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Birth Control and Pregnancy
Birth control, commonly called contraception, is a term used to refer to methods to prevent pregnancy. While there are several different methods available to both men and women,
no birth control method is best for every person. |
Birth Control: Special Note |
Birth control is a controversial political, ethical, and moral issue in many cultures and religions, and it is opposed by many groups.. There are various
degrees of opposition, including those who oppose all forms of birth control short of sexual abstinence.
While birth control methods reduce the chances of you getting pregnant, there are no guarantees. If you are sexually active it is important to remember that all forms of birth control
have a failure rate. Additionally, most birth control methods do nothing to reduce the chance of getting, or giving, a sexually transmitted disease.
There are false myths that a female cannot get pregnant on her first time having sexual intercourse, and that a woman cannot get pregnant if she has sex during her period. Similarly,
having sex in a hot tub does not prevent pregnancy. Although some sex positions may encourage pregnancy, no sexual positions prevent pregnancy. Having sex while standing up or with a woman on top will not
keep the sperm from entering the uterus.
You should take a pregnancy test if you are experiencing any pregnancy symptoms. |
Birth Control Questions and Answers |
Most women can become pregnant from the time they are in their early teens until they are in their late 40s. About 50% of all pregnancies are unplanned.
The information on birth control has been adapted from the websites listed at the bottom of the page.
What is the best method of birth control (or contraception)?
There is no best method of birth control. Each method has its own pros and cons. Some methods work better than others do at preventing pregnancy. Researchers are always working to develop or improve
birth control methods.
Bear in mind that NO method of birth control prevents pregnancy all of the time. Birth control methods can fail, but you can greatly increase a method's success rate by using it correctly
all of the time. The only way to be sure you never get pregnant is to not have sex (abstinence).
What birth control method protects me from HIV, the virus that causes AIDS, and other STD's?
Not all methods of birth control offer protection against sexually-transmitted infections. Some people wrongly believe that if they take birth control pills, they are protecting
themselves not only from getting pregnant but also from infection with HIV and other sexually transmitted diseases (STD's). Birth control pills or other types of birth control, such as intrauterine devices
(IUDs), Depo-Provera, or tubal ligation will NOT protect you from HIV and other STD's.
The male latex condom is the only birth control method that is proven to help protect you from HIV and other STD's. If you are allergic to latex, there are condoms made of polyurethane
that you can use. Condoms come lubricated (which can make sexual intercourse more comfortable and pleasurable) and non-lubricated (which can be used for oral sex).
It is important to only use latex or polyurethane condoms to protect against HIV and other STD's. Natural or lambskin condoms have tiny pores that may allow for the passage of viruses
like HIV, hepatitis B and herpes. Never use oil-based products, such as massage oils, baby oil, lotions, or petroleum jelly, to lubricate a condom. These will weaken the condom, causing it to tear or break.
How effective is withdrawal as a birth control method?
Withdrawal is not an effective birth control method. Withdrawal is when a man takes his penis out of a woman's vagina (or pulls out) before he ejaculates, or has an orgasm.
Pulling out can be hard for a man to do and it takes a lot of self-control. When you use withdrawal, you can also be at risk getting pregnant before the man pulls out. When a man's penis first becomes erect,
there can be fluid called pre-ejaculate fluid on the tip of the penis that has sperm in it. This sperm can get a woman pregnant and has nothing to do with ejaculation. Withdrawal also does not protect you
from STD's or HIV.
Are there any foams or gels that I can use to keep from getting pregnant?
You can purchase what are called spermicides in drug stores. They work by killing sperm. They are inserted or placed in the vagina no more than one hour before intercourse. You will need to use
more spermicide before each act of intercourse. You may protect yourself more against getting pregnant if you use a spermicide with a male condom, diaphragm, or cervical cap. There are spermicidal products
made specifically for use with the diaphragm and cervical cap. All spermicides have sperm-killing chemicals in them. Spermicides alone are about 74% effective at preventing pregnancy.
Where can I find more Information about birth control methods?
See the section below and contact:
Women's Health Information Center
Phone Number: (800) 994-WOMAN (9662)
Food and Drug Administration
Phone Number: (888) 463-6332
Planned Parenthood Federation of America
Phone Number: (800) 230-7526
Population Council
Phone Number: (212) 339-0500
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What Are the Birth Control Methods? |
There are many methods of birth control that a woman can use. Keep in mind that most birth control does NOT protect you from HIV or other sexually transmitted diseases (STD's) like gonorrhea, herpes,
and chlamydia. Other than not having sex, the best protection against STD's and HIV is the male latex condom. The female condom may give some STD protection.
Here is a list, adapted from the websites listed at the bottom of the page, of birth control methods with estimates of effectiveness, or how well they work in preventing pregnancy when
used correctly, for each method:
Continuous Abstinence-- This means not having sexual intercourse (vaginal, anal, or oral intercourse) at any time. It is the only sure way to prevent pregnancy and
protect against HIV and other STD's This method is 100% effective at preventing pregnancy and STD's.
Periodic Abstinence or Fertility Awareness Methods-- A woman who has a regular menstrual cycle has about seven or more fertile days or days when she is able to get pregnant, each month.
Periodic abstinence means you do not have sex on the days that you may be fertile. These fertile days are approximately 5 days before ovulation, the day of ovulation, and one or more days after ovulation.
It does not protect against STD's or HIV.
Male Condom-- Condoms are called barrier methods of birth control because they put up a block, or barrier, which keeps the sperm from reaching the egg. Only latex or polyurethane condoms
are proven to help protect against STD's, including HIV. Natural” or lambskin condoms made from animal products are not recommended for STD prevention.Male condoms are 84 to 98% effective at preventing
pregnancy.
Female Condom-- Worn by the woman, this barrier method keeps sperm from getting into her body. It is made of polyurethane, is packaged with a lubricant, and may protect against STD's, including
HIV. It can be inserted up to 24 hours prior to sexual intercourse. Female condoms are 79 to 95% effective at preventing pregnancy. The female condom offers some protection against some STD's although
it has only been approved for vaginal sex.
Diaphragm, Cervical Cap or Shield-- These are barrier methods of birth control, where the sperm are blocked from entering the cervix and reaching the egg. Before sexual intercourse, you
use them with spermicide (to block or kill sperm) and place them up inside your vagina to cover your cervix (the opening to your womb). The diaphragm is 84 to 94% effective at preventing pregnancy. The
cervical cap is 84 to 91% effective at preventing pregnancy for women who have not had a child. The cervical shield is 85% effective at preventing pregnancy.
Contraceptive Sponge - This is a barrier method of birth control. It is a soft, disk shaped device, with a loop for removal. It is made out of polyurethane foam and contains a spermicide.
Before intercourse, you wet the sponge and place it up inside your vagina to cover the cervix. The sponge is 84 to 91% effective at preventing pregnancy in women who have not had a child. The sponge does
not protect against STD's or HIV.
Oral Contraceptives-- Also called the pill contains the hormones estrogen and progestin. A pill is taken daily to block the release of eggs from the ovaries. It does not protect against
STD's or HIV. The pill is 95 to 99.9% effective at preventing pregnancy. Some antibiotics may reduce the effectiveness of the pill in some women.
Mini-Pill-- Unlike the pill, the mini-pill only has one hormone, progestin, instead of both estrogen and progestin. Taken daily, the mini-pill thickens cervical mucus to prevent sperm from
reaching the egg. It also prevents a fertilized egg from implanting in the uterus (womb). The mini-pill is a good option for women who can not take estrogen, are over 35, or have a risk of blood clots.
The mini-pill does not protect against STD's or HIV. Mini-pills are 92 to 99.9% effective at preventing pregnancy if used correctly.
Intrauterine Device-- The IUD is a small, plastic device that is inserted and left inside the uterus to prevent pregnancy. Although there have been several types of IUDs, currently only
two are available in the United States: the hormonal IUD and the copper IUD. The IUD is approximately 98-99% effective at preventing pregnancy. It does not protect against STD's or HIV.
Depo-Provera-- With this method women get injections, or shots, of the hormone progestin in the buttocks or arm every 3 months. It does not protect against STD's or HIV. It is 97% effective
at preventing pregnancy.
The Patch-- This is a skin patch worn on the lower abdomen, buttocks, or upper body. It releases the hormones progestin and estrogen into the bloodstream. The patch is
98 to 99% effective at preventing pregnancy. It does not protect against STD's or HIV. You will need to visit your doctor for a prescription and to make sure you are not having problems.
Hormonal Vaginal Contraceptive Ring)-- The vaginal ring is a flexible, plastic ring that is placed in the upper vagina. It is worn for 21 days, removed for 7 days, and
then a new ring is inserted. You squeeze the ring between your thumb and index finger and insert it into your vagina. The ring is 98 to 99% effective at preventing pregnancy. It does not protect against
STD's or HIV.
Surgical Sterilization (Tubal Ligation or Vasectomy)-- These surgical methods are meant for people who want a permanent method of birth control. They are 99.9% effective at preventing
pregnancy. They do not protect against STD's or HIV.
Emergency Contraception (Morning After Pill)--The U.S. Food and Drug Administration has approved the use of "morning after pills" which may be taken up to 72 hours after sexual
intercourse as a "safe" way to "avoid pregnancy." The FDA has also authorized such drugs to be labeled and sold in interstate commerce as "emergency contraception." This is
NOT a regular method of birth control and should never be used as one. Emergency contraception, or emergency birth control, is used to keep a woman from getting pregnant when she has had unprotected vaginal
intercourse. Emergency contraception consists of taking two doses of hormonal pills taken 12 hours apart and started within three days after having unprotected sex. The pills are 75 to 89% effective at
preventing pregnancy. It does not protect against STD's or HIV.
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Additional Information |
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