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Family
Planning
Fertility Awareness
Also called natural family planning, fertility
awareness means avoiding sex when the woman is
most fertile. The most reliable way to do this is to
watch for changes in cervical mucus and body
temperature. To use this method correctly, it's best
to get training from a health care professional.
Pros: No drugs or devices, inexpensive.
Cons: Limits spontaneous sex, 25% of typical users
get pregnant.
Spermicide
Spermicide contains a chemical that kills sperm. It
comes in the form of foam, jelly, cream, or film that
is placed inside the vagina before sex. Some types
must be put in place 30 minutes ahead of time.
Frequent use may cause tissue irritation, increasing
the risk of infections and STDs. Spermicides are most
often used along with other birth control methods.
Pros: Easy to use, inexpensive ($1 per use).
Cons: May increase the risk of STDs, 29% get
pregnant.
Male Condom
The latex condom is the classic barrier method. It
prevents sperm from entering the woman's body,
protecting against pregnancy and STDs. Of couples
who rely only on male condoms, 15% get pregnant
in a year.
Pros: Widely available, protects against STDs,
inexpensive (under $1 each).
Cons: Only effective if used correctly every time.
Can't be reused.
Female Condom
Female Condom
The female condom is a thin plastic pouch that lines
the vagina and can be put in place up to 8 hours
before sex. Users grasp a flexible, plastic ring at the
closed end to guide it into position. It's somewhat
less effective than the male condom.
Pros: Widely available, some protection against
STDs, conducts body heat better than a male
condom.
Cons: Can be noisy, 21% of users get pregnant, not
reusable. Should not be used with a male condom,
to avoid breakage.
Diagphram
The diaphragm is a rubber dome that is placed
over the cervix before sex. It is used with a
spermicide. Effectiveness compares to the male
condom 16% of average users get pregnant,
including those who don't use the device correctly
every time.
Pros: Inexpensive (a $15-$75 device lasts two years.)
Cons: Must be fitted by a doctor, no STD protection.
Can't be used during your period due to a risk of
toxic shock syndrome.
Cervical Cap
A cervical cap is similar to a diaphragm, but
smaller. The FemCap slips into place over the cervix,
blocking entry into the uterus. It is used with
spermicide. The failure rate for the cervical cap is
15% for women who have never had children and
30% for those who have.
Pros: Can stay in place for 48 hours, inexpensive.
Cons: Must be fitted by a doctor, no protection
Birth Control Sponge
The birth control sponge, sold as the Today Sponge,
is made of foam and contains spermicide. It is
placed against the cervix up to 24 hours before sex.
The sponge is about as effective as the cervical
cap, with a failure rate of 16% for women who have
never had children and 32% for those who have.
But unlike the diaphragm or cervical cap, no fitting
by a doctor is required.
Pros: No prescription, effective immediately.
Cons: Difficult to insert correctly, no STD protection.
Can't be used during your period.
Birth Control Pill
The most common type of birth control pill uses the
hormones estrogen and progestin to prevent ovulation.
When taken on schedule, the pill is highly effective.
About 8% of typical users get pregnant, including those
who miss doses. Like all hormonal contraceptives, the pill
requires a prescription.
Pros: More regular, lighter periods, or no periods,
depending on the type of pill. Less cramping.
Cons: Cost ($15-$50 per month), no STD protection. May
cause side effects, including breast tenderness, spotting,
serious blood clots, and raised blood pressure. Some
women should not use birth control pills.