SOAIDS

Contraceptives

 

The most commonly used contraceptives in the Netherlands in short

The pill

  • The pill contains hormones that stop eggs from ripening.
    This means that a woman does not become fertile when the sperm enters the uterus.
  • The pill is the most reliable way of avoiding pregnancy.
  • The pill  does not protect against STIs.
  • To make sure you don't get an STI, you should use a condom.
  • You can only get the pill on a doctor's prescription.
  • There are different types of the pill available. Some are heavier than others for instance.
  • Please talk to your GP ('Huisarts' in Dutch) to find out which type of pill is best for you.



 

Injections

 

  • These are contraceptive injections.
  • This means that a woman gets a jab in her bottom or in her thigh once every three months.
  • These injections protect against pregnancy just as well as the pill.
  • But they do not protect you against STIs.
  • The advantage of injections is that you don't have to remember to take a pill every day.



 

The intra-uterine device (IUD) or coil

 

  • The coil is a small anchor made of plastic with copper wire round it.
  • The coil stops a fertilized egg from nestling in the womb and so it cannot grow.
  • A coil is placed in a woman's uterus by her doctor and can stay there for five years.
  • It is reliable as soon as it has been inserted.
  • Disadvantages of the coil are the fact that blood loss during menstruation may increase.
  • There is also a greater chance of inflammations or infections, particularly for women with different sexual contacts.
  • Even if you have a coil, you still need to use a condom to avoid getting an STI.



 

The diaphragm

 

  • The diaphragm is made of thin rubber.
  • It closes off the entrance to the uterus, so that no sperm cells can enter.
  • The diaphragm must be inserted before having sexual intercourse.
  • Before inserting it, you need to cover it with a layer of spermicidal cream on both sides.
  • It has to stay in place for eight hours after sex.
  • The diaphragm is reasonably reliable if you use it in combination with spermicidal paste and if it is the right size.
  • A doctor needs to fit the diaphragm each year. The diaphragm does not protect against STIs.

 






the pill

The pill




 

injection

Injection 





 

coil

Coil (IUD)

 







 

diaphragm

Diaphragm 




Photos © Rutgers Nisso Groep, Dutch Expert Center on Sexuality.