People will have different preferences and experiences when it comes to preventing pregnancy and choosing contraception methods. Some people worry about side effects or feel unsure because of the amount of misinformation online. Staff should support individuals to make informed and evidence based choices.
When discussing contraception with service users/clients, staff should ensure that:
Information is evidence based
Help people understand the facts. Correct misunderstandings and provide reliable sources of further information like NHS Inform and Sandyford.Scot so they can make an informed decision.
They are aware that Long Acting Reversible Contraception (LARC) methods are the most effective
This includes implants, intrauterine devices (IUDs) and intrauterine systems (IUS).
They know who they can talk to for advice
This includes sexual health services, GPs and pharmacies pharmacies, which can provide emergency contraception, condoms and 3 months of the contraceptive pill for free in Scotland.
Avoid reinforcing misinformation
If a person shares inaccurate information they've heard online or from peers, acknowledge their concerns while gently providing the correct evidence.
Any contraception is better than no contraception
Reinforce that different methods work for different people and that choosing some form of contraception is still the better than not utilising any contraception methods.
The person’s final choice is respected
Even if it is not the method staff would personally recommended, what matters is that the person feels in control and confident about their decision.
Natural methods and fertility tracking apps
Some people may prefer non‑hormonal or ‘natural’ methods of preventing pregnancy, including the use of fertility tracking apps.
Staff should explain that:
Fertility apps vary widely in accuracy and are not regulated medical devices.
Irregular periods, illness, stress and medication can make tracking methods less reliable.
These approaches generally have a higher risk of pregnancy compared to most other methods.
Staff should support people to understand these risks while still respecting their choices, ensuring decisions are informed and based on accurate information from reliable sources such as NHS Inform and Sandyford.Scot.
Editorial Information
Last reviewed:
02/03/2026
Next review date:
02/03/2027
Author(s):
Chris Flynn.
Author email(s):
chris.flynn@nhs.scot.
Approved By:
Health Improvement Manager (Sexual Health)
GGC - Sexual Health - Supporting Adult Service Users with Relationships, Sexual Health and Sexual Wellbeing - IN DEVELOPMENT
and Sandyford.Scot