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Contraceptive counselling


At the Endometriosis Clinic, we are focused on recommending and prescribing the best contraceptive measures using a multifaceted approach ranging from the use of birth control pills to IUDs for your specific needs.

What is contraceptive counselling?

Contraceptive counselling helps prevent an unplanned pregnancy by advising on measures of taking birth control or contraceptive pills. Taking birth control pills have numerous benefits from preventing unplanned pregnancies by providing 24-hour protection, regulating menstrual cycles and is reversible when having a baby becomes a priority. Alternative contraceptives in the form of cervical and diaphragm caps filled with spermicide are inserted into the vagina to cover the cervical opening before intercourse.

What types of contraceptives are available?

Typical hormonal contraceptives such as birth control pills, the patch and vaginal ring contain manufactured oestrogen and progestin hormones that inhibit the body’s natural hormones, preventing pregnancy. A vaginal ring is considered a safe and convenient contraceptive device. The contraceptive method involves the insertion of a tiny, flexible ring into the vagina to prevent pregnancy by releasing hormones to control the cyclic hormones the body naturally produces inhibiting ovulation which means there will be no egg present for the sperm to fertilise. Hormones from the vaginal ring also thicken the cervical mucous, making it challenging for sperm to swim to eggs.

A soft disk-shaped sponge made from polyurethane foam is a form of contraception that contains spermicide, killing sperm. A contraceptive sponge will be made use of when birth control pills present side effects such as:

  • Reduced sex drive
  • Nausea
  • Sore and tender breasts
  • Irregular menstrual bleeding

Before intercourse, the soft sponge is carefully inserted deep in the vagina, covering the cervix with the vaginal muscles firmly holding it in place. A contraceptive sponge is preferred over usual birth control pills as it doesn’t require a prescription and is available over-the-counter, doesn’t require cooperation from the partner and provides 24 hours of protection from pregnancy. Other contraceptives should be made use of if the person is allergic to polyurethane or spermicide, has frequent urinary tract infections (UTIs). A contraceptive sponge is not recommended for a woman who has a history of toxic shock syndrome (sunburn-like rash, vomiting, diarrhoea and fatigue), experiences vaginal abnormality or has a high risk of contracting HIV/AIDs.

A T-shaped device more prominent than a coin fits into the uterus, preventing sperm from fertilising eggs and is considered a long-term contraceptive measure. Hormonal IUDs release small doses of the progestin hormone, which is the same type of hormone used in most birth control pills to reduce the heavy menstrual flow and is a good option for women with heavy periods.

What is emergency contraception?

Emergency contraceptive pills or the "morning-after pill" is taken within a 72-hour timeframe after engaging in unprotected sex. Another form of emergency contraception involves inserting an intrauterine, copper-bearing device (IUD) within five to seven days after unprotected intercourse.

What surgical procedures are available?

Surgical sterilisation procedures such as a vasectomy that involves clamping or cutting the vas deferens, preventing the ejaculation of sperm and tubal ligation that involves cutting and tying the fallopian tubes to permanently prevent pregnancy are the most effective and permanent forms of birth control.

Specialised Services

While Dr Benecke is a gynaecologist & obstetrician offering the full range of women's health services, his niche lies in the treatment and management of the following gynaecological conditions:


Due to the complexity of the diagnosis, Dr Benecke is meticulous during each consultation and using a multidisciplinary approach he can provide highly specialised treatment and management of this condition as well as the related symptoms such as chronic pelvic pain and the complication of infertility.



Sharing similar symptoms to that of endometriosis, fibroids are growths that develop on the uterus. The size of fibroids can range, growing from the size of a pea to the size of a watermelon, distorting the uterus and causing disabling symptoms.



Polycystic ovary syndrome (PCOS) is a hormonal disorder that disrupts oestrogen production and causes an imbalance of the male hormones, androgens. PCOS causes disruption of the menstrual cycle leading to complications such as severe abnormal uterine bleeding, the development of numerous fluid-filled cysts in the ovaries and infertility.