Contraception Health Article

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Post-Pregnancy Contraception: What Are a Woman's Options?
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Risks

Many methods of birth control have side effects. Knowing the side effects can help a woman to determine which method of birth control is right for her. There is no perfect form of birth control. Every method has a small failure rate and side effects. Some methods carry additional risks. However, every method of birth control has fewer risks than pregnancy. The risks include:

  • Hormonal methods: The hormones in birth control pills, Depo Provera, and Norplant can cause changes in menstrual periods, changes in mood, weight gain, acne, and headaches. In addition, once a woman stops using Depo Provera or Norplant, she may go many months before she begins ovulating again.
  • Barrier methods: A woman must insert the diaphragm in just the right way to be sure that it works properly. Some women get more urinary tract infections if they use a diaphragm because the diaphragm can press against the urethra, the tube that connects the bladder to the outside.

Contraception
Type of contraceptive Description Use Failure rate per 100 women in one year
SOURCE: Food and Drug Administration, December 2003; Planned Parenthood, March 2004; kidshealth.org, September 2001.
Abstinence Refraining from intercourse, anal sex, and oral sex Universally applicable. Also prevents spread of sexually transmitted diseases 0
Birth control pill Prescription pill containing estrogen and progestin that suppresses ovulation Must be taken daily, regardless of the frequency of intercourse 1-2
Cervical cap with spermicide Soft rubber cup that fits around the cervix, obtained by prescription Inserted before intercourse. May be difficult to insert 17-23, depending on type
Condom, female Lubricated sheath that is inserted into the vagina. Similar in shape to the male condom, with a flexible ring Applied immediately before intercourse, for single use 21
Condom, male Latex or polyurethane sheath placed over erect penis, widely available in drugstores Applied immediately before intercourse, for single use. Best protection against sexually transmitted diseases 11
Depo-Provera injection Injection that inhibits ovulation, obtained by prescription Injections performed at a doctor's office, once every three months Less than 1
Diaphragm with spermicide Dome-shaped rubber disk that covers the cervix, obtained by prescription Inserted before intercourse and left in place at least six hours after 17
Douching Use an over-the-counter feminine douche immediately after intercourse in an effort to wash out the sperm Sperm travel quickly to the cervix, making this an ineffective method of birth control 40
IUD (intrauterine device) T-shaped device inserted in the uterus during a visit to the doctor Can remain in place for up to one or 10 years, depending on type Less than 1
Morning-after pill (emergency contraceptive) Pills similar to regular birth control pills, obtained by prescription Must be taken within 72 hours of unprotected intercourse 80% reduction in pregnancy risk
Patch Adhesive patch worn on the skin that releases hormones preventing ovulation. Obtained by prescription New patch is applied once a week for three weeks, followed by one week without the patch 1-2
Periodic abstinence Refraining from intercourse when conception is likely Requires regular menstrual cycles and close monitoring of body functions pertaining to ovulation 20
Spermicide alone A foam, cream, jelly, film, or suppository, or tablet containing nonoxynol-9 Depending on product, inserted between five and 90 minutes before intercourse; usually left in place at least six to eight hours after 20-50, depending on product
Withdrawal Having intercourse, but removing the male penis before ejaculation Not recommended for teens, and some seminal fluid leaks before ejaculation, making it an ineffective method of birth control 27
  • Spermicides: Some women and men are allergic to spermicides or find them irritating to the skin.
  • IUD: The device is a foreign object that stays inside the uterus, and the uterus tries to get it out. A woman may have heavier menstrual periods and more menstrual cramping with an IUD in place.
  • Tubal ligation: Some women report increased menstrual discomfort after this surgery. It is not known if this side effect is related to the tubal ligation itself.
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Author Info: Amy B. Tuteur, Ken R. Wells, Thomson Gale, Gale, Detroit, Gale Encyclopedia of Children's Health, 2006
 
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·As a Prevention
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