Plan An individual Contraception Method
Objectives:
1. To create a reproductive life plan "a set of personal goals regarding whether, when, and how to have children based on individual priorities, resources, and
values" (*pregnancy intervals of <18 months are associated with complications for mother and newborn such as anemia and prematurity.)
2. To reduce unintended pregnancy.
Efficacy
Advantages
Disadvantage
Perfect use: 98%
Typical use: ~82%
The best way in protection
from sexually transmitted
infections.
May slip off or split if not
used correctly or if wrong
size or shape.
Diaphragm/cap with
spermicide
Perfect use: 92-96%
Typical use: 71-88%
Can be put in any time
before sex
Need to use a right size.
Repeated
sex,
extra
spermicide is needed.
Fertility awarenessbased methods
Perfect use: 95%
Typical use: ~76%
No physical side effects.
Can also be used to plan
a pregnancy.
To avoid sex or use a condom
at fertile times of the cycle.
Have to keep daily records.
Perfect use: >99%
Typical use: ~91%
Often reduce bleeding and
period pain, and may help
premenstrual symptoms.
Missing pills, vomiting or
severe diarrhoea can make it
less effective.
Contraceptive vaginal
ring
Perfect use: >99%
Typical use: ~91%
One rings stays in 3 weeks
Uncomfortable with
inserting and removing it.
Contraceptive Patch
Perfect use: >99%
Typical use: ~91%
Can make periods regular,
lighter and less painful.
May be seen and can cause
skin irritation.
Perfect use: >99%
Typical use: >94%
Work for 13 weeks (DepoProvera and Sayana Press)
or 8 weeks (Noristerat).
Can’t be removed from the
body, effects continue while
it works and afterwards.
Perfect use: >99%
Typical use: >99%
Works for 3 years but can
be taken out sooner.
Requires a small procedure
to fit and remove it.
(A flexible rob put under the
skin of upper arm)
Perfect use: >99%
Typical use: >99%
Work for 5 to 10 years but
can be taken out sooner.
Period may be heavier,
longer or more painful.
External Condom
(Male/Female)
Least Effective
(Non-Hormone)
Plan Pregnant within
1year
OCP
(COP, POP)
Effective (Hormone)
Reversible
(desire pregnancy in
future)
Contraceptive
Injection
Contraceptive
implant
Plan Pregnant later
than 1years
Most Effective (LongActing)
Intrauterine device
(Levonorgestrel/
Copper)
OCP: Oral Contraception Pill, COC: Combined Pill (Estrogen + Progestogen); POP: Progestogen-only Pill (Can be used by women who smoke and are over 35years old)
Incisional female sterilization
Done in operating room
Usually with general anesthesia
Tubes are either cut, tied, or burned
Female
Hysteroscopic female sterilization
Done in the office under local anesthesia or in the operating room
Puts inserts in the tubes to block permanently
Permanent (definitely
completed their
childbearing)
Back-up method of birth control needed for the first three months until
testing confirms success
Male sterilization
In-office procedure for male partner
Male
Usually done under local anesthesia
Back-up method of birth control needed, usually for three months, until
testing confirms success
Simpler and safer than female sterilization
Intrauterine device (IUD) (the
most effective)
It can be fitted up to 5 days after sex, or up to five days after the earliest
time you could have ovulated (released an egg).
Emergency contraceptive pill
with the hormone
levonorgestrel
It can be taken up to 3 days (72 hours) after sex. It’s more effective the
earlier it’s taken after sex.
Emergency contraception