The Pill The Patch The Vaginal Ring The Shot Male Condom Female Condom Spermacide The Sponge

 

CONTRACEPTION (Pregnancy Prevention)


Choosing a method

No single method of contraception is best for everyone. The best method for you is the one that you and your partner will use the correct way, EVERY TIME you have sexual intercourse.

Type How does it work? How effective is it? Advantages Disadvantages

The Pill

 

(oral contraceptives) Hormonal method of birth control

One pill taken by mouth every day

 

 

Tricks the body into thinking it is pregnant

Inhibits ovulation (egg is not released every month)

Thickens cervical mucus so sperm cannot move as easily

Makes uterus inhospitable
92 to 99 .7% effective

To work this well, the pill must be taken every day , at the same time of day
Reduces amount of menstrual flow

Reduces menstrual cramps and PMS

Regulates menstrual cycle

Offers some protection against ovarian and endometrial cancers
No protection against STDs/STI's (Sexually Transmitted Diseases/Sexually Transmitted Infections)

Increased risk of heart attack or stroke in women who smoke

Decreased effectiveness when used with certain other medications (for example, antibiotics)

Need a prescription from a clinician to obtain

The Patch
(Ortho-evra)

 

Hormonal method of birth control

A patch is worn for three weeks each month on the buttock, upper back, or abdomen

 

Works similar to the pill

Inhibits ovulation

Increases cervical mucous

Makes uterus inhospitable
99.7% effective

To work this well, the patch should be changed on the same day of the week for three weeks in a row; the fourth week of the month is patch free.
Weekly method of birth control

Reduces amount of menstrual flow

Reduces menstrual cramps

Regulates menstrual cycle

Offers some protection against ovarian cysts, ovarian and endometrial cancers
No protection against STDs/STI's

May cause side effects in some women, such as breakthrough bleeding, weight gain or loss, breast tenderness (especially in the first three months of use)

Need a prescription from a clinician to obtain

Not recommended for women who smoke

Because this method is new, there is no data on extended use

The Hormonal Ring (NuvaRing)

 

A small plastic ring is inserted deep inside the vagina, and releases a constant dose of hormones (progesteron and estrogen)

One ring is left in place for three weeks and then taken out for one week

 

 

Moisture and body heat activate the release of hormones

Inhibits ovulation

Increases cervical mucous

Makes uterus inhospitable
99.7% effective

Effectiveness may be lowered if unopened package is exposed to high temperatures, or direct sunlight, or if ring is left in the vagina for over three weeks
Reduces amount of menstrual flow

Reduces menstrual cramps

Regulates menstrual cycle

Offers some protection against ovarian cysts, ovarian and endometrial cancers
No protection against STDs/STI's

Woman must be comfortble with inserting ring into vagina

May cause side effects in some women such as breakthrough bleeding, weight gain or loss, breast tenderness, changes in sexual desire, increased vaginal irritation, and discharge. Many of htese side effects dissipate (go away) with regualr use.

Need a prescription from a clinician to obtain

Because this method is new, there is no data on extended use

Depo-Provera
(Injection)

 

Injected into the arm or buttock once every three months
Prevents ovulation

Thickens cervical mucous
99-99.7% effective One injection prevents pregnancy for three months

Does not contain estrogen so it can be used by women that are breastfeeding or those who have adverse reactions to estrogen
No protection against STDs/STI's

May cause irregular bleeding and spotting, initially

Some women may no longer get their periods while they aqre using deopo-provera

May cause side effects such as headaches, and an increase in appetite that may lead to weight gain

Male Condom

 

Should be latex or polyurethane

Polyurethane condom users report more sensitivity than do latex condom users

 

This is a barrier method

It is placed on a male's erects penis before vaginal penetration

Prevents sperm from getting into a
wom an's body
85-98% effective

When used correctly with a spermacide, the effectiveness approaches 100%
Offers protection against HIV and STDs

Inexpensive

Does not require a prescription and can be purchased by any person

May reduce the chances a man will ejaculate too quickly

Reduces spontaneity, because they require a couple to interrupt foreplay to put one on

Can reduce sensation

Can only be used if male partner is willing to use, or agrees to use when asked. So, women must often ask.

Women must acquire the skill of
condom negotiation, asking their male partner to use a condom every time. (See role play video on how engage in condom negotiation: "Where a glove"...or no love!)

Female Condom

 

Made of polyurethane

 

This is a barrier method

If you think you might have sex, it can be placed inside the female vagina up to as many as 8 hours prior to vaginal sex.

Protects walls of the vagina and some areas of the vulva

Prevents sperm from getting into a woman's body
78-99% efective Offers protection against HIV and STD's

Does not require a prescription

Gives women the option to wear the condom, allowing her to have control

Men like it because they do not have to wear a male condom (never use the female and male condom at the same time)
Polyurethane condoms have been found to be more difficult to put on

Woman must be comfortble with inserting the female condom into the vagina

May slip, strtch out of shape, or bunch up during sexual intercoure, so a couple must make sure it stays in position

Spermacides


Creams, jellies, foam, capsules, suppositories, and films

 

 

 

The spermacide is inserted into the vagina with either an applicator or finger

Kills sperm that enters the vagina or that reached the cervix
71%-85% effective when used alone

Effectiveness significantly increases when used with a condom
Does not require a prescription and can be purchased by any person

Simple to use

Provides lubrication during sexual intercourse

No serious medical side effects
Spermacides must be used each time sexual intercoure occurs

Some women or men may have allergic reactions to certain types of spermacides

Are less effective if used alone

The Sponge

 

Fits over the cervix and is soaked with spermacide

 

The contraceptive sponge is inserted deep into the vagina and covers the cervix, so it blocks sperm from entering the uterus

After intercourse the spnoge must be left in place for six hours and then is removed by pulling the cloth loop on the outside of the sponge
75-89% effective Intercourse can occur as many times as desired without adding additional spermacidal jelly or cream

Does not require a prescription

Offers no protection against HIV or STD's

Does not affect hormonal levels

Sponge is disposable after use
May increase the risk of urinary tract infections and toxic shock syndrome

Woman must be comfortble with inserting sponge into vagina

May cause a foul odor if left in the vagina too long

Some women may have allergic reactions to the spermacide used on the sponge