ABSTRACT

Contraception provision is part of the core work of most general practices. In contraception provision, as in other areas of sexual health, it is important to acknowledge that it is the service user who decides what course to follow. The role of the provider is not to decide, but to inform and support users in taking the best decisions for themselves. Compliance in using contraceptive measures effectively depends on the user making informed, appropriate choices, and then following them through. This chapter inevitably reflects the fact that contraception, apart from in relationships in which condoms or male sterilization is used, is largely a task for women. The essence of good contraceptive practice is information and support for those needing it. Most decisions about sexual behaviour are made without consulting a health professional, and many people have difficulty in seeking health care with regard to potentially difficult and embarrassing issues surrounding sexuality.