Hormonal methods of contraception OVERVIEW

What are some methods of hormonal contraception?

• Combined oral contraceptives (COCs)

• Progestogen oral contraceptives (POPs)

• Combined hormonal contraceptive patches

• Combined hormonal contraceptive ring

• Levonorgestrel-releasing Intra-uterine system (IUS)

• Progestogen-only injections

• Progestogen-only subdermal implants

What are examples of long acting reversible contraceptive methods?

IUS and progestogen-only injections

What are some examples of combined hormonal methods?

COC pill, patch and ring - all contain oestrogen and progesterone

What was the FSHR 2018 and MHRA 2019 guidance about contraception for patients on teratogenic medication?

Women should use highly effective contraception if themselves/partner is taking known teratogenic drugs with potential teratogenic effects

What should be done before initiation on teratogenic drugs?

Pregnancy test to exclude pregnancy

What are some known highly effective contraception methods for patients taking teratogenic medicines?

Male and female sterilisation, LARC copper intra-uterine device, levonorgestrel intra-uterine device and progestogen-only implant