Hormonal Barrier

Surgical Mechanical

Natural

Contraception

Use nothing 10% effective

Hormonal

• Pill – daily 92%-99% effective• 3 month pill (Seasonale) 99% effective• Continuous pill (Lybrel) 99% effective• Mini-pill (progestin only) 92%-99% eff.• Patch (Ortho Evra) 99% eff.• Nuvaring 99%• Injection (Depo-Provera) 97-99% eff.• All can have side effects!• All are prescription• No STD protection

Barrier

• Male condom 85-98% eff.» With spermicide 98-99% eff.

• Female condom 79-95% eff. » Better with spermicide

• Condoms provide some protection against STDs• Spermicide alone 71-85%• Sponge – recently reapproved 70% eff. (no STD

protection) • All of the methods on this slide are available

“over the counter”

Barrier, cont.

• Diaphragm w/ spermicide 84-94% eff.• Cervical cap w/ spermicide 68-91%

» Better results if you haven’t already had kids

• These barrier methods need to be fitted by a professional

• These do not offer any STD protection• All barrier methods have some

disadvantages!

Surgical

• These are PERMANENT!• Tubal ligation – female 99+% eff.• Essure – female – causes scar tissue to

block the fallopian tube 99+% eff.• Vasectomy – male 99+% eff.

• No STD protection• Performed by a Dr.

Mechanical

• I.U.D. - Intrauterine Device 99% eff.

• I.U.D. with hormones 99+%

• No STD protection

• Need a Dr. to insert

• Possible side effects

Natural

• ABSTINENCE! – the only 100% eff. form of birth control

• Great for STD protection too!• Reduces cervical cancer risk

• Fertility awareness 80-98% eff.• Need directions from a trained professional

• Withdrawal 75-99%

• No STD protection