Q: Good morning Doctor. please, I want to go for family planning but I’m so scared, after hearing the side effects of all. Please, can you explain more of the coil one? I heard it can make some one look older and that it also sags the breast so much. Is it true? My baby is 5months now. Thank you.

A: Thanks for writing in, dear. Really! Someone told you that the coil will make you look older and sag the breast? Wow! Well, I’m happy to announce to you that none of these comments are true.
There are different types of birth control methods including birth control pills (hormone-containing tablets taken orally which prevent ovulation), birth control injections (hormone-containing injections which can prevent pregnancy for up to 3 months), implants (hormone-containing match-sized rods placed under the upper arm), tubal ligation (tying up the fallopian tubes to prevent eggs passing out from the ovaries), cervical cap, Intra-Uterine Device (coil), spermicides, male and female condoms, vasectomy (for men), natural family planning  etc

The choice of which methods to use depends on individual considerations, risks involved, cost of procurement etc
Talking specifically about the coil, this refers to the Intra Uterine Device (IUD). There are two types: the Paragard IUD and the Mirena IUD.

The Paragard IUD is a copper-containing IUD. The copper is poisonous/toxic to sperm and the IUD also prevents implantation of the fertilized egg into the uterus, should fertilization still occur. Paragard can be used during breastfeeding and its removal leads to a quick return of fertility, generally.

The Mirena IUD contains hormones which make the cervical mucous extra thick preventing the sperm from getting to the womb and it also makes the lining of the womb thin such that even if a fertilized egg were to get there, it would not be able to implant on the thin lining of the womb. It also prevents ovulation. Mirena helps reduce the cramping pain of a menstrual period and also reduces bleeding.

Side effects of Paragard include back ache, cramps, severe pain during menstrual period and heavy bleeding etc while Mirena can cause breast tenderness, weight gain, irregular menstrual cycles etc Both IUDs can also be expelled, spontaneously, that is for no reason.
Having said all of these, please know that no method of birth control is 100% effective except for abstinence and all methods have pros and cons. Please visit your gynaecologist or family planning clinic. They will take you through the different methods, pros and cons and empower you to take the decision that works for you.

Keep an open mind 🙂

Have a great week, y’all 😀

Here’s to a healthier you!