Contraceptive Method MOA Side Effects NonContraceptive Effects Contraindications Steroid contraception Inhibits ovulation by suppressing LH and FSH release, suppress ovulation, endometrial atrophy, thickening cervical mucus to prevent sperm from reaching egg Breakthrough bleeding, weight gain, depression, increase risk of PE & DVT Reduces risk of ovarian and endometrial cancer, improves menstrual regularity, may improve acne smoking, history of blood clots or stroke, uncontrolled hypertension, breast cancer Barrier spermicidal method Creates a barrier that prevents sperm from reaching egg Allergic reactions, irritation, decreased sensation, breakage Reduces risk of STIs, including HIV/AIDS, provides a barrier against other fluids (e.g. semen, blood) Allergy to latex or spermicide Intrauterine contraception Copper: Causes inflammation that is toxic to sperm and eggs, preventing fertilization and implantation Heavy menstrual bleeding, cramping, expulsion, perforation of uterus, PID Reduces risk of ovarian and endometrial cancer, can help with heavy menstrual bleeding. Allergy to copper, Pregnancy, current or recent pelvic infection, cervical or uterine abnormalities. Hormonal: thickening of cervical mucosa, increase tubal motility