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Birth Control Options

IUD non-hormonal

IUD non-hormonal

IUD non-hormonal

Effectiveness

99%

Lasts Up To

12 Years

How it Works
  • Placed into uterus by provider
  • Releases copper ions
  • Makes it difficult for sperm to move
  • Prevents sperm from meeting and fertilizing an egg
  • Removed by provider when you want to become pregnant, switch birth control method or when it is time to be removed
Pros
  • Safe and highly effective
  • High satisfaction rates
  • No hormones and no hormonal side effects
  • Easy to use and totally private — place it and forget it
  • Protects against endometrial cancer
  • Can be used while breastfeeding
Cons
  • Insertion can be uncomfortable
  • Possible irregular bleeding or spotting and heavier, crampier periods for the first 1-3 months of use
  • Does not protect against STIs
Possible Side Effects
  • Longer, heavier periods with more cramps that should subside over time, returning to your regular period

Talk to your healthcare provider to learn more about these methods and which is best for you
Source: Contraceptive Technology, 20th edition

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IUD hormonal

IUD hormonal

IUD hormonal

Effectiveness

99%

 
Lasts Up To

7 Years

How it Works
  • Placed into uterus by provider
  • Releases the hormone progestin
  • Thickens cervical mucus and prevents sperm from reaching the egg
  • May also prevent the ovaries from releasing eggs
  • Makes it harder for sperm to move
  • Removed by provider when you want to become pregnant, switch birth control method or when it is time to be removed
Pros
  • Safe and highly effective
  • High satisfaction rates
  • Easy to use and totally private — place it and forget it
  • Reduces cramps and makes periods lighter or stops them completely
  • Protects against endometrial cancer
  • Can be used while breastfeeding
Cons
  • Insertion can be uncomfortable
  • Irregular bleeding or spotting in the first 3–6 months
  • Does not protect against STIs
Possible Side Effects

Side effects are most common during the first 3 months of use and usually go away.
You may experience some or none of the following:

  • Cramps
  • Back pain
  • Breast tenderness
  • Headache
  • Mood changes
  • Hair loss
  • Acne

Talk to your healthcare provider to learn more about these methods and which is best for you. 
Source: Contraceptive Technology, 20th edition

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Implant

Implant

Implant

Effectiveness

99%

Lasts Up To

4 Years

How it Works
  • Releases the hormone progestin
  • Prevents the ovaries from releasing eggs
  • Thickens cervical mucus and prevents sperm from reaching the egg
  • Removed by provider when you want to become pregnant, switch birth control method or when it is time to be removed
Pros
  • Easy to use and totally private – place it and forget it
  • Fewer, lighter periods
  • Can be used while breastfeeding
Cons
  • Bruising or tenderness at insertion site
  • Irregular bleeding that can be unpredictable
  • Does not protect against STIs
Possible Side Effects

Side effects are most common during the first 3 months of use and usually go away.
You may experience some or none of the following:

  • Irregular bleeding or no period at all
  • Acne
  • Hair loss
  • Headache
  • Sore breasts
  • Nausea
  • Mood changes
  • Weight gain

Talk to your healthcare provider to learn more about these methods and which is best for you. 
Source: Contraceptive Technology, 20th edition

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Shot

Shot

Shot

Effectiveness

96%

Perfect Use: 99%
Lasts Up To

3 months

How it Works
  • Can receive shot in upper arm or buttocks
  • Releases hormones to prevent the ovaries from releasing eggs
  • Thickens cervical mucus and prevents sperm from reaching the egg
Pros
  • Totally private
  • Shorter, lighter periods or no period at all
  • Reduces menstrual cramps and PMS
  • Can be used while breastfeeding
Cons
  • Must return to provider for shot every 3 months
  • Unpredictable, irregular bleeding or spotting
  • Weight gain in some women
  • May be a delay in return to regular cycle and fertility after last shot (average of 10 months)
  • Does not protect against STIs
Possible Side Effects
  • Irregular bleeding
  • Reversible bone thinning
  • Weight gain
  • Headaches
  • Breast tenderness
  • Depression
  • Decreased interest in sex
  • Rare risk of allergic reaction

Talk to your healthcare provider to learn more about these methods and which is best for you. 
Source: Contraceptive Technology, 20th edition

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Ring

Ring

Ring

Effectiveness

93%

Perfect Use: 99%
Lasts Up To

4 weeks

How it Works
  • Inserted into the vagina
  • Releases hormones to prevent the ovaries from releasing eggs
  • Thickens cervical mucus and prevents sperm from reaching the egg
Pros
  • Reduces menstrual cramps and PMS
  • Shorter, lighter periods
  • May be removed for up to 3 hours
Cons
  • Increased risk of blood clots, especially for smokers or women with other cardiovascular risk factors
  • Does not protect against STIs
Possible Side Effects

Side effects are most common during the first 3 months of use and usually go away.
You may experience some or none of the following:

  • Increased vaginal discharge
  • Headache
  • Sore breasts
  • Nausea
  • Mood changes
  • Decreased interest in sex

Talk to your healthcare provider to learn more about these methods and which is best for you. 
Source: Contraceptive Technology, 20th edition

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Patch

Patch

Patch

Effectiveness

93%

Perfect Use: 99%
Lasts Up To

1 Week

How it Works
  • Sticks on skin like a band aid
  • Releases hormones to prevent the ovaries from releasing eggs
  • Thickens cervical mucus and prevents sperm from reaching the egg
Pros
  • Easy to use
  • Does not fall off easily
  • Reduces menstrual cramps and PMS
  • Shorter, lighter periods
  • May be removed for up to 3 hours
Cons
  • Increased risk of blood clots, especially for smokers or women with other cardiovascular risk factors
  • Does not protect against STIs
  • Not as effective for women who weigh more than 198 lbs.
Possible Side Effects

Side effects are most common during the first 3 months of use and usually go away.
You may experience some or none of the following:

  • Skin irritation
  • Irregular spotting or bleeding
  • Headache
  • Sore breasts
  • Nausea
  • Mood changes

Talk to your healthcare provider to learn more about these methods and which is best for you. 
Source: Contraceptive Technology, 20th edition

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Pill

Pill

Pill

Effectiveness

93%

Perfect Use: 99%
Lasts Up To

1 Day

How it Works
  • Releases hormones to prevent the ovaries from releasing eggs
  • Thickens cervical mucus and prevents sperm from reaching the egg
Pros
  • Easy to use
  • Reduces menstrual cramps and PMS
  • Shorter, lighter periods
  • Decreased risk of ovarian and endometrial cancers
  • Clears up acne
Cons
  • May be difficult to remember to take on time
  • Increased risk of blood clots, especially for smokers or women with other cardiovascular risk factors
  • Does not protect against STIs
Possible Side Effects

Side effects are most common during the first 3 months of use and usually go away.
You may experience some or none of the following:

  • Irregular bleeding, especially with missed pills
  • Headache
  • Sore breasts
  • Nausea
  • Mood changes

Talk to your healthcare provider to learn more about these methods and which is best for you. 
Source: Contraceptive Technology, 20th edition

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Diaphragm

Diaphragm

Diaphragm

Effectiveness

88%

Perfect Use: 94%
Lasts Up To

1 Day

How it Works
  • Inserted into vagina
  • Must be used with spermicide
  • Keeps sperm out of the uterus by blocking the cervix
  • Spermicide kills sperm
Pros
  • No hormones
  • Controlled by female and can be inserted hours before sex
  • Won’t be felt by either partner
  • Reusable
Cons
  • May be difficult to insert
  • Can move out of place during sex
  • Need to remember to remove it and clean it after use
  • Does not protect against STIs
Possible Side Effects
  • Temporary skin irritation due to spermicide
  • May cause urinary tract infections
  • May cause reaction for those allergic to silicone or spermicide

Talk to your healthcare provider to learn more about these methods and which is best for you. 
Source: Contraceptive Technology, 20th edition

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Condom

Condom

Condom

Effectiveness

87%

Perfect Use: 98%
Lasts Up To

1 Use

How it Works
  • Fits over the penis to catch semen and body fluids after ejaculation
  • Provides a barrier between partners
Types
  • Male or female condoms
  • With or without spermicide
  • Latex or non-latex
  • Non-latex types include polyurethane, polyisoprene and lambskin, which does not protect against HIV, HPV or Herpes
Pros
  • The only method to protect against STIs
  • Easy to find and affordable
  • Many types and sizes available
  • May help prolong intercourse for some men
Cons
  • Must be used perfectly, every time
  • May reduce sensitivity
  • May be inconvenient
Possible Side Effects
  • Possible allergies or irritation caused by certain types, brands or lubricants

Talk to your healthcare provider to learn more about these methods and which is best for you. 
Source: Contraceptive Technology, 20th edition

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Compare Methods

  IUD(non-hormonal) IUD(hormonal) Implant Shot Ring Patch Pill Diaphragm Condom
Effectiveness

99%

Perfect Use: 99%

99%

Perfect Use: 99%

99%

Perfect Use: 99%

96%

Perfect Use: 99%

93%

Perfect Use: 99%

93%

Perfect Use: 99%

93%

Perfect Use: 99%

88%

Perfect Use: 94%

87%

Perfect Use: 98%
Lasts Up To

12 Years

7 Years

4 Years

3 Months

4 Weeks

1 Week

1 Day

1 Day

1 Day

Pregnancy Risk

>1%

>1%

>1%

6%

6%

6%

6%

12%

12%

STI Prevention Does not prevent STIs Does not prevent STIs Does not prevent STIs Does not prevent STIs Does not prevent STIs Does not prevent STIs Does not prevent STIs Does not prevent STIs Can help prevent STIs
Hormone-Free Hormone-Free Not Hormone-Free Not Hormone-Free Not Hormone-Free Not Hormone-Free Not Hormone-Free Not Hormone-Free Hormone-Free Hormone-Free
Application Nurse or Doctor Nurse or Doctor Nurse or Doctor Nurse or Doctor You You You You You

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