Contraception
Since 2014, obstetricians have been licensed to prescribe and place oral contraception and IUD’s. A logical extension of the information we provide in postpartum care about contraception. We think it is a positive development for women giving birth that they can come to us for this. Nienke and Sophie therefore took additional training and set up a contraception clinic. In addition to their competence, this also gives them the ability to provide quality contraceptive care.
The copper IUD
A copper IUD is hormone-free contraception and gradually releases copper. Copper paralyzes the sperm entering the uterus and makes them inactive so that fertilization cannot occur.
A copper IUD also works as a morning-after IUD if placed within five days after unprotected sex. The copper IUD makes the endometrium unsuitable for the implantation of a fertilized egg.
The T-safe copper IUD is highly reliable and is registered for a 10-year use. Of course, you can also have the T-Safe placed for a shorter period of time, such as between pregnancies. The T-Safe IUD can be purchased from us. If you have supplementary insurance and are eligible for reimbursement by the insurance company, you must pick up the T-Safe IUD at the pharmacy with a prescription written by us. The T-Safe IUD costs €78,04.
The hormone IUD
The hormone IUD causes the mucus in the cervix to become “tougher,” making it harder for sperm to pass through it. In addition, ovulation is sometimes suppressed and the endometrium becomes unsuitable for the implantation of a fertilized egg.
The Mirena IUD is highly reliable and is registered for a 8-year use. Since 2017, “the little sister” of this IUD, called Kyleena, has entered the international market, which gives off an even lower dosage and has smaller size. So unlike other types of birth control, Kyleena “only” affects one aspect of your uterus, but is just as safe. Because of this, a Kyleena IUD may possibly be of interest to people who react sensitively to the hormones in other contraceptives. Also, this IUD is extremely suitable for girls and women who have never given birth (yet). Both the Mirena and the Kyleena work as contraceptives for eight years. Of course, you can also have a hormone IUD placed for a shorter period of time, such as between pregnancies. The hormone IUD should be picked up at the pharmacy with a prescription written by us. These IUD’s costs about €150.
Do you want to have an IUD placed?
Usually you have to pay for the IUD yourself, the insertion is covered by the health insurance company. You can always call us to get more information and make an appointment if desired.
Oral contraception, ‘the pill’
After the birth of a child, you have the option of taking “the pill” as a contraceptive. If you are breastfeeding, we recommend taking a pill without estrogen, the “mini pill” or Cerazette.
With this pill, you don’t have a stop week, so you take a pill every day. For good effect, it is recommended to take this pill every day at a fixed time. Because the pill has no stop week, you have no control over when your period occurs. A pill without estrogen may well change your period, decrease it or even make your period disappear altogether. The pill can be taken starting 6 weeks after delivery.
If you are not breastfeeding then you can discuss with doctor or midwife which pill is best for you. The pill can be taken starting 2 to 3 weeks after delivery.
Natural method
LAM, Lactation Amenorrhea Method, reliability between 0-10%, 0-10% become pregnant within a year when using the method correctly. Here, the mother is still fully breastfeeding. Breastfeeding causes another hormone imbalance. Conditions of this method are: maximum 6 hours between 2 feedings, no pumping and the baby should not be older than 6 months.