Contraception counseling
There are many different methods of contraception, all of which vary in their use, mechanism of action, reliability, side effects, and costs. Which method is right for you personally is something we are happy to determine together with you in an open, non-directive consultation with our gynecologists.
Hormonal IUDs
Kylena (Mirena) and Jaydess
Hormonal IUDs are long-acting contraceptive methods and are effective for 3 to 5 years. They are inserted into the uterus and release the hormone levonorgestrel slowly and continuously.
Levonorgestrel thickens the cervical mucus at the opening of the cervix, making it difficult for sperm—and partially also for germs and bacteria—to enter the uterus. In addition, it reduces the buildup of the uterine lining and impairs the function of any sperm that may still reach the uterus.
Because of this threefold mechanism of action, hormonal IUDs are considered highly effective contraceptive methods.
Hormonal IUDs act mainly locally, meaning that the natural menstrual cycle and ovulation can usually continue. However, in many menstruating individuals, bleeding becomes shorter, lighter, and less painful. For this reason, hormonal IUDs are often recommended for people with heavy or painful periods and can also be used safely during breastfeeding.
Unlike the pill and other hormonal contraceptive methods, hormonal IUDs do not increase the risk of thrombosis, heart attack, or stroke.
Differences
The hormonal IUDs Mirena, Kylena, and Jaydess differ in hormone dosage and duration of use.
Jaydess has the lowest hormone dose and is effective for 3 years
Kylena is effective for 5 years
Mirena is effective for 6 years
Which hormonal IUD is best suited for you can be discussed individually during a personal consultation.
Costs
Insertion of an IUD is a self-pay service and is not covered by statutory health insurance.
Mirena / Kylena: approx. €400
Jaydess: approx. €370
Copper IUD
The copper IUD is also a long-acting contraceptive method. It is inserted into the uterus but, unlike the hormonal IUD, does not release hormones.
A key component of the device is a copper wire that releases small amounts of copper ions into the uterus. This alters the cervical mucus, making it more difficult for sperm to enter the uterus, and reduces sperm mobility and fertility. In addition, the uterine lining is changed in such a way that a fertilized egg cannot implant.
Although the menstrual cycle and ovulation continue normally, the copper IUD is still considered a highly effective contraceptive method due to this threefold effect and works immediately after insertion.
Depending on the model, copper IUDs can remain in the uterus for 3 to 10 years.
Because the copper IUD works locally, hormonal side effects do not occur. However, many menstruating individuals experience heavier bleeding and sometimes increased menstrual pain. Spotting may occur during the first few months after insertion but usually subsides over time.
Costs
Insertion of an IUD is a self-pay service and is not covered by statutory health insurance.
Copper IUD: approx. €270
Other Contraceptive Methods
Condom
Condoms protect against both unintended pregnancy and sexually transmitted infections (STIs). They are usually made of thin latex and are placed over the erect penis. It is important to use the correct size and apply the condom properly.
Internal (Female) Condom
The internal condom protects against unintended pregnancy and STIs. It is made of thin plastic, usually polyurethane or latex, and is inserted into the vagina. Like external condoms, it is for single use only. The method requires some practice, but when used correctly, it provides reliable protection.
Oral Contraceptive Pill
The most commonly used pills are combined oral contraceptives, which contain estrogen and progestin.
The combined pill suppresses ovulation, alters cervical mucus to prevent sperm from entering the uterus, and prevents the buildup of the uterine lining. It is taken daily, usually with a 6–7-day break during which bleeding may occur; contraceptive protection continues during this break.
The pill is a safe and easy-to-use contraceptive method but may cause side effects due to its hormonal content.
In contrast, the progestin-only pill (mini-pill) contains only progestin and therefore usually causes fewer side effects. When taken correctly, it is just as effective as the combined pill.
Diaphragm
The diaphragm is a hormone-free contraceptive method. It is inserted into the vagina and covers the cervix, preventing sperm from entering the uterus. A diaphragm can be used for about two years. Proper use requires some practice, but when used correctly, it provides good contraceptive protection. It does not protect against STIs.
Vaginal Ring
The contraceptive vaginal ring is a hormonal method that is inserted into the vagina for three weeks at a time. After a seven-day break, a new ring is inserted. The ring does not protect against STIs.
The vaginal ring can be inserted and removed independently and is as effective as the combined pill, although similar hormone-related side effects may occur.
A three-month supply of the vaginal ring costs approximately €35–39.
Additional Contraceptive Methods We Offer Information On
Copper ball
Copper chain
Contraceptive patch
Contraceptive injection
Contraceptive implant
Sterilization
Symptothermal method
Further information can be found here: https://www.familienplanung.de/verhuetung/verhuetungsmethoden/