With the last edition of “Cupiditas” we started a new series on the topic of contraception. We introduced the birth control pill, the hormone implant, and the contraceptive patch. These are all hormonal methods of contraception that inhibit the monthly ovulation through the intake of hormones (among other things). In this edition we want to introduce some other hormonal methods of contraception.

Hormonal IUDs
The hormonal IUD is inserted in the uterus. It constantly gives off hormones. Thereby constantly feigning a pregnancy. This also entails lighter periods that are sometimes less painful. The hormonal IUD gives off less hormones than the pill, which also means that it has less side effects. Also, the hormonal IUD only has to be inserted once and is then effective for five years. After that it has to be removed. It does not protect from STDs and has to be inserted and removed by a gynaecologist! The cost of 400-500 Euros have to be paid for yourself.

Three-month injections
The three-month injections also works with a hormone called gestagen. This hormone has to be injected by a gynaecologist once ever three months. This must always be within the first five days of the period. The injection does not protect from STDs and the period can become irregular, sometimes the bleeding is stronger. Additionally there are similar side effects as with the pill in that you can suffer from headaches, depression or get pimples and gain weight. When you stop using the three-month injection it can take a longer time before your body is ready for a pregnancy again. Every three months you have to go to the gynaecologist and pay 30 € for the injection yourself.

Vaginal ring
The vaginal ring (or intravaginal ring, or V-Ring) is a small ring made out of soft plastic. The ring gives off the hormones oestrogen and gestagen through the vagina into the body. Thereby hindering ovulation and preventing sperm to enter into the uterus. You can insert the vaginal ring yourself. It should be positioned so that you no longer feel it. For the first time you should use it within the first five days of your period. It remains in place for three weeks, then you take it out and wait for a week during which time you have your period. After that you insert a new one for three weeks. To be safe you should use a condom during the first seven days after inserting the ring. The advantage of the vaginal ring is that you can insert it yourself, and you know best when you have your period. Additionally the bleeding will most probably become weaker. However, it does not protect you from STDs, and it can have similar side effects as the pill. Also, you cannot use it when breastfeeding. Initially the vaginal ring must be prescribed by a doctor, after that you can buy them yourself at the pharmacy for approximately 19 €.