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Choosing The Right Contraceptive For You: Pill, Injection, Implant or IUD?

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Big Sis, I know what contraceptives are and have been using the pill, but I keep forgetting to take it on time! I want to switch to a new one, but hai, what if something goes wrong? I don’t want to get sick or something, please help!

Hey Chom,

I totally get you. It can be scary making a change, sana. Especially when your health could hang in the balance. Let me start by saying that you are a queen for wanting the real info before changing things up.

Contraception is safe, and the right way to prevent pregnancy and steer clear of nasty STIs like herpes and HIV, but you are right, it isn't all smooth sailing! Remember, only condoms are the only full proof way to prevent STIs or STDs.

The Pill:

The pill can be your bestie, and it's as simple as remembering to swallow one each day. No needles, no pain. But, hormones are tricky, honey. You might feel moody, get headaches, or even pick up a few kgs sis. Some girls also feel nauseous or get sore boobs. However, all of these can be effectively managed with the help of a healthcare professional, so please don’t fret or worry!

Real talk, chom; if you’re the forgetful type, or maybe you're a busy sister with lots to handle, missing a pill can make this method less effective. Even some antibiotics and meds may make it less effective so let your doctor know if you are on the pill before any prescriptions.

The Injection:

Alright, babes, here’s the lowdown on The Injection, also known as Depo. It’s got this hormone called depot medroxyprogesterone acetate (DMPA) – big word, but basically, it’s similar to the natural hormone progesterone. Once you get the shot, this DMPA is slowly released into your bloodstream over three months, working quietly to prevent pregnancy. You gotta go back every three months for a fresh injection to keep things 100% effective. Easy to manage, and you only need to think about it four times a year!

But just like the pill, this is a dose of hormones, a big dose so some girls might experience weight gain, mood changes, or spotting (small amounts of bleeding between periods). For some, their periods might stop altogether, which can be cool or concerning, depending on how you feel about Aunt Flo but again nothing to worry for it is normal.

If injections make you feel off, you might want to try the implant, which releases hormones more gradually. And if you prefer hormone-free options, the copper IUD might be a fit—more on that below!

IUD (Intrauterine Device):

IUDs are tiny but powerful. They fit into your uterus to prevent pregnancy for years. There are two types: copper and hormonal. The copper IUD can cause heavier, crampier periods. Especially in the first few months. Hormonal IUDs, on the other hand, can make periods lighter but may still cause cramping or spotting.

If the IUD sounds like too much for you to handle, consider the implant for a lower-hassle approach, or use a daily pill if you want something with a shorter commitment.

The Implant:

The implant is a small, matchstick-sized device that a medical professional places in your arm, and it’s good for up to three years! But once that time’s up, you’ve gotta remove or replace it – if you don’t, you could end up falling pregnant! Just a heads-up: it won’t protect you or your bae from STIs or HIV – only condoms have you covered for that.

When you first get the implant, your arm might feel a bit sore, bruised, or even a little swollen – totally normal, don’t stress. Now, the implant can shake things up with your period – it might go MIA, get lighter, or, for some, get a bit heavy or random but again not to worry!. Also, if you’re on certain meds (like some HIV treatments or antibiotics for TB or meningitis), it could make the implant less effective. So, always check with your doctor if you’re taking other meds, just to stay safe and covered!

Morning-After Pill:

Made an OOPS, chom? No stress. The morning-after pill is a strong backup for emergencies but let me highlight that it is only for emergencies!

If a condom broke or you missed a few days of your regular pill you can use one of these bad boys for up to 5 days after (though, the sooner the better, neh?). But keep in mind, it’s not meant for regular use, sis.

It works by stopping or delaying ovulation (that’s when your ovaries release an egg)but remember it won’t affect a pregnancy that’s already started; it’s all about preventing things from happening in the first place.

It’s also a helluva shot of hormones so prepare for some nausea, headaches, dizziness, or an upset stomach. Some sisters also say that sometimes it can bring a strangely timed period, so have your pads ready. But remember, healthcare professionals are there to support you through any side effects you might experience.

Condoms:

Ghel, if you’ve ever experienced itching, swelling, or irritation after using one, you might have a latex allergy!

This is more common than you think, and it can make regular condoms feel super uncomfortable.

But there is hope. You can try latex-free condoms, although they will cost a couple of bucks. These are just as effective, and you can find them at pharmacies or order online. And remember, condoms are great for protection, so keep them in the mix even if you’re on another form of birth control. Remember using your teeth to open the wrapper may puncture or tear the condom - making it ineffective, rather use the serrated ends

Alright, queens, that’s the real talk on all things contraceptives!

If anything feels off with your current method, don’t ignore it. There’s no shame in going back to the clinic or switching things up until you find your perfect match.

You go girl!
Big Sis