Intra-uterine Devices IUCD - 99% effective
Pros:
Longevity, Low side effects
Cons:
Can be expelled or become disloged
Not recommended for women with fibroids
Birth control pills (Oral contraceptive) - 95% - 99% effective
Pros:
High rate of efficacy
Relatively convenient
Multiple options available
Regulates menstrual cycle
Decreased risk of endometrial and ovarian cancer, endometriosis, PID
Cons:
Undesirable risk and side effect profile in some women
Drug interactions
Depo Provera - 99.7% effective
Pros:
Effective 24 hr following injection
High rate of efficacy
Relatively convenient
Cons:
Side effects can be significant and long-lasting, including reduction in bone density, depression, and weight gain
contraceptive implants - 99% effective
Pros:
Longevity: Different systems last from 3-5 yr
Fertility returns relatively quickly
cons:
Potential for scarring
Male Condom - 87–98% effective
Pros:Inexpensive and easily available
Cons: reduces sensation, Reduced spontaneity and some users experience allergies
Female Condom - 79–95% effective
Pros:Can be placed up to 8 hr in advance, Good protection against STI’s, Does not require fitting by health care practitioner
Cons: Only 1 style currently available, More costly than male condoms.
Female Diaphragm with contraceptive jelly or foam - 80–94% effective
Pros:Few side effects, Can be inserted up to 6 hr in advance, Can be used for intercourse during menses to collect flow
Cons: May reduce spontaneity, Requires fitting/periodic refitting, Some users experience allergies, Some consider method to be “messy”
Rhythm method - 88–98% effective
Pros: Zero health risks or side effects, Enhances body awareness and partner intimacy, Inexpensive
Cons: Requires significant partner education, cooperation, and daily attention, Relatively high failure rate, Not ideal in perimenopause years or for women with otherwise irregular cycles
Male Vasectomy & Tubal ligation - >99% effective
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