Progestogen-only contraception

Over the last 40 years there have been enormous advances in the field of contraception. In the late 1950s, options were restricted to male and female sterilization, condoms and diaphragms/cervical caps. Now in the early part of the 21st century, men and women have over 13 methods to choose from; yet few are aware of this diversity, and health professionals often give misinformation about their safety and use. Progestogen-only contraception still seems to be shrouded in mystique. Can those who are advised 'against the pill' use progestogen-only pills (POPs)? Will fertility be affected by the injectable and what about long-term side-effects of implants - are they known? In fact, the most recent advances have resulted in the development of POPs that are now as effective as combined pills. Research has identified those who can safely use injectables and that their action is reversible although some delay (up to a year) is to be expected. Contraceptive implants are reversible and provide almost 100% effective contraception. The progestogen-only intrauterine system is now changing the face of gynaecology, with numbers of women seeking sterilization and hysterectomy falling.