An explainer on different contraception - with Dr Jacqueline Coombe
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What contraceptive options are available in Australia?
As women's bodies are different, everyone's body is different, your experience of side effects of a specific contraception will be different to my experience of that side effect. And even my life is different to your life, so what I'm willing to tolerate is different to yours.
One, two, three, four.
Hi, Jackie. Hi, Steph. Thanks for having me. Thank you for coming on. I feel like this episode, questions around contraception and sex and stuff comes up so much. And I feel like there was not enough education for us when we were younger on maybe some of the options. And also, I know... And I'm intrigued to learn more. But I also know that there's been quite a development on those options probably. Or we've learned more about them maybe since we were, you know, teenagers or early 20s. So very keen to learn from you. And I think for me as well, personally... Because I've been on a couple of different ones, really interested to learn more about those and, yeah, just hear your thoughts on it. But I think where I'd love to start, and this is an interesting one for me because, like, we've heard you speak about IUDs and the use of them within Australia being quite low.
Yeah. So interested to know why that is. I do know that there is a lot of stories shared about like maybe what's gone wrong with those kind of contraceptions. And I feel like for me, I've had two experiences, one with Copper IUD, one with Marina. Copper IUD didn't actually even... Like go in. Oh, God, you poor thing. It was very painful. This was years and years and years ago. Didn't happen. My body was just like not having it and it was very painful and so we just gave up. Yeah. And then I actually got the IUD, the Mirena. Yeah. three or four months postpartum after my first. And that was purely just because I was like absolutely sure I do not want to accidentally fall pregnant right now. And for me, like I had it for like two and a half years and I think it worked really well in so many ways.
But I just felt like I could feel it, like it was a bit uncomfortable or that I could maybe feel it in sex, which I know is not the case for everyone. I've got friends who have had it and they're like, I forgot it was there. So, yeah, it's really interesting and I'm keen to hear your thoughts on, I suppose, both different types. Is there more than two? Yeah. in IUD? There is.
So there's a third one called the Kylena, which is a hormonal IUD. It's like the Mirena. It's just a smaller one. And it lasts for three years instead of up to eight years. It's very similar. Same, basically same side effects and that sort of stuff. I think it came on to the market in Australia in 2020. So it's much newer than the other ones. But yeah, basically it's the Mirena and the copper IUDs.
Yeah.
And there's been, I have heard, with the insertion part, which is so funny because my experience with the Mirena was very, maybe because I'd just given birth. Yeah. And I was like, I can do anything. Yep. So like, I barely felt it when it was happening postpartum. But I know from my first experience that it can be an uncomfortable one. But even there's been changes with that, hasn't there?
Yeah. Yes, there has. So probably the first thing to say that if you've given birth vaginally, women who have done that and then go on to have an IUD inserted, it's typically less painful for them. Whether it's because they've given birth and they're like, look at me, I'm amazing. Pain thresholds changed. Yes, exactly. Or whether it's, you know, because their body has actually changed and the insertion process is easier. Yeah. So yes, there's that. And then there has been quite a lot of chat recently over the past few years about the pain during IUD insertions. I was thinking about this the other day. So I did my PhD probably 10 years ago now on IUDs and in long-acting reversible contraceptives more generally, but...
it was around why people don't use them. And I didn't talk about pain. Pain wasn't a thing. It didn't come up. And that's just wild to think about. It has changed so much in the past few years.
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Chapters
8 chapters
1
What contraceptive options are available in Australia?
0:03–5:45
2
How effective are different contraceptive methods?
5:45–12:34
3
What should you expect during an IUD insertion?
12:34–17:45
4
What are the side effects of various contraceptives?
17:45–23:20
5
How does the pill compare to long-acting methods?
23:20–29:21
6
What is the process for obtaining the morning-after pill?
29:21–36:03
7
What considerations should be made for choosing contraception?
36:03–41:28
8
What are the implications of vasectomies in family planning?
41:28–46:31