Contraception

Bourn Surgery is able to supply and offer advice on all forms of contraception. If you would like to discuss your needs, either book a routine telephone consult or a face to face consult with Dr Frame or Dr Lalli

We are able to arrange long acting contraception at the surgery.

You can also get excellent general advice about the various forms of contraception on www.healthinote.com/LARC or by downloading the healthinote app from your App store and enter the code 933 to download the content directly.

You can also contact the free sexual health clinic ICASH by calling 0300-300-3030 or by visiting www.icash.nhs.uk

I’m having problems with my current Contraceptive method, what should I do?

If you are having problems with your current method, or you have any questions, please book a routine telephone or face to face consultation with either Dr Frame or Dr Lalli to discuss any issues.

I can’t remember what to do if I miss a Pill?

Please remember to take your Pill at the same time each day, but if you miss one:

 If you are on a Combined Oral Contraceptive Pill ( Rigevidon, Millinette, Levest, Gedarel,Yasmin) and you are more than 24 hours late ( so 48 hours since your last pill), take it as soon as you remember, then continue to take your Pill at your usual time, but you will need to use another form of contraception-like condoms-for the next 7 days

If you are on a Progesterone-only Contraceptive Pill ( Desogestrel- Cerazette, Cerelle, Zelleta, Norgestron ) and you are more than 12 hours late ( so 36 hours since your last pill) then you will need to use another form of contraception-like condoms-for the next 3 days.

I’m confused about the rules for taking my Combined Contraceptive Pill?

There are new rules for taking your pill which may not be explained in the literature in your pack.

The main changes which help to reduce the chance of you getting pregnant while taking your pill are:

  • Never have a break of more than 4 days between pill packs
  • There is no need to have breaks at all, with no adverse health consequences.

You now have 3 choices about how to take your pill:

  1. The safest option is to run your packs together, without a break. This way you may not have a period at all. Some people may naturally start to bleed after a few months -if so, stop your pill for 4 days, ( no matter where you are in the pack), then restart.
  2. Have a scheduled break after running 2 or 3 packs together. Again, only have a break of 4 days before starting your next pack.
  3. The least safe option ( in terms of an unplanned pregnancy ) is to have a 4 day break at the end of each pack.  

I think I need Emergency Contraception-how do I get it?

 Remember you can take a pill-form of Emergency Contraception for up to 5 days after unprotected intercourse, but it’s effectiveness is decreased the longer it is since the time of intercourse

If you need to access a pill form of Emergency Contraception, you can do so by:

  1. Arranging a telephone or Face to Face consultation with one of the clinicians at Bourn Surgery
  2. Going to a Pharmacist-You do not need a prescription
  3. Contact ICASH- the local Sexual Health Clinic by phoning 0300-300-30-30

If it has been 5-7 days since an episode of unprotected intercourse, you can have a copper coil fitted, either at Bourn Surgery or at ICASH.     

I have a Nexplanon implant, but I can’t remember when it needs replacing?

 Nexplanon is licenced for 3 years, but it’s use can be extended in certain circumstances.

 At the time of its insertion, you would have been given a card with the replacement date on it, but don’t worry if you have lost it; we run a monthly audit to check who is due for a replacement, and we will send you a text message to make an appointment to discuss its replacement or removal.

 

I have a Copper or Mirena coil, but I can’t remember when it needs replacing?

 – Copper coils inserted before you are aged 40 need replacing every 10 years. Copper coils inserted after the age of 40 can be left in place until aged 55.

 – Mirena coils need replacing every 5 years whether for contraception or for HRT, however, if a Mirena is inserted after aged 45 and is used for contraception alone, it can now be left in place until aged 55.

 – Kyleena coils need replacing every 5 years.

 

At the time of its insertion, you would have been given a card with the replacement date on it, but don’t worry if you have lost it; we run a monthly audit to check who is due for a replacement, and we will send you a text message to make an appointment to discuss its replacement or removal.

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