Dear Doctor,
My problem is that the family planning method that I have been given has caused problems between me and my husband. He is now seeing someone else because I am always bleeding. I tried tablets and failed to use them. Now I am using Pilplan. I need to space my children but the problem is that the methods are not working for me. What can I do?
Marion
Dear Marion,
MAKING a choice about which contraceptive method to use is a decision that should only be made after an informed consultation meeting with a health worker.
It is also advisable that the decision is made as a couple since it is the responsibility for both to plan for your family. Almost all methods of contraception have some minor side effects.
That is why it is wise to make an individual choice that suits both of you. Contraceptives that contain both progesterone and oestrogen may cause withdrawal bleeding.
This includes the pills. However, there are other contraceptive methods that do not commonly cause this problem.
Contraceptives which contain progesterone only, do not usually have this side effect.These include the mini pill, sub-dermal implants and intrauterine devices.
Other possible options include the intrauterine device, condoms and the diaphragm. You need to discuss this as a couple. Poor communication seems to be one of the problems the two of you need to work on.
It is also possible there are other explanations for your husband’s infidelity. The two of you should try to sort out the situation together.
Good luck.
EDITOR’S NOTE:
For more help, visit any facility with a rainbow sign over a yellow flower and consult with a family planning provider.
Which contraceptive suits me?
