YOUR BIRTH CONTROL CHOICES
Your Birth Control Choices
|Method |How well does it |How to Use |Pros |Cons |
| |work? | | | |
|The Implant |> 99% |A health care provider places it|Long lasting (up to 5 years) |Can cause irregular bleeding |
|Nexplanon® | |under the skin of the upper arm |No pill to take daily |After 1 year, you may have no |
| | |It must be removed by a health |Often decreases cramps |period at all |
|[pic] | |care provider |Can be used while breastfeeding |Does not protect against human |
| | | |You can become pregnant right |immunodeficiency virus (HIV) or |
| | | |after it is removed |other sexually transmitted |
| | | | |infections (STIs) |
|Progestin IUD |> 99% |Must be placed in uterus by a |May be left in place 3 to 7 |May cause lighter periods, |
|Liletta®, Mirena®, Skyla®, and | |health care provider |years, depending on which IUD |spotting, or no period at all |
|others | |Usually removed by a health care|you choose |Rarely, uterus is injured during |
| | |provider |No pill to take daily |placement |
|[pic] | | |May improve period cramps and |Does not protect against HIV or |
| | | |bleeding |other STIs |
| | | |Can be used while breastfeeding | |
| | | |You can become pregnant right | |
| | | |after it is removed | |
|Copper IUD |> 99% |Must be placed in uterus by a |May be left in place for up to |May cause more cramps and heavier|
|ParaGard® | |health care provider |12 years |periods |
| | |Usually removed by a health care|No pill to take daily |May cause spotting between |
|[pic] | |provider |Can be used while breastfeeding |periods |
| | | |You can become pregnant right |Rarely, uterus is injured during |
| | | |after it is removed |placement |
| | | | |Does not protect against HIV or |
| | | | |other STIs |
|The Shot |94% |Get a shot every 3 months |Each shot works for 12 weeks |May cause spotting, no period, |
|Depo-Provera® | | |Private |weight gain, depression, hair or |
| | | |Usually decreases periods |skin changes, change in sex drive|
|[pic] | | |Helps prevent cancer of the |May cause delay in getting |
| | | |uterus |pregnant after you stop the shots|
| | | |No pill to take daily |Side effects may last up to 6 |
| | | |Can be used while breastfeeding |months after you stop the shots |
| | | | |Does not protect against HIV or |
| | | | |other STIs |
|The Pill |91% |Must take the pill daily |Can make periods more regular |May cause nausea, weight gain, |
| | | |and less painful |headaches, change in sex drive – |
|[pic] | | |Can improve PMS symptoms |some of these can be relieved by |
| | | |Can improve acne |changing to a new brand |
| | | |Helps prevent cancer of the |May cause spotting the first 1-2 |
| | | |ovaries |months |
| | | |You can become pregnant right |Does not protect against HIV or |
| | | |after stopping the pills |other STIs |
|Progestin-Only Pills |91% |Must take the pill daily |Can be used while breastfeeding |Often causes spotting, which may |
| | | |You can become pregnant right |last for many months |
|[pic] | | |after stopping the pills |May cause depression, hair or |
| | | | |skin changes, change in sex drive|
| | | | |Does not protect against HIV or |
| | | | |other STIs |
|The Patch |91% |Apply a new patch once a week |Can make periods more regular |Can irritate skin under the patch|
|Ortho Evra® | |for three weeks |and less painful |May cause spotting the first 1-2 |
|[pic] | |No patch in week 4 |No pill to take daily |months |
| | | |You can become pregnant right |Does not protect against HIV or |
| | | |after stopping patch |other STIs |
|The Ring |91% |Insert a small ring into the |One size fits all |Can increase vaginal discharge |
|Nuvaring® | |vagina |Private |May cause spotting the first 1-2 |
| | |Change ring each month |Does not require spermicide |months of use |
|[pic] | | |Can make periods more regular |Does not protect against HIV or |
| | | |and less painful |other STIs |
| | | |No pill to take daily | |
| | | |You can become pregnant right | |
| | | |after stopping the ring | |
|External Condom |82% |Use a new condom each time you |Can buy at many stores |Can decrease sensation |
| | |have sex |Can put on as part of sex |Can cause loss of erection |
| | |Use a polyurethane condom if |play/foreplay |Can break or slip off |
|[pic] | |allergic to latex |Can help prevent early | |
| | | |ejaculation | |
| | | |Can be used for oral, vaginal, | |
| | | |and anal sex | |
| | | |Protects against HIV and other | |
| | | |STIs | |
| | | |Can be used while breastfeeding | |
| |79% |Use a new condom each time you |Can buy at many stores |Can decrease sensation |
|Internal | |have sex |Can put in as part of sex |May be noisy |
|Condom | |Use lubrication as needed |play/foreplay |May be hard to insert |
| | | |Can be used for anal and vaginal|May slip out of place during sex |
|[pic] | | |sex | |
| | | |May increase pleasure when used | |
| | | |for vaginal or anal sex | |
| | | |Good for people with latex | |
| | | |allergy | |
| | | |Protects against HIV and other | |
| | | |STIs | |
| | | |Can be used while breastfeeding | |
|Withdrawal |78% |Pull penis out of vagina before |Costs nothing |Less pleasure for some |
|Pull-out | |ejaculation (that is, before |Can be used while breastfeeding |Does not work if penis is not |
| | |coming) | |pulled out in time |
| | | | |Does not protect against HIV or |
| | | | |other STIs |
| | | | |Must interrupt sex |
|Diaphragm |88% |Must be used each time you have |Can last several years |Using spermicide may raise the |
|Caya® and Milex® | |sex |Costs very little to use |risk of getting HIV |
| | |Must be used with spermicide |May protect against some |Should not be used with vaginal |
| | | |infections, but not HIV |bleeding or infection |
| | | |Can be used while breastfeeding |Raises risk of bladder infection |
|Fertility Awareness |76% |Predict fertile days by: |Costs little |Must use another method during |
|Natural Family Planning | |taking temperature daily, |Can be used while breastfeeding |fertile days |
| | |checking vaginal mucus for |Can help with avoiding or trying|Does not work well if your |
|[pic] | |changes, and/or keeping a record|to become pregnant |periods are irregular |
| | |of your periods | |Many things to remember with this|
| | |It works best if you use more | |method |
| | |than one of these | |Does not protect against HIV or |
| | |Avoid sex or use | |STIs |
| | |condoms/spermicide during | | |
| | |fertile days | | |
|Spermicide |72% |Insert spermicide each time you |Can buy at many stores |May raise the risk of getting HIV|
|Cream, gel, sponge, | |have sex |Can insert as part of sex | |
|foam, inserts, film | | |play/foreplay |May irritate vagina, penis |
| | | |Comes in many forms: cream, gel,|Cream, gel, and foam can be messy|
|[pic] | | |sponge, foam, inserts, film | |
| | | |Can be used while breastfeeding | |
|Emergency Contraception Pills |58% |Works best the sooner you take |Can be used while breastfeeding |May cause stomach upset or nausea|
|Progestin EC (Plan B One-Step®and|Ulipristal acetate EC|it after unprotected sex |Available at pharmacies, health |Your next period may come early |
|others) and ulipristal acetate |works better than |You can take EC up to 5 days |centers, or health care |or late |
|(ella®) |progestin EC if you |after unprotected sex |providers: call ahead to see if |May cause spotting |
| |are overweight |If pack contains 2 pills, take |they have it |Does not protect against HIV or |
|[pic] |Ulipristal acetate EC|both together |People of any age can get |other STIs |
| |works better than | |progestin EC without a |Ulipristal acetate EC requires a |
| |progestin EC in the | |prescription |prescription |
| |2-5 days after sex | | |May cost a lot |
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