Contraception

During a consultation on abortion, Dr. Walther will also inform you about various contraceptives. During the consultation it is important to find out what your needs are.

Various questions are discussed, e.g.

The effectiveness of the method in preventing pregnancy

The type of application

The cost

The tolerance

The possibility to obtain, for example, whether a consultation with a doctor / prescription is required first

What is the meaning of the Pearl Index?

Through the Pearl Index, the safety of a contraceptive can be assessed.

The Pearl Index compares the number of pregnancies of 1000 women who have regular intercourse during 1 year and use 1 particular contraceptive.

  • Without contraception
  • Condom
  • Pill
  • Endocrine system
  • Male ligature

Pearl Index 80

Without contraceptives, 800 women out of 1000 are pregnant after 1 year

Pearl Index 15

If condoms are used consistently, instead of 800 women only about 150 – 200 are pregnant

Pearl Index 8

When taking the pill, 50-80 women are pregnant

Pearl Index 0.1

With the IUS, it’s 1 woman

Pearl Index 0.2

With male ligature there are 1-2 women

Pill vomited: Am I pregnant now? How high is the possibility of being pregnant if the contraceptive pill was vomited just after 4 hours and I had sexual intercourse the next day?

The active substance of the contraceptive pill should have been largely absorbed into the bloodstream by the intestine after 4 hours. There is only a very small risk that you have become pregnant. If you vomit another time more quickly than 3 hours after taking the pill, it is advisable to replace the vomited pill with another pill. If a pill is missing at the end of the menstrual cycle, it does not matter.

How effective is the emergency contraception pill? I had unprotected sexual intercourse last weekend on the 15th day of my cycle during a 30-day cycle. I took the emergency contraceptive pill 12 hours later, but I am not convinced of the effect. Shouldn't the medication prevent ovulation? As I already have 5 living, healthy children with my husband, I think I know my body - and I am pretty sure I felt ovulation yesterday morning.

There are two “emergency pills.” One is EllaOne. This emergency pill can be taken up to 5 days (120 hours) after sexual intercourse. It postpones ovulation, which means that later in the cycle, during unprotected intercourse, pregnancy is possible again! Norlevo Uno is the name of the other ” emergency contraceptive pill “. It reduces the probability of pregnancy by a factor of about 5. It works until 3 days (72 hours) after sexual intercourse. Ovulation is prevented by raising the progestin level so high that bleeding is triggered by the subsequent drop in the progestin level and ovulation does not occur. EllaOne is more effective than Norlevo Uno. As both methods do not induce ovulation, you can become pregnant again in the same cycle if you have unprotected sex. You must therefore use contraception until the next period.

The safest, but also the most expensive and costly method of contraception, which can still be used after more than 72 hours, is the insertion of a copper spiral. This is possible up to 5 days after sexual intercourse.

Contraception after abortion? What is the safest contraception after abortion?

As your fertility is beyond doubt, you can use a hormone IUD, the Mirena®, Kyleena® or Jaydess®. It can be inserted immediately after the surgical procedure – if the cervix is still open – without any pain. After an abortion with medication, the Mirena®, Kyleena® or Jaydess® can often be used after just one week or – as is generally the case – during menstruation. Mirena®, Kyleena® or Jaydess® is a T-shaped continuous, only locally acting hormone depot insert in the uterus. It only has to be removed or changed after 5 years (Jaydess® after 3 years). It is much safer than a copper spiral and at least twice as safe as a contraceptive pill. For young women, a contraceptive pill is usually the most practical solution. If you smoke and / or are in your mid-thirties or older, the contraceptive pill is less recommended. Condoms are safe against infectious diseases but less safe than contraception: the sperm can smell the passage and actively seek it, unlike viruses and bacteria.