Pros and Cons of Different Contraceptive Methods

 

Here's a list of the many available types of contraception, and the pros and cons of using each.

Method	Pros	Cons	Effective-ness
Birth Control Pills	Very effective against pregnancy if used correctly Make menstrual periods more regular and lighter Decrease menstrual cramps and acne Makes you less likely to get ovarian and uterine cancer, pelvic inflammatory disease, ovarian cysts, and anemia Doesn't interrupt lovemaking	Doesn't protect against STDs Cost between $15-$50 per mont Cost between $15-$50 per month if not covered by insurance Need to remember to take every day at the same time Can't be used by women with certain medical problems or by women taking certain medications Can cause side effects such as nausea, increased appetite, headaches, and, very rarely, blood clots Need a prescription Need to use a barrier method if a pill is missed or using certain medications	95-99%
Cervical Cap	Can insert several hours before sexual intercourse Can leave in place 24-48 hours, will give protected sex for up to 48 hours Use less spermicide with the cap than with the diaphragm- no need to apply more spermicide with each act of intercourse	Doesn't protect against sexually transmitted diseases Cost $25-$50, plus the cost of spermicidal gel Need to be fitted by a health care provider and need a prescription Limited sizes available Can't take out until 6-8 hours after intercourse May get moved out of place Some women may be allergic to material of cap or to spermicide Need to get a new one every so often Can't be used by women with a history of abnormal Pap tests	80-94%
Contraceptive Sponge	Can insert right before or several hours before sexual intercourse and will provide protection against pregnancy for a total of 24 hours Don't need a prescription	Doesn't protect against sexually transmitted diseases and may increase the risk of HIV infection with multiple daily acts of sexual intercourse Can't take out until 6 hours after sexual intercourse Cannot be used by women that are allergic to nonoxynol-9 (in the spermicides)	87%
Diaphragm	Can be put in place right before intercourse or 2-3 hours before intercourse Don't need to take out between acts of sexual intercourse (protects against pregnancy for about 6 hours, but need to reapply spermicide)	Doesn't protect against sexually transmitted diseases Need to get fitted by a health care provider and need a prescription Can't take out until 6 hours after intercourse Cost $25-$45, plus the cost of spermicidal gel May get moved out of place during sexual intercourse Some women may be allergic to the diaphragm or to the spermicide Need to get a new one every so often (need to get one if have 10 pound weight gain or loss and after pregnancy) Can be messy Need to reapply spermicide with each act of sexual intercourse Can cause an increase in urinary tract infections	80-94%
Depo-Provera Hormonal Injection	Each injection provides 3 months of protection against pregnancy Very effective against pregnancy Many women stop getting their menstrual period while getting injections. (This is not a medical problem and menstrual periods usually return 6-18 months after you stop taking injections) Helps protect against uterine cancer	Doesn't protect against STDs Need to see your health care provider every 3 months for an injection Costs $30-$75 every 3 months for 1 injection May have side effects such as weight gain, tiredness, and possibly a decrease in bone density Many women have irregular menstrual bleeding or spotting for the first 3 to 6 months	99%
Female Condom	Provide protection against STDs (new product, so not clear how much protection given) and pregnancy Can be inserted well before intercourse Male does not need to withdraw right after ejaculation, as he does with a male condom Cheap- each costs about $2.50	May move, be noisy, or uncomfortable Can only use for one act of sexual intercourse	79-95%
Hormonal Implants	Long-term method of birth control (protects against pregnancy from 24 hours after insertion, for up to 5 years after insertion depending on the type)- can remove whenever you want to or can wait for 2 to 5 years to remove Very effective against pregnancy May cause light or no menstrual periods	No protection against sexually transmitted diseases Requires minor surgery and insertion of the tiny rod(s) underneath the skin Requires minor surgery to remove capsules Can cause side effects such as irregular menstrual periods, depression, nervousness, hair loss, and weight gain Could have infection at area where capsules implanted Can't be used by women with certain medical conditions and by women who use certain medications	99%
Hormone Patch (Ortho-Evra)			99%
Intra-Uterine Device (IUD)	Very effective against pregnancy Provide protection against pregnancy as long as in place in your uterus- protects as soon as inserted (so don't need to remember to use contraception if you have sexual intercourse) Doesn't need daily attention- just need to check to make sure in place at least once a month at time of menstrual period Comfortable- you and your partner cannot feel the IUD, although you partner may feel the string The levonorgestrel IUD (Mirena) lessens menstrual flow and can be used to treat heavy periods Can be removed at any time	Doesn't protect against STDs Needs to be inserted by a health care provider Should not be used by women who might get a sexually transmitted disease. It is best for women who have already had children and are in a steady relationship with one partner. Can fall out or can rarely puncture the uterus The copper IUD can have side effects such as menstrual cramping, longer and/or heavier menstrual periods, and spotting between menstrual periods Slightly higher risk for infection in the few weeks after insertion	99%
Lactational Amenorrhea Method (LAM) for Women Who are Breastfeeding	Natural Costs nothing No side effects Effective against pregnancy during the first 6 months after childbirth in women who have not had their menstrual period after childbirth and are feeding their babies only breast milk	Only can be used by women who have given birth in last 6 months, fully breast feeding, and have not had menstrual period after childbirth Doesn't protect against STDs Only effective until menstrual period returns May need to use a lubricant with sexual intercourse because of vaginal dryness	98%
Male Condom	Lowers risk of STDs Effective against pregnancy Contraception that provides the most protection against sexually transmitted diseases (latex condoms are best) Don't cost much (50 cents each), can buy at almost any drug store (don't need a prescription) "Last longer" when using a condom Allow men to have an active part in preventing pregnancy	Have to use a new one every time you have sexual intercourse (can only be used once) May disrupt/interrupt lovemakingCan break Women may be allergic to latex	86-97%
Natural Family Planning (Rhythm Method)	Natural Approved by many religions Woman gets to know her body and menstrual cycles Can be successful with partners that are very careful and don't have sex during ovulation period and several days before and after	No protection against STDs Need to figure out when ovulating for each month, since different from one month to the next Requires a lot of work- need many directions from health care provider and need to figure out when ovulating Can't have sexual intercourse for at least a week each month (during ovulation and several days before and after) Women with irregular periods should not use- failure rate is high	76-98%
Spermicide	Don't cost much, available at many drug stores, don't need a prescription	Doesn't protect against sexually transmitted diseases (STDs) and may increase the risk of HIV infection in women who have sex multiple times daily because of irritation from the spermicide Effectiveness usually lasts only one hour (need to reapply each time have sexual intercourse) Some women and men may be allergic to spermicides May interrupt lovemaking (some forms need to be inserted at 10-20 minutes before intercourse) Has a lower effectiveness against pregnancy than many other types of contraception- should use with another form of contraception to increase effectiveness May change bacteria living in vagina and increase urinary tract infections	74-94%
Tubal Ligation	Very effective against pregnancy One time decision that will provide protection against pregnancy forever	Need to have minor surgery Permanent (although it is possible to undo sterilization with major surgery, it is not always successful) Only should be used by women who are absolutely sure that they do not want any or any more children Expensive- ranges from $1000-$2500- but cost for contraception spread over rest of life No protection against STDs	99%
Vaginal Hormonal Ring (NuvaRing)			99%
Withdrawal	Natural, so no side effects Doesn't cost anything Allows men to be an active part of preventing pregnancy	Not very effective method of contraception Doesn't protect against STDs Difficult for male to always predict ejaculation May decrease sexual pleasure of woman since need to always be thinking about what is happening during sexual intercourse No control by women- need to rely completely on men to prevent pregnancy	81-96%

 

Written by the Center for Young Women's Health Staff

 

Updated 7/30/07

 

 

Related Information:

• A Guide to Puberty and Menstrual Cycles
• Your First Pelvic Exam
• Related Links

 

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