Long Acting Contraception


Long Acting Contraception
Doctors / Nursing Staff specialising in this area:
Dr. Geraldine Holland

Dr. Geraldine Holland

Doctor


Dr. Geraldine Holland grew up in Shankill and graduated from Trinity College, Dublin in 1986. She started working at Carlton Clinic in 1990 and became a Partner in 1995.

While Geraldine enjoys all aspects of General Practice, over the years she has developed a special interest and a broad skill base in all areas of Women's Health. In particular, Geraldine has a special interest in longer lasting contraception(Coils, Injections and Implants) and the management of period problems across all age groups.

She is part of a ground breaking initiative where a small group of GPs in collaboration with the National Maternity Hospital and the Rotunda Hospital, run a GP led, hospital based clinic practising these skills and teaching GPs in training and established GPs who would like to develop such skills. Geraldine is happy to accept referrals from local GPs to provide prompt treatment and avoid hospital referral if possible.

Geraldine is a former Assistant National Director of the ICGP (Irish College of General Practitioners) Women's Health Program,  and a current Family Planning Tutor and LARC Tutor at ICGP.

Geraldine has a keen interest in Teenage Health, Palliative Care and Asthma management.

Geraldine is mum to four daughters including teenage twins. She enjoys reading, walking and singing in her spare time.

Dr. Melanie Piercy

Dr. Melanie Piercy

Doctor


Dr Melanie Piercy graduated from Bristol University Medical School in 1994. She completed her GP training with St George’s Hospital, London and subsequently moved to Ireland. Dr. Piercy joined the Carlton Clinic in 2005. Like her colleagues Melanie enjoys all aspects of family medicine but with a special interest in dermatology.

She is involved with the training of medical students within the practice.

Qualifications: MB ChB, DRCOG, DFFP, MRCGP, DPD.

 

Dr. Mairead Cassidy

Dr. Mairead Cassidy

Doctor


Dr Mairead Cassidy graduated from University College Galway in 1999. She completed her GP training with with Royal College of Surgeons in Dublin in 2006 and was also the highest achieving candidate in GP exams that year.

She enjoys all aspects of General Practice & has a special interests in women's health, young people's and adolescent health - including contraception and sexual health screening.

Dr Cassidy is also a mother to three young children.

Dr. Lisa Devine

Dr. Lisa Devine

Doctor


Dr Lisa Devine graduated from University College Dublin in 2008. She worked extensively within hospital medicine after graduating before training as a General Practitioner.

Lisa has special interests in musculoskeletal medicine, palliative care, chronic disease management and contraceptive medicine. In her spare time she enjoys horseriding, hiking and cycling.

The most effective contraceptive methods are known as LARC (Long Acting Reversible or Longer Lasting Contraception).

These are highly effective methods, with very low failure rates as they are essentially “fit and forget” methods so no need for daily reminders. These methods are also highly cost effective, with no need for regular checks that might be needed with other methods.

Long Acting Reversible Contraceptive methods include:

  • Intra-uterine devices (also known as coils)
  • Implants (often referred to as ‘the bar’) – inserted under the skin in the upper arm
  • Injections, given every three months.

Intra-uterine devices (IUD) are small T-shaped plastic devices which are available in different sizes. They come with hormones or without hormones, the latter known as a copper coil. They act as a contraceptive device largely by preventing fertilization, with some other local effects.

The range of hormonal devices has recently expanded and we can now offer a wider choice of device to suit individual needs. These devices vary in the length of time they are effective for and can be chosen based on this requirement.  

The contraceptive implant is inserted under the skin of the upper arm. This device has the lowest dose of hormone of all hormonal methods of contraception. 

All of our female GPs are skilled in inserting and removing these devices. Dr Geraldine Holland is an IUD expert and is highly skilled in difficult removals of the IUD. She is happy to take referrals from other doctors saving the patient waiting for a hospital appointment, which may take many months.