Contraception for Women

Other forms of contraception

25 March 2008
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The Progesterone Only Pill (Mini Pill)

This method of contraception is not recommended as it is less effective, particularly if enzyme-inducing anti-epileptic drugs are being taken.

Emergency Contraception

There is no evidence to suggest that women with epilepsy should not take emergency contraception. Some practitioners suggest a higher dose in women taking enzyme inducing anti-epileptic drugs.

The Depo-Provera

This method of contraception is a single injection into the buttock. It is usually administered every 12 weeks. This can be considered as a method of contraception for women on antiepileptic drugs

The Barrier Methods

The male or female "Femidom" condom if used correctly can be as effective for the woman with epilepsy. There are no large-scale studies but research to date suggests that the Femidom is as effective as the male condom.

The Implant

The implant is a rod shaped device that is inserted under the skin just above the elbow for a period of 3 years. This method of contraception is NOT advisable for women on enzyme inducing anti-epileptic drugs and an alternative method should be considered.

Mirena Intrauterine System (IUS)

There are no contraindications to the Mirena coil in women with epilepsy because progesterone acts by being released locally into the uterus. However the IUS is not recommended to women who have not had children yet.

The Persona Device

This method relies on testing your urine for hormonal changes during your menstrual cycle. As your hormone levels may be affected by your anti-epileptic treatment the Persona is not a recommended method of contraception.

The Rhythm Method

This method also relies on hormonal changes therefore it is NOT recommended to women on anti-epileptic medication.

The Evra Patch

Evra is a thin square patch worn on the skin to prevent pregnancy. Each patch is worn for 7 days every week for 3 consecutive weeks and the fourth week is a patch free week i.e. no patch is required.

The patch is NOT recommended for women on enzyme inducing anti-epileptic drugs.

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