01Reversible
Barrier methods
External and internal condoms are used when intercourse occurs. Condoms are the only contraceptive method that also reduces the risk of many sexually transmitted infections when used correctly.
Family planning
Family Planning & Safe Abortion
Compare effectiveness, safety, bleeding effects, privacy, reversibility and future pregnancy plans in a confidential, non-judgmental consultation.
Your informed choice Reversible, emergency & permanent options
Choosing a method
Effectiveness matters—but so does whether the method fits daily life.
The consultation considers pregnancy timing, medical conditions, medicines, period preferences, breastfeeding, migraine, blood-clot risk, tobacco exposure, privacy and how comfortable you are with a procedure or daily routine.
Contraception should be voluntary. It should never be prescribed or withheld as punishment for age, marital status, disability, number of children or a previous unintended pregnancy.
Contraceptive options
Understand the categories before choosing a product.
Availability and medical eligibility vary. The page describes options, not a promise that every product or procedure is provided at JEWCC.
02Reversible
Short-acting hormonal methods
Pills, injections, patches or rings prevent pregnancy effectively when used on schedule. Medical history, bleeding preferences and ease of consistent use guide selection.
03Reversible
Long-acting reversible contraception
Intrauterine devices and implants provide highly effective contraception for years and are reversible. Available products, bleeding effects and clinical suitability should be discussed.
04Time-sensitive
Emergency contraception
Emergency contraceptive pills or a suitable copper IUD can reduce pregnancy risk after unprotected intercourse or method failure. Earlier access is generally better; it does not end an established pregnancy.
05Permanent
Permanent contraception
Female sterilisation and vasectomy are intended to be permanent. Vasectomy is generally simpler and safer, but another method is needed until semen testing confirms effectiveness.
06Reversible
Fertility-awareness methods
Cycle-based methods require learning and consistent tracking, and are less reliable with irregular cycles. They do not protect against STIs.
Safe abortion & MTP
Clear information, private counselling and appropriate care.
JEWCC provides medical abortion in-house for eligible patients after assessment by Dr. Shilpa Jaypuriya. When D&C is clinically indicated, Dr. Shilpa performs the procedure herself at an appropriate nearby facility, rather than at the JEWCC clinic. This is continued care under Dr. Shilpa, not a referral to another doctor.
01Understanding MTP
Medicines and procedures are different options
MTP means Medical Termination of Pregnancy. It is not the name of one particular operation: pregnancy can be ended using medicines or a procedure. The appropriate option depends on the number of weeks of pregnancy, medical findings, your preferences and legal eligibility. Emergency contraception prevents pregnancy; it does not end an established pregnancy.
02Before treatment
Start with an individual assessment
Share your last period date, pregnancy-test result, symptoms, previous pregnancies, current medicines and allergies. The doctor assesses pregnancy duration and checks for concerns such as anaemia or a possible ectopic pregnancy, which develops outside the uterus. Tests or ultrasound are arranged when indicated. Abortion medicines do not treat an ectopic pregnancy.
03Medical abortion
Know what to expect at home
Medicines cause the pregnancy tissue to pass, with cramping and bleeding. Your clinician explains the prescribed medicines, pain relief, expected effects, how to obtain help and how completion will be confirmed. Some patients need further treatment for an ongoing pregnancy or tissue remaining in the uterus. Do not change the prescribed plan without advice.
04Procedural care
What about D&C or suction?
D&C means dilatation and curettage. It is not another name for every abortion. Vacuum aspiration removes pregnancy tissue using suction; sharp curettage involves scraping. WHO recommends vacuum aspiration rather than routine sharp D&C for early surgical abortion. Later pregnancies may need a different procedure, such as dilatation and evacuation (D&E), in an appropriately equipped service.
05Consent & privacy
Your decision should be informed and voluntary
In India, abortion care is governed by the MTP Act and Rules. An adult able to give informed consent provides her own written consent; a husband’s or partner’s permission is not required. Guardian consent is required for patients under 18 and certain other legally specified circumstances. Information is protected, subject to legal disclosure and safeguarding obligations.
06Timing & eligibility
Seek advice early
Legal eligibility and the number of medical opinions required depend on pregnancy duration and circumstances. The law provides for one registered medical practitioner’s opinion up to 20 weeks and two for prescribed categories between 20 and 24 weeks, subject to statutory grounds. Different provisions apply beyond this and in emergencies. These limits do not describe eligibility for abortion pills or the services available at JEWCC.
07Aftercare
Confirm completion and discuss contraception
Follow the agreed review or testing plan; bleeding alone does not prove completion. Contact the clinician if pregnancy symptoms persist, bleeding does not occur as expected or recovery is not progressing. Fertility can return quickly, so contraception can be discussed without pressure. Uncomplicated abortion generally does not reduce future fertility. Emotional support is available if wanted.
08When to seek help
Do not wait when symptoms are severe
Seek urgent care for very heavy bleeding, fainting, severe or worsening abdominal pain, shoulder-tip pain, persistent fever, foul-smelling discharge or feeling seriously unwell. Severe one-sided pain or collapse can indicate an ectopic pregnancy. Do not drive yourself if faint or severely unwell. Use emergency services when necessary rather than waiting for a routine appointment.
After pregnancy
Explore postnatal care Plan contraception before the exhausted weeks after birth.
Pregnancy can occur before the first postpartum period. Contraceptive choices can be discussed during pregnancy and reviewed after birth according to breastfeeding, clot risk, recovery and future spacing goals. Permanent methods require unpressured consent and should be considered well before labour whenever possible.
Safety and follow-up
Know what is expected and what needs review.
Changes in bleeding can occur with many methods. The clinician should explain common effects, important warning symptoms, medicine interactions and what to do after missed pills, delayed injections or device concerns.
Before starting
Confirm pregnancy possibility, medical eligibility, blood pressure and relevant medicine interactions.
STI protection
Add condoms and appropriate testing when infection protection is needed.
Emergency backup
Know how to access emergency contraception after unprotected intercourse or method failure.
When plans change
Switch or stop safely, with preconception guidance when pregnancy becomes the goal.
Family-planning FAQs
Short answers before your consultation.
01Will contraception cause infertility later?
Modern reversible contraceptive methods do not cause infertility. Fertility usually returns after stopping, though timing differs by method and age-related fertility continues to change.
02Which method is best?
There is no single best method. Effectiveness, health conditions, bleeding effects, privacy, convenience, reversibility, STI protection and pregnancy timing all matter.
03Do I need my partner’s permission?
A competent adult’s contraceptive decision should be voluntary and based on informed consent. Partner discussion can be helpful when safe and wanted, but pressure or reproductive coercion should be disclosed privately.
04Can I use contraception while breastfeeding?
Yes, several methods are compatible with breastfeeding. Timing and choice depend on weeks after delivery, medical history and preference.
05Does emergency contraception affect future fertility?
No. It does not harm future fertility and does not terminate an established pregnancy. It is for occasional backup, after which an ongoing method can be discussed.
06Is MTP the same as taking abortion pills?
MTP means Medical Termination of Pregnancy. It can involve medicines or a procedure, depending on pregnancy duration, clinical findings and legal eligibility. Emergency contraception is different: it does not end an established pregnancy.
07Does Dr. Shilpa perform D&C?
Yes. When clinically indicated, Dr. Shilpa Jaypuriya performs D&C herself at an appropriate nearby facility, not at the JEWCC clinic. This is care by Dr. Shilpa, rather than a referral to another doctor. Medical abortion is provided in-house for eligible patients following assessment.
08Do I need my husband’s consent for abortion?
An adult who can give informed consent provides her own written consent; husband or partner permission is not required. Guardian-consent and safeguarding requirements apply in specified circumstances, including patients under 18.
09How do I know the abortion is complete?
Follow the confirmation plan provided by your clinician. Depending on symptoms and circumstances this may involve review, a pregnancy test at the advised time or ultrasound. Bleeding alone does not confirm completion.