IUD is inserted into the uterus and can remain there from several months to several years, preventing pregnancy. Both methods have high efficacy, about 99%. Combined contraceptive methods are reliable and effective for preventing pregnancy, but they do not protect against the transmission of sexually transmitted infections, so it is important to use additional protection.
Which Contraception Method is Right for You?
The choice of contraceptive method depends on many factors. These include: general health status, age, sexual activity, family status, and personal preferences. Here are a few questions to help you determine your contraceptive choice:
• Efficacy. How important is it to you that the contraceptive method be maximally effective?
• Health. Do you have any medical contraindications for certain contraceptive methods, such as hormonal problems, high blood pressure, or a risk of thrombosis?
• Comfort. How convenient should the contraceptive method be? Some people prefer methods that require minimal involvement, such as an IUD or a patch. Others are more comfortable using methods that require more control, such as condoms or spermicides.
• Pregnancy Planning. Do you have plans to conceive a child in the near future?
• Infection Protection. If not only contraception but also protection against sexually transmitted infections is important to you, consider methods such as condoms or intrauterine contraceptive devices (note: the text incorrectly lists IUDs here; condoms are the only method listed that protects against STIs).
Use this questionnaire as preliminary preparation for a gynecologist consultation.
General Recommendations
Taking contraceptives is one of the most effective ways to prevent unwanted pregnancy. Here are a few general recommendations regarding contraceptive use:
• Before starting to take contraceptives, it is important to visit a doctor who will help you choose the most suitable contraceptive method and explain possible side effects and contraindications.
• Always carefully read and follow the instructions for use for contraceptives. Each method may have different nuances.
• To ensure the highest efficacy of contraceptives, it is important to take them regularly and at the same time every day, if applicable to the given method. Taking contraceptives requires discipline and responsibility from you.
• If you missed taking a contraceptive, be sure to read the instructions for your specific contraceptive method. In some cases, the use of additional protection methods may be required for several days.
• It is important to discuss contraceptive use with your partner and ensure that you both clearly understand which contraceptive method you are using and how to use it correctly.
• It is important to have regular check-ups and consult with your doctor, especially if you plan to change the contraceptive method or if you experience side effects.
• Despite being a reliable method of pregnancy prevention, contraception does not provide a one hundred percent guarantee.
Features of Method Selection for Young Women (Nulliparous)
For young, nulliparous women, it is recommended to use contraceptive methods that not only prevent unwanted pregnancy but also provide protection against sexually transmitted infections. Here are a few contraceptive methods that may be suitable for young, nulliparous women: condoms, oral contraceptives, hormonal IUD, vaginal ring, transdermal patch.
Features of Method Selection After Childbirth (Postpartum)
After childbirth, the choice of contraception type plays an important role in ensuring effective protection against unwanted pregnancy. Here are a few types of contraception that can be considered after childbirth:
• Combined Preparations. These are oral contraceptives containing estrogen and progestin. They prevent ovulation and modify the cervical mucus to create unfavorable conditions for fertilization. They can be effective for women who are not breastfeeding or have already completed breastfeeding.
• Contraceptive Pills ("Mini-Pill"). These are oral contraceptives containing only progestin. They are suitable for breastfeeding women because they do not contain estrogen, which can affect lactation. They may be less effective than combined preparations but still prevent ovulation and modify the cervical mucus.
• Contraceptive Patches. This is a patch with progestagen and estrogen that is adhered to the skin and releases hormones directly into the bloodstream. They can be convenient and effective but require weekly replacement.
• Vaginal Ring. It is inserted into the vagina and remains there for three weeks, releasing hormones into the bloodstream.
• Condoms also remain a relevant contraceptive method in the postpartum period.
Features of Method Selection for Women in Peri- and Postmenopause
The choice of contraceptive method for women in peri- and postmenopause depends on various factors, including the woman's age, health, and preferences. In this period, the patient no longer requires protection against unwanted pregnancy. Therefore, one of the main functions of contraception in peri- or postmenopause is protection against sexually transmitted diseases (STDs).
A gynecologist may suggest the following methods:
• Non-combined Hormonal Methods. In the absence of uterine bleeding, women may be prescribed progesterone in the form of pills or a patch to prevent the occurrence of menstruation. This may be useful for women with a high libido who are willing to maintain their sexual activity.
• Intrauterine Devices (IUDs). IUDs may be suitable for postmenopausal women, especially if they are apprehensive about hormonal preparations. IUDs not only prevent pregnancy but can also help reduce menopausal symptoms (hot flashes, abnormal uterine bleeding).
• Condoms. Women often experience vaginal dryness during this period. Therefore, use special lubricants for comfortable sensations. Choose natural ones, without dyes or fragrances. This will reduce the risk of burning and allergies.
Why Should You Contact Expert Clinics for Contraception Selection?
Only highly qualified gynecologists with many years of experience work at Expert Clinics. Annually, our specialists undergo training at the Anti-Age Expert school of anti-aging medicine and also participate in international congresses. "An individual approach to each patient" is the motto of our gynecologists. Before prescribing a particular contraceptive method, a detailed analysis of your health, including the intricacies of genetic factors, will be conducted during the consultation. Your clinical case will be thoroughly examined, as this approach to contraception selection during different periods of a woman's life allows us not to harm her, but to help her remain healthy and happy.
Choosing the right contraceptive method is a crucial aspect of sexual and reproductive health. Here are several reasons why this issue is of great importance:
• Pregnancy Planning. If you are not planning to become a parent or wish to postpone having a child, the correct contraceptive method will help you control your reproductive health and allow you to decide when to have offspring.
• Infection Protection. Some contraceptive methods, such as condoms, help prevent the contraction of sexually transmitted infections.
• Convenience and Efficacy. Every person has different preferences and needs, so the right contraceptive method should fit your lifestyle. Some people prefer long-acting contraceptive methods (e.g., an intrauterine device (IUD)) that do not require daily monitoring. Others prefer using condoms or hormonal preparations.
• Safety and Side Effects. The correct contraceptive method must be safe and suitable for your health status and medical indications.
• Psychological Well-being. Using the right contraceptive method can boost your psychological confidence and improve your sexual and reproductive well-being. Knowing that you are protected from unwanted pregnancy or infections allows you to enjoy intimacy without unnecessary worries.
The choice of a suitable contraceptive method should be based on the individual needs, preferences, and indications of each woman.
Barrier Methods
Barrier contraceptive methods are a form of protection based on the use of a physical barrier between the glans penis and the uterus. Barrier contraceptives prevent sperm from entering the vagina by creating a barrier that blocks the sperm and prevents its union with the egg cells. Barrier contraceptive methods include:
• Male Condoms. These are the well-known thin rubber or latex sheaths that are placed on the penis before sexual intercourse. They prevent sperm from entering the partner's vagina.
• Female Condoms. Recently, a female version of condoms has appeared on store shelves. These are flexible plastic rings that are placed inside the vagina and cover the cervix. They create a barrier to prevent sperm from entering the uterus.
• Diaphragm. This is a thin rubber cervical cap that is partially placed in the vagina, with its upper end positioned in the area of the urethra. The diaphragm has a large diameter and is placed in the vagina immediately before sexual intercourse (about 30 minutes prior) and removed after 7-8 hours. This type of contraception provides 80-85% protection.
• Spermicides. These are chemical substances that contribute to the death of spermatozoa in the vagina. They are best used by women who are not at the peak of their fertile activity. They can be used alone or in combination with other barrier methods.
Hormonal Methods
As for contraceptives containing hormones, they suppress ovulation. Consequently, an egg is not released, and the dominant follicle does not mature. The vaginal mucus becomes thicker, and the endometrium does not proliferate to the necessary extent. Hormonal contraceptives come in three forms:
• Pills. They may contain both estrogens and progestins, or pure progestins. They are taken continuously for 21-24 days, followed by a break, during which menstruation occurs.
• Transdermal Patch. It looks like a regular wound-healing patch. However, this type of hormonal contraception is saturated with hormones and is adhered to the woman's body (shoulder, lower abdomen) for a week. Then it is changed. In total, the patch is on the woman's body for 3 weeks per month. Menstruation occurs during the patch-free week.
• Vaginal Ring. This is a flexible, elastic ring composed of an ethylene-vinyl acetate polymer. Its diameter is 5 cm, and its thickness is 4 mm. Upon contact of the ring with the vaginal wall, 15 µg of ethinyl estradiol and 120 µg of etonogestrel are released per day. The ring is inserted into the vagina for 21 days, then removed for 7 days. During this time, the hormones are absorbed, providing the contraceptive effect.
Injectable Methods
This method is rarely used in Russia, but it should be mentioned. A progestagen-based preparation is injected subcutaneously or intramuscularly every 12 weeks. During this time, the woman does not need to worry about protection against unplanned pregnancy. The injection is given into the gluteal muscle or the arm muscle. After the injection, progestagens are released into the bloodstream on a regular basis. The substances included in the injections do not interact with other medicinal products. Injectable contraception makes it difficult for sperm to reach the unfertilized egg, thickens the mucus in the uterus, and also thins the endometrium.
Intrauterine Devices (IUDs)
Modern intrauterine devices are T-shaped and are either hormonal or non-hormonal. The hormonal IUD contains either progesterone or levonorgestrel. The IUD exerts a local effect and has a number of advantages:
• Minimal doses of the hormone are used.
• A high concentration of the hormone is achieved precisely in the uterine mucosa.
• The sensitivity of endometrial receptors to progesterone and estrogen is reduced.
• The process of mucosal proliferation in the uterus is suppressed.
• It can be used during lactation.
• The system can be removed at the woman's request at any time.
A hormonal IUD can be effective for 3-5 years, depending on its type. Many specialists are also confident that the IUD can help reduce menstrual bleeding and the symptoms of premenstrual syndrome (PMS). The non-hormonal IUD is made of copper, plastic, or even gold and does not contain hormones. Such materials create aseptic inflammation in the uterine cavity. Because of this, the environment in which spermatozoa multiply loses its activity. If fertilization still occurs, due to the increased contraction of the fallopian tubes, the egg cell enters the uterine cavity too early, when the endometrium is not yet ready for implantation. Therefore, the process of fertilization does not occur. The IUD is effective in preventing pregnancy and can be used for 3-12 years, depending on the IUD type. The IUD is implanted by a doctor during a gynecological examination. The doctor inserts the IUD into the uterus through the cervix using a special instrument. The procedure may be slightly unpleasant and cause minor spasms or bleeding, but it usually does not cause serious problems. The IUD is a very effective contraceptive method, but it does not protect against sexually transmitted infections, so additional protection methods are recommended if there is a risk of infection. Before using an IUD, you need to consult a doctor so that they can select the most suitable type of IUD and evaluate contraindications.
Emergency Contraception
Emergency contraception should be used only in extreme cases: after unprotected sexual contact, if a contraceptive method was used incorrectly (condom broke, hormonal contraceptive pill was missed, patch was not applied, or contraceptive ring fell out). An emergency contraception package may contain one or two pills. To choose a specific drug after unprotected sex, it is advisable to visit a gynecologist. The doctor will help select the pills that are right for you. To achieve the desired result, the pills must be taken strictly according to the instructions.
Combined Methods
Combined contraceptive methods are a combination of several forms of contraception simultaneously to achieve the highest efficacy. The most common combined contraceptive method is Combined Oral Contraceptives (COCs), also known as birth control pills. They contain two hormones—estrogen and progesterone—which suppress the natural cycle of ovulation in women. Furthermore, these hormones make the cervical mucus less permeable to sperm, preventing the implantation of a fertilized egg. These pills must be taken every day at the same time. The efficacy of combined oral contraceptives is about 99%. Another combined contraceptive method is the contraceptive patch, which contains the same hormones as oral contraceptives. The patch is adhered to the skin and changed every week for three weeks, followed by a break. The patch's efficacy is also about 99%. Contraceptive rings or IUDs can also be considered combined methods. The contraceptive ring is inserted into the vagina and remains there for three weeks. The IUD is inserted into the uterus and can remain there from several months to several years, preventing pregnancy. Both methods have high efficacy, about 99%. Combined contraceptive methods are reliable and effective for preventing pregnancy, but they do not protect against the transmission of sexually transmitted infections, so it is important to use additional protection.
Which Contraception Method is Right for You?
The choice of contraceptive method depends on many factors. These include: general health status, age, sexual activity, family status, and personal preferences. Here are a few questions to help you determine your contraceptive choice:
• Efficacy. How important is it to you that the contraceptive method be maximally effective?
• Health. Do you have any medical contraindications for certain contraceptive methods, such as hormonal problems, high blood pressure, or a risk of thrombosis?
• Comfort. How convenient should the contraceptive method be? Some people prefer methods that require minimal involvement, such as an IUD or a patch. Others are more comfortable using methods that require more control, such as condoms or spermicides.
• Pregnancy Planning. Do you have plans to conceive a child in the near future?
• Infection Protection. If not only contraception but also protection against sexually transmitted infections is important to you, consider methods such as condoms or intrauterine contraceptive devices (note: the text incorrectly lists IUDs here; condoms are the only method listed that protects against STIs).
Use this questionnaire as preliminary preparation for a gynecologist consultation.
General Recommendations
Taking contraceptives is one of the most effective ways to prevent unwanted pregnancy. Here are a few general recommendations regarding contraceptive use:
• Before starting to take contraceptives, it is important to visit a doctor who will help you choose the most suitable contraceptive method and explain possible side effects and contraindications.
• Always carefully read and follow the instructions for use for contraceptives. Each method may have different nuances.
• To ensure the highest efficacy of contraceptives, it is important to take them regularly and at the same time every day, if applicable to the given method. Taking contraceptives requires discipline and responsibility from you.
• If you missed taking a contraceptive, be sure to read the instructions for your specific contraceptive method. In some cases, the use of additional protection methods may be required for several days.
• It is important to discuss contraceptive use with your partner and ensure that you both clearly understand which contraceptive method you are using and how to use it correctly.
• It is important to have regular check-ups and consult with your doctor, especially if you plan to change the contraceptive method or if you experience side effects.
• Despite being a reliable method of pregnancy prevention, contraception does not provide a one hundred percent guarantee.
Features of Method Selection for Young Women (Nulliparous)
For young, nulliparous women, it is recommended to use contraceptive methods that not only prevent unwanted pregnancy but also provide protection against sexually transmitted infections. Here are a few contraceptive methods that may be suitable for young, nulliparous women: condoms, oral contraceptives, hormonal IUD, vaginal ring, transdermal patch.
Features of Method Selection After Childbirth (Postpartum)
After childbirth, the choice of contraception type plays an important role in ensuring effective protection against unwanted pregnancy. Here are a few types of contraception that can be considered after childbirth:
• Combined Preparations. These are oral contraceptives containing estrogen and progestin. They prevent ovulation and modify the cervical mucus to create unfavorable conditions for fertilization. They can be effective for women who are not breastfeeding or have already completed breastfeeding.
• Contraceptive Pills ("Mini-Pill"). These are oral contraceptives containing only progestin. They are suitable for breastfeeding women because they do not contain estrogen, which can affect lactation. They may be less effective than combined preparations but still prevent ovulation and modify the cervical mucus.
• Contraceptive Patches. This is a patch with progestagen and estrogen that is adhered to the skin and releases hormones directly into the bloodstream. They can be convenient and effective but require weekly replacement.
• Vaginal Ring. It is inserted into the vagina and remains there for three weeks, releasing hormones into the bloodstream.
• Condoms also remain a relevant contraceptive method in the postpartum period.
Features of Method Selection for Women in Peri- and Postmenopause
The choice of contraceptive method for women in peri- and postmenopause depends on various factors, including the woman's age, health, and preferences. In this period, the patient no longer requires protection against unwanted pregnancy. Therefore, one of the main functions of contraception in peri- or postmenopause is protection against sexually transmitted diseases (STDs).
A gynecologist may suggest the following methods:
• Non-combined Hormonal Methods. In the absence of uterine bleeding, women may be prescribed progesterone in the form of pills or a patch to prevent the occurrence of menstruation. This may be useful for women with a high libido who are willing to maintain their sexual activity.
• Intrauterine Devices (IUDs). IUDs may be suitable for postmenopausal women, especially if they are apprehensive about hormonal preparations. IUDs not only prevent pregnancy but can also help reduce menopausal symptoms (hot flashes, abnormal uterine bleeding).
• Condoms. Women often experience vaginal dryness during this period. Therefore, use special lubricants for comfortable sensations. Choose natural ones, without dyes or fragrances. This will reduce the risk of burning and allergies.
Why Should You Contact Expert Clinics for Contraception Selection?
Only highly qualified gynecologists with many years of experience work at Expert Clinics. Annually, our specialists undergo training at the Anti-Age Expert school of anti-aging medicine and also participate in international congresses. "An individual approach to each patient" is the motto of our gynecologists. Before prescribing a particular contraceptive method, a detailed analysis of your health, including the intricacies of genetic factors, will be conducted during the consultation. Your clinical case will be thoroughly examined, as this approach to contraception selection during different periods of a woman's life allows us not to harm her, but to help her remain healthy and happy.
+7 (495) 154-21-44 
admin@expertclinics.ru 
Moscow, Starovolynskaya st., 12 bld. 1