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Understanding Birth Control

Learn the Truth about Birth Control Methods

This table outlines the different methods of birth control, their effectiveness when used perfectly and their “real world” effectiveness (including common human errors).

Method of Pregnancy Prevention

Perfect Use Effectiveness

Real World Use Effectiveness

Abstinence

100 %

75 %

Condoms

          Male

97 %

86 %

          Female

95 %

79 %

Cervical Cap

91 %

80 %

Depo-Provera (shot)

99 %

99 %

Diaphragm

94 %

80 %

Nuva Ring (the Ring)

99 %

95 %

Ortho Evra (Patch)

99 %

95 %

The Pill

99 %

95 %

Spermicides (alone)

94 %

74 %

Withdrawal

96 %

81 %

Table and statistics from www.sxetc.org.

Use a Condom
There are male and female condoms.  The latex male condom is the common one that everyone has seen.  There are many other kinds of condoms, but they tend to be less effective in preventing pregnancy and infection.  The polyurethane condom is the only other type of condom that seems to be as effective.  Those who are allergic to latex use the condoms made with polyurethane material most often.  However, many people have reported that, because it is so thin, it increases the amount of stimulation. 

The less familiar female condom can be difficult to find in shops (it can be purchased online at www.condomania.com) and is more expensive than the male condom.  It is 95% effective when used perfectly every time and 84% effective on average when accounting for human error.  The female condom is inserted into the vagina before intercourse.

Step-by-Step use of the male condom:
1. Check the expiration date of the condoms and store them in a cool, dry place
2. Open the condom carefully and do not open with teeth or sharp objects – this may puncture it
3. Put a few drops of water-based lubricant inside the tip of the condom
4. Squeeze the tip of the condom, leaving a little extra space. 
5. Unroll the condom over an erect penis  (If the penis has foreskin, apply the condom with the foreskin pushed back.  Once the shaft is covered, push the foreskin towards the tip.  This way, the foreskin can move without breaking the condom)
6. Put water-based lubricant on the outside of the condom
7. After ejaculation, hold the base of the condom and pull out
8. DO NOT reuse condoms!

The correct and consistent use of condoms during sexual intercourse (vaginal, anal, or oral) can greatly reduce a person's risk of acquiring or transmitting STDs, including HIV.

Get Birth Control
You can get birth control at Planned Parenthood clinics, or from your physician.  The clinics tend to be much less expensive and charge you what you are able to pay.  You will have to fill out some forms, answer a few questions about your sexual activity and possibly have a physical exam.  Then together, you will find an option of birth control that is right for you.

For emergency contraception (after having unprotected sex, or if you had problems with the method of birth control that was used), you can either go to a Planned Parenthood clinic or call (888) NOT – 2 – LATE (668 – 2528) or (800) 230 – PLAN.  You can also go to www.plannedparenthood.org.

Emergency contraception is a high dose of the chemicals (hormones) that are used in birth control.  They can be successful up to 72 hours after having unprotected sex.  The two most commonly used forms of emergency contraception are called Prevent and Plan B.

Know the Different Options for Birth Control Abstinence – This is the safest method of birth control for obvious reasons.  This method involves no intercourse (anal, vaginal and depending on the individual, oral) for some period of time.  This method is most often related to views on marriage or religion, but can just be for personal reason (ex: if you prefer to be in a committed relationship, prevent STD’s or pregnancy).  If abstinence is your chosen method of birth control, it is important to make this clear to your partner early in the relationship.  Talk it through and try to understand his or her point of view, just as you want him or her to understand yours. 

Pulling Out (Withdrawal/Coitus Interruptus) – This method requires a lot of self-control on the part of the guy.  It is crucial that if you are practicing this method, the penis is removed before ejaculation.  This is very risky because often, small amounts of semen (pre-cum) can leak out.  Even a very small release of sperm can fertilize the egg and result in pregnancy.  This method does not prevent the spread of sexually transmitted infections or diseases (STIs and STDs).  Practicing the pulling out method is just barely better than not using any form of birth control.

Spermicides – This form of birth control comes in many different types: suppository, foam, cream, insert, film and gels.  Spermicides kill the sperm that are released into the vagina during ejaculation.  For the suppositories, inserts and film – wait 15 to 30 minutes after applying them before sex.  This is necessary to allow the body to melt the product.  Gels and creams cost about $8.00 - $10.00, one dose of the insert, films or foam are $1.00, but are sold in packs of 3, 6, or more.  Spermicides should be used along with another form of birth control such as a condom.

Depo Provera (the shot) – This is a shot given once every three months for $35.00 each visit.  Though it does not provide protection from STDs, it is very effective in preventing pregnancy and regulating or controlling the period of women with very severe cramps and nausea.  This is a very good method for people in a long-term, monogamous relationship who are tested regularly for STDs and who are confident in the faithfulness of their partner. (www.depo-provera.com)

Ortho Evra (the patch) – This is a small, band-aid like patch that releases hormones through the skin into the body.  It is applied to the stomach, upper arm, back or buttocks once a week for three weeks a month. The patch comes in packs of three for $30 - $35 and the first dose comes with an extra patch in case one is lost or falls off.  Though it does not provide protection from STDs, it is very effective in preventing pregnancy and regulating or controlling the period of women with very severe cramps and nausea.  This is a very good method for people in a long-term, monogamous relationship who are tested regularly for STDs and who are confident in the faithfulness of their partner. (www.orthoevra.com)

Nuva Ring (the ring) – Using this method, the woman inserts a flexible rubber ring with self-releasing hormones into the vagina and leaves it in for three weeks.  The ring is then removed to allow menstruation.  This method costs about $30 to $35 per month. Though it does not provide protection from STDs, it is very effective in preventing pregnancy and regulating or controlling the period of women with very severe cramps and nausea.  This is a very good method for people in a long-term, monogamous relationship who are tested regularly for STDs and who are confident in the faithfulness of their partner. (www.nuvaring.com)

Note: Getting birth control through your school (where it is possible) is often the cheapest way to get the brand that you need.

Know the Difference between Diaphragms and Cervical Caps
Both of these methods of birth control are rubber cups that are inserted into the vagina.  They block the entrance to the cervix and come in different sizes to fit the varying body types of women (see your physician to be fitted for either).  The diaphragm holds spermicides against the cervix in case sperm gets around its edge.  The cervical cap suctions to the cervix in order to prevent sperm from escaping around the edge.  Neither of the two methods provides protection from STDs and you must leave both in for six to eight hours after sex.

Stop the Rumors and Myths

  • Douching after sexual intercourse will not prevent pregnancy
  • Having sex in certain positions does not prevent pregnancy or decrease the chances of becoming pregnant
  • Urinating after sex will not prevent pregnancy – but it will reduce the risk of urinary tract infections
  • You CAN get pregnant the first time!
Scenario
In the heat of the moment would you make the right choice?

To see how this Birth Control Scenario plays out: 
Click Here To Enter

 
 
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The information provided on this site should not replace your physician’s advice.