Choosing the Right Contraception: A Guide to Your Options

There Isn't a One-Size-Fits-All Answer

Contraception is not a single decision — it's a personal choice shaped by your health, lifestyle, and what matters most to you, whether that's convenience, minimising side effects, or how easily a method can be reversed. Understanding the main categories available can make that conversation with a pharmacist or GP much easier.

Combined Hormonal Methods

These contain both oestrogen and progestogen and work primarily by preventing ovulation.

• Combined pill: Taken daily, can help regulate and lighten periods for some.
• Contraceptive patch: Changed weekly, delivers hormones through the skin.
• Vaginal ring: Inserted monthly, released continuously.

These methods aren't suitable for everyone — they're generally unsuitable for smokers over 35, and for those with certain migraine patterns or a history of blood clots.

Progestogen-Only Methods

These contain no oestrogen, making them an option for people who can't use combined methods.

• Mini pill (progestogen-only pill): Must be taken at a consistent time each day; some newer versions have more flexible windows.
• Contraceptive implant: A small rod inserted under the skin of the arm, effective for up to three years.
• Contraceptive injection: Given every 8–13 weeks depending on the type.
• Hormonal IUD (coil): Fitted internally, can last several years, and often reduces bleeding over time.

Non-Hormonal Options

• Copper IUD: A hormone-free coil that can last up to 10 years, also usable as emergency contraception if fitted within 5 days.
• Barrier methods: Condoms remain the only method that also protects against sexually transmitted infections.
• Fertility awareness methods: Tracking cycles, requiring consistency and a good understanding of your own patterns.

Questions Worth Asking Yourself

• Do you want a method you manage daily, or a longer-acting 'fit and forget' option?
• Are you also looking for STI protection?
• Do you have migraines, a history of blood clots, or other conditions that rule out oestrogen-based methods?
• How important is it that your periods stay light, or stop altogether?

Getting Personalised Advice

The right method depends on your individual medical history, which is why a consultation with a pharmacist or prescriber matters. They can talk through your options, check for any contraindications, and help you choose — and switch, if a method isn't working for you.