- Ease of use/how administered
- Source of resupply
- Return to fertility
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The ease or difficulty of use and how a method is taken or
administered can affect a client’s method choice. Clients
will have to choose between a method they can start and discontinue
themselves and a method that requires a provider’s help.
Clients also need to consider whether the use of a method involves
taking pills, getting injections or having minor surgery.
For those methods requiring a resupply, the source of the supplies
may affect choice – such as whether they are available
in a pharmacy, from a community distribution worker or only
at a clinic. In rural areas, women may need to consider whether
they have regular access to pills and other resupply methods.
How contraceptive methods affect fertility after use is another
important factor to consider. Women who want to space their
children will want to use a reversible method of contraception.
Depending on the method, fertility may return immediately after
discontinuation or may be delayed. If clients want to postpone
pregnancy for only a short period of time, they should be aware
that the injectable DMPA often delays the return to fertility
for several months, possibly as much as a year after discontinuation.
But it is important to emphasize that DMPA is not a permanent
method.
Couples who have completed their families may wish to consider
voluntary sterilization, which is permanent, or a long-acting
method, such as an IUD or Norplant.
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