Contraception isn't one-size-fits-all: contraception counseling at Gangnam/Sinnonhyeon OB/GYN

If you've been thinking, "Isn't one pill that everyone takes enough?" when considering contraception, it's worth pausing. The same contraceptive method can work well for some but lead to side effects for others. Therefore, it's safer to choose a method that considers your hormone status, overall health, and lifestyle.

Contraception is not just about preventing pregnancy

Contraception is often seen merely as a means to prevent pregnancy, but in actual clinical practice, it's a choice deeply connected to overall women's health. Contraception consulting are more diverse than you might think:

• Preventing unwanted pregnancy
• Regulating menstrual cycles
• Helping to alleviate menstrual flow and pain
• Managing hormonal changes
• An opportunity to check the condition of the uterus and ovaries

Therefore, contraception isn't about "just picking one"; it's a process of choosing a method that aligns with your current body condition.

What are the differences between major contraceptive methods?

We've summarized the most commonly explained contraceptive methods in the clinic in the table below. Please note that effectiveness and duration can vary individually, so this is for reference.

Oral contraceptives are the most widely used method, but consistent daily intake is crucial. They are prescribed after considering factors such as body type, hormone status, and risk of blood clots. Contraceptive patches can be an alternative for those who find taking pills inconvenient.

The Intrauterine Device (IUD) is a method that lasts for a relatively long period with a single procedure, making it a popular choice for those considering long-term contraception. Hormonal IUDs are reported to help reduce menstrual flow and alleviate menstrual pain, and we sometimes recommend them to those suffering from severe menstrual pain. The procedure time is relatively short, and the return to daily life varies depending on individual condition.

The contraceptive implant involves inserting a small stick under the skin of the arm, which lasts for about 3 years. However, some may experience changes in their menstrual pattern, which we explain in advance. Condoms can help prevent STIs, but their failure rate is relatively high when used alone, so they are often used in conjunction with other contraceptive methods.

It's more accurate to say that there isn't one method that is "better," but rather a method that is more suitable for your current situation and plans.

If you're confused about contraceptive methods or unsure what's right for your situation, we recommend a consultation to review the pros and cons of each method together.

So, how do we determine the right contraception for you?

In the clinic, the recommended method can vary significantly even for people of the same age, depending on factors like whether they've given birth, their menstrual pattern, and future plans. When deciding on a contraceptive method, we generally consider the following factors:

• Age and parity (whether you've given birth)
• Menstrual pattern
• Frequency of sexual activity
• Hormone status and ovarian function
• Underlying conditions such as migraines or risk of blood clots
• Future pregnancy plans

The purpose of this process is to minimize side effects and find a method that can be maintained comfortably for a long time. If you also experience menstrual pain or changes in menstrual flow, it might be helpful to consider menstrual disorder care concurrently.

Contraception consulting at Blanc OB-GYN proceeds as follows:

We start with a basic medical history, add ultrasound or hormone tests if necessary, review your lifestyle patterns, and then explain the pros and cons of each contraceptive method. Based on this, we jointly decide on the most suitable method for your current body condition, and in some cases, same-day procedures may be possible.

Rather than unnecessarily recommending one option, we focus on finding a realistically sustainable choice for your current situation. If you are planning for pregnancy, you can continue to discuss the process after discontinuing contraception through pre-pregnancy care.

We recommend consultation for those who:

• Are considering contraception for the first time
• Found previous contraceptive methods uncomfortable
• Are concerned about menstrual pain or heavy bleeding
• Are considering long-term contraception
• Are worried about hormonal changes

The goal of contraception consulting is to help you make safe and comfortable choices by understanding your body together. If it's difficult to decide on a method alone, please feel free to request a consultation.

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Dr. Eun-jin Lee, Chief Director (OB-GYN specialist at Samsung Medical Center, Regular Member of the Korean Society of Obstetrics and Gynecology, Regular Member of the Korean Society of Menopause) Dr. Eun-jin Lee's Profile First published 2025-11-15 / Last reviewed 2026-06-17 Contraceptive efficacy and side effects vary individually, and we recommend consulting with an OB-GYN specialist to determine the method best suited for you.