Family planning methods available in Nigeria

Do you know the family planning methods available for you in Nigeria?

If you don’t know, don’t worry I have listed all the family planning methods available here in Nigeria. The good news is that these services are readily available in all health centers across Nigeria and all hospitals offer family planning services.

You can walk into any of the health centers and demand for counseling on the best option for you and your spouse.

So here are the Family Planning methods readily available here in Nigeria in their order of effectiveness.

I also highlighted a little information about each method.

Most Effective Family Planning Method:

1. Jadelle Implant

Characteristics

  • Implants are small flexible capsules placed under the skin of the upper arm
  • Effective for up to 5 years
  • Can be used by women of any age whether she has children or not
  • A woman can have the capsules taken out at any time
  • A woman can get pregnant again sometime after the capsules are taken out. The hormones do not remain in the woman’s body
  • Changes in menstrual bleeding pattern are normal such as light bleeding between periods, spotting, or no periods. This is not harmful. Mild headaches may occur.
  • Safe during breastfeeding, beginning at 6 weeks after childbirth
  • Help prevent anemia and pregnancy outside the womb
  • Do not move to other parts of the body.

How does the implant work?

The birth control implant is a tiny, thin rod about the size of a matchstick. It’s also called Nexplanon and there’s a slightly older version called Implanon. A doctor inserts the implant under the skin of your upper arm. It releases the hormone progestin to stop you from getting pregnant.

The hormones in the birth control implant prevent pregnancy in two ways:

  • Progestin thickens the mucus on your cervix, which stops sperm from swimming through to your egg. When sperm can’t meet up with an egg, pregnancy can’t happen.
  • Progestin can also stop eggs from leaving your ovaries (called ovulation), so there’s no egg to fertilize. When eggs aren’t released, you can’t get pregnant.

One of the awesome things about the implant is that it lasts for a long time — up to 5 years — but it’s not permanent. If you decide you want to get pregnant or you just don’t want to have your implant anymore, your doctor can take it out. You’re able to get pregnant quickly after the implant is removed.

NB: The implant does not protect against STDs But, using male or female condoms every time you have sex lowers your chances of getting or spreading STDs. So using condoms with your implant is the best way to prevent infections.

 

2. IUCD ( INTRAUTERINE CONTRACEPTIVE DEVICE)

Characteristics

  • A small device that a specially trained child spacing provider places inside the womb
  • Very effective, easily reversible long-term method that can also be used for a short-term child spacing
  • TCu-380A(IUCD) can last for up to years and can be removed any time pregnancy is desired.
  • Menstrual periods may be heavier and longer especially at first. Insertion may cause a little pain.
  • No effects on breastfeeding
  • A specially trained provider can put in an IUCD after childbirth
  • Pelvic infection may be more likely if certain sexually transmitted infection is present when the IUCD is inserted.
  • Rarely, it may come out in the first month, so check for strings after first menses, then once in a while.

 

3. BILATERAL TUBAL LIGATION (PERMANENT FEMALE METHOD)

With this procedure, women’s Fallopian tubes will be cut and sometimes burned at the end. This will prevent eggs from travelling through the tube and into the uterus in order to become fertilized.

Characteristics

  • Permanent method for women who are sure that they will not want more children. Think carefully before deciding.
  • Safe and simple surgery. Usually done without putting the woman to sleep. Local anesthetics blocks pain
  • Very effective
  • No known long-term effects. Some pain after the procedure.
  • Serious complications of the procedure are rare.
  • It has no effect on sexual ability or desire.

If you have had a bilateral tubal ligation, it is typically not possible to become pregnant. This is the process that doctors will use to prevent a woman from becoming pregnant in the future.

If you are considering this method, read up more about it here.

 

4. VASECTOMY (PERMANENT MALE METHOD)

Characteristics

  • Permanent method for men who are sure that they will not want more children. Think carefully before deciding.
  • Safe, simple and convenient surgery. Done in a few minutes in a clinic or doctor’s office. Local anesthetic blocks pain.
  • Very effective after 3 months. There is need for another method until then.
  • Pain, swelling or bruising can last a few days after the procedure.
  • No effect on sexual ability or desire.

 

EFFECTIVE FAMILY PLANNING METHOD

5. INJECTABLE CONTRACEPTIVES

B6MA80 Depo Provera injectable contraceptive female contraception, UK. Image shot 12/2008.

Characteristics:

  • Very effective, safe and reversible.
  • Depo-Provera once every 3 months.
    Noristerat once every 2 months.
    Norigynon every month.
  • Others cannot tell that a woman is using it.
  • Women who stop using Depo-Provera to become pregnant take an average of 4 months, longer than usual. Do not cause permanent infertility.
  • Safe during breastfeeding, begin at 6 weeks after childbirth
  • Help prevent uterine tumors and pregnancy outside the womb.
  • Bleeding changes are normal. Spotting, light bleeding between periods, and after one year, often no periods.
  • Some weight gain or mild headache can occur. The side effects are temporary.

 

6. COMBINATION ORAL CONTRACEPTIVES

Characteristics:

  • Effective and reversible
  • Take every day for best protection whether you have sex or not.
  • Especially in the first few months, some users may get an upset stomach, bleeding between periods or spotting, weight gain, and mild headache. These side effects are not dangerous.
  • Can be used by women of any age, whether they have children or not. Serious complications are very rare.
  • Help prevent certain cancers, anemia (low iron), menstrual cramps and irregular bleeding and other medical conditions.
  • Can be stopped at any time without provider’s help.

 

7. PROGESTIN ONLY ORAL CONTRACEPTIVES

Characteristics

  • Safe for breastfeeding women and their babies as they do not affect milk production.
  • Must be taken every day, whether you have sex or not.
  • Contain very low doses of hormone.
  • Can be stopped at any time without provider’s help.
  • Side effects may include changes in bleeding patterns; headaches, dizziness, mood swings, breast tenderness, abdominal pain, nausea. These side effects are not dangerous and tend to go away with time.
  • Reduce the risk of pregnancy outside the womb.

8. LACTATIONAL AMENORRHEA METHOD (LAM)

Nipple stimulation. Nerve impulses affect hormones. 3. Increases milk. production. 4. Suppression of. ovulation.

This is a temporary contraceptive method that relies on exclusive breastfeeding. It can be used from birth up to six months afterwards.

Producing milk is called lactating and not having a period is called amenorrhea, hence this method of birth control is called lactational amenorrhea (or LAM).

Characteristics

  • A child spacing method based on exclusive breastfeeding.
  • A breastfeeding woman uses LAM when:
    • Her baby gets little or no food or drink except breast milk, and she breastfeeds often, both day and night.
    • Her menstrual periods have not returned.
    • Her baby is less than 6 months after childbirth.
  • Effective for up to 6 months after childbirth.
  • The woman should be planning for another method after six months of childbirth as she can no longer use LAM.

 

9. EMERGENCY CONTRACEPTIVE (POSTINOR 2, PEGNON)

Characteristics:

  • These are pills that a woman takes to prevent pregnancy following unprotected sexual intercourse.
  • Must be taken within 120 hrs (5 days). The earlier the pills are taken, the more effective they will be.
  • Do not disrupt existing pregnancy.
  • Very effective and safe.
  • DO not provide continuous protection against pregnancy during the remainder of the menstrual cycle. Other methods should be discussed for future pregnancy, STIs and HIV prevention.
  • Has no effect on breastfeeding (the progestin-only e.g. Postinor 2) so can be used by breastfeeding women.

LESS EFFECTIVE

Photo by Andre Adjahoe on Unsplash

10. MALE CONDOM

Characteristics

  • Can prevent both pregnancy and some sexually transmitted infections (STIs) including HIV when used correctly and consistently.
  • When condoms are needed to prevent STIs/HIV many couples use them along with other family planning methods.
  • Easy to use with a little practice.
  • Effective if used correctly every time.

 

11. FEMALE CONDOM

Characteristics:

  • Can prevent both pregnancy and some sexually transmitted infections (STIs) including HIV when used correctly and consistently.
  • When condoms are needed to prevent STIs/HIV many couples use them along without the family planning methods.
  • Easy to use with little practice.
  • Effective if used correctly every time.

 

12. FERTILITY AWARENESS BASED METHOD
(Cycle beads, Billing’s method, Basal Body temperature, Calendar method)

Fertility Awareness Methods are also referred to as FAM birth control or “natural family planning”.

This Family planning method aims to keep track of ovulation (the release of an egg) and timing sexual activity so it coincides with times of the month which are less conducive to pregnancy. In this way, a woman can abstain from sex or use extra protection during times in which she is most fertile

Characteristics

  • A woman learns to tell the fertile time of her monthly cycle.
  • Knowing this, a couple can avoid sex, or use a condom during the fertile time.
  • Can be effective if used correctly.
  • Usually needs cooperation between sex partners. Avoiding sex for 8-16 days in a row each month may be difficult.
  • No physical side effects.
  • Temperature method may be hard to use during fever or vaginal infection, after childbirth, or while breastfeeding.

 

13. DIAPHRAM WITH SPERMICIDE (Gynol II)

Characteristics

  • Spermicide and diaphragm are methods a woman controls and can use when needed.
  • Must be placed in the vagina each time before sex.
  • Can be effective when used correctly every time. However, often not very effective because some women do not use them correctly every time.
  • Bladder infection is more likely with women who use this method.

The need to plan your family effectively and space child-birth can never be over-emphasized especially in this political regime and the economic situation of our nation.

Disclaimer: This post is for information and educational purpose only. It does not replace a medical health personnel advice and personal counsel. Before you use any of this method, you are advised to speak to a trained health care provider who is trained to give counsel on the matter pertaining family planning.

So what are you waiting for to make the final decision? Head over to the closest Health Center close to you to get counseling on the best family planning option available to you and your family.

Check out this post on all the important facts you need to know about family planning. I would love to hear from you. Are you using any of these family planning methods? What has been your experience with your preferred method?

I love hearing from my readers. Leave a Reply, please.

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