Dr Hind Al Mansor is a consultant in obstetrics, gynecology, infertility and IVF in Aqaba. Her advertised qualifications include the Jordanian and Arab Boards a…

Birth Control,Contraception Doctors in Jordan
تنظيم النسل , وسائل منع الحمل
Family planning means a woman or a couple deciding when to have children, how many, and how long to leave between pregnancies, and contraception is the set of tools that carries out that decision. The clinic service is not simply handing over a method; it is a consultation that assesses your health and reproductive history, matches you to the most suitable option, and explains how it is used, what to expect from it and what it does not do. Methods are grouped by how they work and how long they last. Short-acting hormonal options include combined pills, progestogen-only pills and monthly or three-monthly injections. Long-acting hormonal options include the subdermal implant and the hormonal intrauterine device. Non-hormonal options include the copper intrauterine device, condoms and barrier methods. Permanent options are tubal ligation for women and vasectomy for men. There are also fertility-awareness methods based on tracking fertile days, and emergency contraception used after unprotected intercourse. The practical difference between methods is not a theoretical figure but how much each one depends on daily compliance. Long-acting methods keep working on their own once fitted, so their real-life performance stays close to their ideal performance. Pills lose effectiveness whenever doses are missed or when vomiting and diarrhoea recur. That is why your daily routine and your ability to keep to a schedule are discussed before any choice is made. The medical choice depends on specific factors: whether you are breastfeeding and the baby's age, your age and smoking, blood pressure, migraine with visual aura, any previous clot in the leg or lung, liver disease, breast cancer, diabetes and its duration, heavy or painful periods, and when you plan your next pregnancy. Some methods also help other symptoms, such as reducing heavy or painful bleeding, while others are entirely unsuitable in particular conditions, which is exactly why the consultation matters. The limits are as important as the effectiveness. None of these methods protects against sexually transmitted infections except the condom. Contraception does not treat difficulty conceiving, and it does not cause infertility after you stop it; fertility returns quickly after most methods and may take some months after the long-acting injection. Emergency contraception is not a method of abortion and is not a substitute for regular contraception, and breastfeeding alone is not reliable protection except under strict conditions and for a limited number of months. Which method suits you is decided by clinical assessment and medical history, not by reading or by a relative's or friend's experience.
Procedure steps
- 1
Consultation and medical assessment
Your pregnancy plans, breastfeeding status, menstrual pattern and bleeding heaviness are recorded, along with chronic conditions, migraine, previous clots, liver disease and breast cancer, plus all your medications, and blood pressure and weight are measured. This information is what rules some methods out and opens up others.
- 2
Reviewing and comparing the options
The options suitable for you are presented, with how each works, how long it lasts, which ones depend on daily compliance, the expected side effects such as a change in bleeding pattern, how quickly fertility returns, which ones also help heavy or painful periods, and which are compatible with breastfeeding.
- 3
Excluding pregnancy and preparing to start
An existing pregnancy is excluded by history or by a pregnancy test when in doubt. Before fitting an intrauterine device a pelvic examination is performed and any vaginal infection is treated first, and an ultrasound may be requested to assess the shape of the uterus. The right starting point is chosen, along with whether you need extra protection during the first days.
- 4
Starting or fitting the method
Oral and barrier methods begin with precise instructions on use and on what to do if a dose is missed. Fitting an intrauterine device or an implant is done in the clinic within minutes, with local anaesthesia for the implant, and cramping or light bleeding for a few days is common after an IUD. You are shown how to check the method is in place.
- 5
Follow-up and switching
A review is arranged in the first weeks and then periodically to assess tolerance, bleeding and blood pressure. A change in bleeding pattern during the first months is common with hormonal methods and does not mean failure. If a method does not suit you, switching is available and planned; successful family planning is not measured by forcing one method on you.
Before the procedure
Before the consultation, write down what actually matters to you: whether you want to delay pregnancy by a year or by several years, whether you have completed your family, and whether you are breastfeeding and your baby's age. Note the date of your last period and its pattern, heaviness and pain. Bring a complete list of your medications and supplements, and tell the clinician about smoking, high blood pressure, migraine and especially migraine with visual symptoms, any previous clot in the leg or lung, liver or gallbladder disease, diabetes and its duration, breast cancer in you or your family, previous pelvic surgery, and any unexplained vaginal bleeding. If you are considering an intrauterine device, mention any current vaginal infection or offensive discharge. Do not start a hormonal method bought over the counter without assessment, and never use a relative's or friend's prescription.
After the procedure
Use your method exactly as instructed, and know in advance what to do if you miss a pill, delay an injection or have vomiting and diarrhoea, and when you need extra protection or emergency contraception. Expect a change in bleeding pattern in the first months with hormonal methods: light irregular spotting, lighter periods, or no periods with some methods. This is common and does not mean the method has failed. After an intrauterine device is fitted, expect cramping and light bleeding for a few days, learn to feel the threads, and book a review after your first period. Check with your clinician before adding any new medication, because some drugs reduce the effectiveness of hormonal methods, and have your blood pressure checked periodically. Seek care immediately if you have: **a missed period with one-sided lower abdominal pain, dizziness or fainting, which may be an ectopic pregnancy and is an emergency**, or **pain, swelling and redness in one leg, sudden chest pain or breathlessness, a new severe headache with disturbed vision, weakness in a limb or slurred speech, yellowing of the eyes, heavy vaginal bleeding soaking a pad every hour, fever with pelvic pain and offensive discharge after an IUD fitting, or inability to feel the IUD threads or feeling a hard part of it in the vagina**.
Expected duration
The consultation usually takes 20 to 30 minutes, and fitting an IUD or implant usually takes 5 to 15 minutes in the clinic
Dr. Abdullah Yousef Abdelaziz Al Adayleh is an obstetrician and gynecologist with a clinic in Aqaba. Patients can contact the practice through its published cli…
Dr. Abdelhafez Mahmoud Al Anati works in obstetrics and gynecology, with a clinic in Aqaba. The clinic is listed under his name and provides a published telepho…
Dr. Bassam Mohammed Hasan Bawaneh practices obstetrics and gynecology in Aqaba. His clinic is listed under his name, with a published clinic telephone for arran…
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