Women’s health

Family planning: contraception options after marriage and after delivery

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Short answer

Many safe contraception options are available. Long-acting methods such as an IUD (Copper-T or hormonal) and sterilisation are the most effective. Pills, injections and condoms work well when used correctly, and condoms are the only method that also protects against sexually transmitted infections. Modern contraception does not cause infertility. After delivery, start contraception within 3 weeks.

Published
Published by
Dhruva Hospitals, Kadapa

Main options

MethodKey points
IUD (Copper-T or hormonal IUD)Placed in the womb by a doctor; very effective and lasts for years; removable when you want a baby
Contraceptive pillsTaken regularly; effective when not missed. Your doctor checks whether they suit you
Contraceptive injectionGiven every few months by a health worker
CondomsEffective when used correctly every time; the only method that also protects against sexually transmitted infections, including HIV
Sterilisation (tubectomy or vasectomy)Permanent; for couples who are sure their family is complete. Vasectomy is a simpler operation than tubectomy

Fertility-awareness methods and withdrawal are much less reliable.

Emergency contraception

If you had unprotected sex or a contraceptive failed, emergency contraception can prevent pregnancy if used within 5 days, and it works better the sooner it is taken. Emergency pills are available from pharmacies. A Copper-T fitted within 5 days is the most effective option and can then be kept as regular contraception. Emergency pills are not meant for regular use.

After delivery

You can get pregnant as early as 3 weeks after giving birth, even if you are breastfeeding and your periods have not returned. Start contraception within 21 days of delivery. Some methods, such as a Copper-T, can be fitted soon after delivery. Ask your doctor before discharge.

WHO advises waiting at least 24 months after a birth before the next pregnancy, to protect the health of mother and baby.

Choosing a method

  • How soon do you want a baby, if at all?
  • Can you remember a daily pill, or would you prefer a long-acting method?
  • Do you have health conditions such as high BP, migraine or blood clots, which rule out some methods?
  • Are you breastfeeding?
  • Do you also need protection from infections?

At Dhruva Hospitals

We offer family planning counselling and help you choose and start a method that suits you. Call +91 99599 59694 or WhatsApp us to book with our gynaecology team. OPD hours are 9:00 AM – 8:00 PM.

Common questions

Will a Copper-T or pills make it hard to get pregnant later?

No. Modern contraceptive methods do not cause infertility. Fertility returns after an IUD is removed or pills are stopped; after injections it can take a few months.

Can newly married couples use an IUD?

Yes. An IUD can be used by women who have not had a baby. Your gynaecologist will check whether it suits you.

This article is general information, not a diagnosis or treatment plan. In an emergency, call +91 90368 52311.