Recently, we addressed modern and traditional methods of contraception/contraceptives and gave you a short breakdown of how the girls work. We’ve now had a conversation with our friendly OBGYN, Dr. Zeenaht Abdullahi, for a full analysis, to help you find the best fit for yourself. Think side effects, complications and cost.
Today, we’re going in deeper and telling you what’s really going on with them.
Before diving in, it’s important to level the playing field. Dr Zeenaht emphasises the fact that no contraceptive method is 100% foolproof. Even vasectomies. In her experience, she’s delivered a baby who came out gripping the IUD.
Additionally, almost all family planning or contraception is free in public health facilities in Nigeria. You might be required to pay a small token or service charge of about 500 to 1000 Naira. There may also be charges for more serious procedures. If you’re considering private health facilities, she provides average costs for each.
Now that we’re clear on the limitations and other important issues, let’s get into it.
1. The Pills
These girls are only about 75% – 90% effective and come with what’s probably mankind’s best gift to women: lighter periods. Other side effects that aren’t so flattering are acne, weight gain, nausea, vomiting, breast tenderness and breakthrough bleeding. However, things improve once we pass the third month of use. Getting a pack of this for a month costs about ₦2-3k, which is minimal financial damage.
2. Copper/Hormonal IUD
The IUDs are about 99% effective as methods of contraception. They also have long-duration periods. The copper IUD, once inserted, can last for life, while the hormonal IUD lasts up to 10 years. IUDs are usually inserted on day 2 of the menstrual cycle and go into the cervix.
There are, however, side effects such as recurring urinary tract infections, STIs, vaginal itching and discharge and possibly heavy menstrual bleeding. The major issue with the IUD is that it may get lost inside the body. However, there is a string that stays just outside the vagina to help trace it.
IUDs typically cost between ₦30k and ₦400k, depending on the chosen brand. Copper IUDs also cost less than hormonal IUDS.
Read Next: Why Parents Should Teach Their Kids About Sex, Including Contraception
3. Female Condoms
These are about 75%-80% effective. Inserting the female condom might be a bit complicated, but Dr. Zeenaht says it’s just like inserting a tampon. It’s not as available for purchase as male condoms, and often needs to be inserted 3-4 hours before sex.
The female condom is also not aesthetically pleasing and possibly uncomfortable. But if it works for you, it works for you. It costs between ₦1k and ₦20k but is free in public health facilities.
4. The Implant
Implants are also time-bound and have become increasingly popular amongst women because of their versatility and reversible nature. Implants are about 95%-99% effective. These contraceptives last for about 3-5 years and allow for pregnancy a month after removal. Possible side effects include heavy menstrual periods or complete cessation of periods, acne and weight gain.
Generally, Dr Zeenaht advises women at risk of developing blood clots not to use hormonal contraceptives. This includes people with or at risk of having heart disease or sickle cell patients. Cost ranges from ₦10k to ₦20k. Seems like a good return on investment for something that lasts up to half a decade.
5. Vasectomy
Dr. Zeenaht says these are very unpopular amongst men despite the procedure being quick and easy. Vasectomies involve cutting the tubes in men that carry active sperm cells. They, however, might take a few days or weeks to kick in. It is also classified as a permanent means of contraception, just like tying a woman’s tubes. It is still, however, not 100% foolproof.
While there is a possibility that it might be reversible, the success rate for this is about 50/50. However, there are no side effects. Vasectomies will likely cost about ₦50k.
We hope you have some or all of the information you’ll likely need when deciding on what contraception method/contraceptive to use. We’d also advise speaking to an OBGYN for more information.
Also Read: Female Contraceptives: How Well Do You Know the Available Options?
