World Contraception Day aims to raise awareness of the benefits of using contraceptives, celebrated every year on September 26th. This year is marked under the motto: IT IS YOUR LIFE, IT IS A RESPONSIBILITY. This year’s campaign focuses on the vision that every pregnancy is desired.

Every year the number of women of reproductive age who have a chronic medical condition, such as high blood pressure or diabetes, increases. Pregnancy of women with chronic conditions can be a high health risk. These women should consult with their gynecologist regularly about the treatment they receive for their chronic illness during pregnancy. Therefore, the key to success is a well-planned pregnancy.

  • It is estimated that there are about 211 million pregnancies worldwide every year, currently more than 40% of the world population are unwanted pregnancies.
  • From the total number of unwanted pregnancies, about 50% end in abortion, often in unsafe conditions that endanger the health and life of women.
  • About 16 million adolescent girls aged 15 to 19 gave birth each year, and one million are under 15 years of age. They are far more at risk of fatal complications at birth than women over the age of 19.
  • Young people are more likely to have sexually transmitted infections than adults.
  • From the approximately 38 million sexually active adolescents living in developing countries, 60% of them do not use contraceptives (sex protection) for unknown reasons.



Contraception should be appropriate, safe and effective.

At any time in the lives of men, women, and girls, care must be taken before choosing the most appropriate contraceptive method. These elements include reliability, effectiveness, availability, which of course include affordable prices.

The choice of contraception is different so it needs to be adjusted to each individual’s health. For example, estrogen-containing contraceptives are avoided in women who have had a stroke or blood clot.


Planning pregnancy through the use of effective contraception has many advantages:

  • Optimizing a woman’s health before pregnancy by stabilizing her health or improving her health.
  • Replacement of medicines with those that are acceptable to use during pregnancy.
  • To avoid pregnancy complications, the body needs to be in the best possible health before pregnancy.


What if contraception is not used?


Unless contraception is used, approximately 85% of women who are sexually active will become pregnant within a year.

If you do not use a condom, you are also more likely to get a sexually transmitted infection.



When is the best time to talk about contraception?


Women of childbearing potential should regularly discuss contraception with a healthcare professional. When a woman has a health problem and is thinking about pregnancy, she should talk to the gynecologist regularly and consult him.

The obstetrician/gynecologist successfully controls the chronic condition or chronic disease of a woman who is diagnosed before or during pregnancy. After childbirth, the postpartum period is also an important period in which future plans for future pregnancy and care should be discussed.

Contraceptives differ in their efficacy in preventing unwanted pregnancy.


In the Republic of North Macedonia the following contraceptives are prescribed by the Report of the Women’s Health Service during gynecological visits:


Gynecological visits when contraceptives were prescribe in the Republic of North Macedonia, 2007 and 2018


The number of visits to a gynecologist due to family planning in 2018 decreased by 2.3% compared to 2007 and the index for 2018/2007 was 97.7%. In the period 2007 to 2018, slightly reduced gynecological visits were observed, where contraceptives were prescribed in addition to other services. The index 2018/2007 related to the issuance of oral contraceptives is 116.9.


Continuous education and promotion of the health protection of women and men is needed. Encourage self-control, education about choosing the most appropriate contraception for yourself and your partner.


Today there are many types of protection, contraception available and effective: condom, female condom, contraceptive pills, IUD, vaginal ring, emergency (emergency contraceptive), injection, contraceptive patch, sterilization, etc.


The choice of contraceptives makes every individual. It is best to consult your gynecologist when choosing.