I feel like I spent most of my 20s trying not to get pregnant.

Then I feel like I spent most of my 30s trying TO get pregnant. With varying degrees of success.

Now I’m entering my 40s I’m back on NOT, again, other than the odd womb pang when I see a small baby asleep – which usually disappears pretty fast when it wakes up.

The trouble with not wanting to be pregnant in your 40s is that there really aren’t any brilliant options.

First of all, my vagina is old. And grumpy. Possibly, you might say, CROTCH-ety.

To be fair, it’s been through some crap… Like children, which I suppose technically have been through it. Not in my case, obviously, because of the c-sections – but still.

All of this has left it with very little sympathy for womb pangs, and some Very Fixed Ideas.

Far from being loosened by the two pregnancies/children, for instance, it has now adopted a very strict shut-door policy to any lumps of dry cotton shoved up it from a cold standing start. Nope. Nopity nope nope nope.

This makes swimming on my period rather inconvenient, and I’ve tried explaining it nicely, but it doesn’t care. It feels much the same way about moon cups.

Another of its new and Very Fixed Ideas is that condoms are evil, and it will stage an unholy Thrush Protest if faced with one. This is also somewhat inconvenient to the mid-life dater.

It is also Over the pill. Nothing but break-through bleeding, cramps, and mood swings FROM MERRY RED HELL.

See? Definitely crotchety.

Not that the pill is now much of an option anyway….I’ve spent at least 25 years on the combination pill, on and off, but apparently when you hit your fourth decade it’s pretty much out of bounds – I think on the grounds of thrombosis/cancer/misc other horrifying side effects.

Your GP will of course offer you the MINI-pill.
This is in no way the same thing.

For a start, some of them come with a 3 hour window of pill-taking-opportunity, and if you miss it, you’re not covered. Now I got used to the 12 hour window of the combination pill, and the 7 day rule because I kept missing it, but 3 hours is TIGHT. Tighter than my lady bits faced with a tampon. Even now I’m old and boring and don’t actually go out partying, and even now there are mobile phones with alarms on, I still honestly couldn’t guarantee I’d take this reliably. And then if you have a dicky stomach or put on a few pounds, IT MIGHT NOT WORK ANYWAY.

Of course after that there’s then patches and implants and injections – but it’s all more hormones, isn’t it? Pretty much like the ones in the pill that aren’t good for me and my vag is throwing tantrums over.

The fact is I’ve had a LOT of artificial hormones in my life. Decades worth. And when I’m staring sweating and anxious down the barrel of pre-menopausal hormonal doo-lallyness, do I really want to carry on? Does my vagina? Don’t we deserve a… break? A bit of au naturale? All it really wants in life, after all, is nice comfortable cotton underwear, no harsh detergents, and regular orgasms. It doesn’t really seem like a lot to ask.

So next up on the list is the coil, the middle-aged woman’s contraception of choice. Well it was my choice, anyway.

You can rest assured that my vagina was really NOT happy about having a coil put in, although it relented on the second attempt. After being probed with a camera. And then a ruler. Don’t ask.

A very nice if rather blunt doctor explained to me that in this version there was still local hormones involved (as opposed to national ones), and that I could still expect significant cramping, weight gain, acne breakouts, and break-through bleeding for up to six months. Oh, and while he was in there he might perforate my womb and would I just sign this waver thingy?

I hand on heart honestly can’t imagine there being any health situation other than Women’s Things where this level of risk plus HALF A YEAR’S worth of side effects were considered normal and acceptable. It’s madness. But it didn’t really feel like there were any other good options that didn’t involve absitenance, which me, my vagina AND my womb all voted against in practically unprecedented unity.

Then I was told I had to periodically check it was in right, by feeling for the strings.

Now while it does seem to be a demonstrable fact that the length of arm between someone’s wrist and elbow is the exact same size as their foot, I can, after a brief survey of friends, inform you that there is not the same universal correlation between middle fingers and cervexis. Cervi? Who knows? Anyway, unless I am making friends with particularly digitally stunted people, it’s not possible to feel the bloody thing. So the coil is very much an act of faith as much as contraception. As indeed is all contraception…

I feel like I could now go on a very long feminist rant about women’s rights over their reproductive organs and how limited or rubbish the options are and why better options with less side effects aren’t a priority in modern medicine and why our pain and long term symptoms hormonal and otherwise are ignored or miniminsed – and don’t get me started on the menopause – or abortion – and the impact all that has not just on women’s physical health but mental health, on their families and on thier careers, and on workplaces and the whole bloody GDP – and this is in a first world country and just think about what women go through around the world – but time is short and January is depressing enough.

At the end of my appointment, Dr Blunt gave me a nice wee card, and cheerfully told me to come back in 5 years.

“We’ll whip this one out, pop another one in, and then that’s you done love.”

THAT’S YOU DONE, LOVE.

So I am now one coil away from the end of my child-bearing years.

I swear even my vagina thought that was a bit harsh.

Certainly it’s been crying blood ever since, trying to get used to the idea. Or to the coil. One or the other.