Contraception advice in Dormagen

Contraception is a personal topic that shifts several times over a life. First contraception at 16, after giving birth, in your early 40s, before or after a child — each phase may call for a different answer. In our contraception consultation you get a comparison of methods that fits your life situation.

Talking through contraception calmly

There are many half-truths about contraception — from "the new pill is the best" to "the IUD hurts". And yet this is a decision that shapes your everyday life, your body, often your mood. We go through the methods with you so that by the end it is clear what fits medically and what feels right for you personally.

We explain how each method works, what realistic side effects look like, what the real failure rates are, and what makes sense in your current life phase. The decision is yours.

What a contraception consultation with Elisa Mahlberg looks like

A consultation typically runs as follows:

• Talking through your situation. Age, cycle, partnership, previous contraception (if any) and your experience with it, short- or mid-term fertility plans, whether you smoke, relevant conditions such as thrombosis, migraine with aura or hormone-dependent tumors.
• Comparing the options. We go through the realistic methods – pill, hormonal IUD, copper IUD, subdermal implant, vaginal ring, patch, condom, NFP-based methods – and explain mechanism, Pearl index, side-effect profile and daily practicality.
• Gynecological exam and ultrasound if relevant. For example, before fitting an IUD.
• Decision or time to think. You do not have to commit during the appointment. Many women take the information home and decide calmly – that is absolutely fine.

Contraception options compared – hormonal, hormone-free, NFP

Our contraception consultation covers every relevant method and explains it honestly.

• Hormonal methods: combined pill, progestin-only pill, vaginal ring, patch, hormonal IUD, subdermal implant. Mechanism, risks (e.g. thrombosis risk depending on the preparation), side-effect profile — all transparent.
• Hormone-free contraception: copper IUD, condom, diaphragm. For women who want to stay off hormones.
• Natural family planning (NFP): sympto-thermal methods, cycle apps with and without measuring – we explain strengths and realistic failure rates.
• Sterilization and partner methods: where a surgical consultation makes sense and who we refer to.

Our scope: we do not fit the copper chain (Gynefix). If this method is a candidate for you, we refer you to a practice specialized in it. The classic copper IUD and hormonal IUD we fit ourselves – details on our IUD fitting page.