Home>Your care>Family planning>Long-acting reversible contraception (LARC)

Convenient, long-lasting, and effective contraception

The NHS recommends long-acting reversible contraception (LARC) as the first choice for those who wish to avoid getting pregnant. These are more convenient, long-lasting options, and they are more effective than barrier contraceptives (condoms or diaphragms) or oral contraceptives (the pill) for preventing pregnancy.

However, LARC does not give protection against sexually transmitted infections.

For more details on LARC, please read the information below. Please follow the contact us links if you wish to book an appointment.

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Contraceptive implant (Nexplanon)

The contraceptive implant (Nexplanon) gives protection for three years after insertion. We can both insert and remove these implants at our surgeries.

The implant is more than 99 per cent effective, and a major benefit of this form of contraception is that if you decide to start a family, your normal level of fertility will return rapidly after removal.

You may experience irregular bleeding, which is the most common reason for choosing to have the implant removed early. However, 20 per cent of people stop having periods within the first 12 months after insertion of the implant.

If you think this may be right for you, or you would like to have your implant removed, please contact us. You will be offered a telephone call with one of our specially trained clinicians to discuss in more detail, and you will then be added to a waiting list for the next available appointment for insertion or removal.

For more information on benefits, risks and side effects, click below.

IUD and IUS (copper coil and Mirena/hormone coil)

Both kinds of coil (copper and Mirena/hormone) give protection for five years after insertion and are more than 99 per cent effective. We can both insert and remove coils at our surgeries.

A major benefit of both kinds of coil is that if you do decide to start a family, your normal level of fertility will return rapidly after removal. The IUS (Mirena/hormone coil) can also be used to treat heavy and/or painful periods, alongside its contraceptive use.

The IUD (copper coil) can cause your periods to become heavier and/or more painful, which is the most common reason for choosing to have it removed early. The IUD should not cause your period to stop or become irregular.

For the IUS (Mirena/hormone coil), the most common reason for early removal is irregular bleeding. However, after 12 months with the IUS, most people will have infrequent or no bleeding.

If you think the coil might be right for you, or you would like to have it removed, please contact us. You will be offered a telephone call with one of our specially trained clinicians to discuss in more detail, and you will then be added to a waiting list for the next available appointment for insertion or removal.

For more information on benefits, risks and side effects click below.

Contraceptive injection (depot)

The contraceptive injection gives protection against pregnancy for 13 weeks. There are two types of injection – one must be administered by a member of our practice nurse team, and the other can be self-administered after a demonstration by our team.

The injection is more effective than oral contraception, and unlike the implant or the coil, it does not require a procedure to remove the contraceptive device. However, it can cause irregular bleeding, and your fertility can take up to 12 months to return to normal levels, so it will not be appropriate if you are considering trying to start a family soon.

If you think this may be right for you, please contact us. You will be offered a telephone call with one of our specially trained clinicians to discuss in more detail, and you will then be added to a waiting list for the next available appointment.

For more information on benefits, risks and side effects click below.

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