Who is responsible for contraception?

Being an active participant in managing the risk of STIs and pregnancy means understanding, for yourself and your partners, the various contraceptive methods available and the burden and side effects that some contraceptive methods can have.

Barrier method (condoms and diagrams) are the only contraception that also reduces exposure to STIs. The majority of the contraceptive methods available to us in Australia predominantly are designed to avoid unwanted pregnancies rather than also reducing potential exposure to sexually transmitted infections (STIs) and can only be used by people with ovaries, fallopian tubes and a uterus. This means that the responsibility, burden, and side effects of avoiding unwanted pregnancies tends to fall on people with ovaries, fallopian tubes and a uterus.

While we may be limited by the contraceptive methods available to us, everyone should be an active participant in and take ownership of having safe and consensual sex that prevents unwanted pregnancies and reduces the potential of exposure to STIs. People have the right to choose the contraceptive method that is right for them. People also have the right to choose not to have sex with someone who is unwilling to share the responsibility of protecting themselves and their partners from unwanted pregnancies and STIs.

Types of Contraception:

Long acting reversible contraception

  • Implants (i.e., Implanon)

  • Intrauterine devices (IUDs), copper and hormonal

  • Contraceptive injections (i.e., Depo-Provera or Depo-Ralovera, both known as Depo)

Combined hormonal contraception

  • Combined pill

  • Vaginal ring

  • Mini pill

Barrier methods of contraception

  • Male condom / condoms for penises

  • Female condom / condoms for vulvas

  • Diaphragm

  • Dental dam

Permanent methods of contraception

  • Tubal ligation

  • Vasectomy

Fertility awareness methods of contraception

  • Rhythm method

  • Symptothermal method

  • Cervical mucus observation method

  • Basal temperature method

Emergency contraception

  • Copper IUD

  • Emergency contraceptive pill / ‘morning after pill’: ulipristal (UPA-EC) or levonorgestrel (LNG-EC).

This blog post is a brief exploration of this topic and does not replace therapy. At SHIPS, we have practitioners that are knowledgeable and skilled in a variety of areas including sex therapy, relationships and more. If you may benefit from some support, please check out our website resources, or contact us.

We are also always happy to hear feedback about our blog articles. If you would like to share your experience or feel we may have missed something on this topic, please contact us to let us know.


AUTHOR

Javiera Dastres
Senior Psychologist