What Is The Most Effective Birth Control

What Is The Most Effective Birth Control – Contraception is used to prevent pregnancy and treat certain medical conditions. There are many contraceptive methods, including long-acting reversible contraceptives, short-acting hormonal methods, barrier methods and lifestyle methods.

To remember! Contraceptive methods, with the exception of condoms, do not protect against sexually transmitted diseases (STDs) such as HIV/AIDS. To protect yourself from sexually transmitted diseases, you should use a condom when you have sex in addition to other contraceptive methods.

What Is The Most Effective Birth Control

What Is The Most Effective Birth Control

Check out the chart below to quickly see how different birth control methods compare.

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Long-acting reversible contraceptives are the most effective forms of reversible contraception. The implant and the hormonal and non-hormonal intrauterine devices (IUDs) are long-acting reversible contraceptives. They do not need to be used with any other type of contraception to effectively prevent pregnancy.

Short-acting hormonal methods are the second most effective form of contraception. They use hormones to prevent pregnancy and must be used on a schedule to be effective. They include birth control pills, hormonal rings, birth control injections and contraceptive patches.

Barrier methods create a physical barrier that prevents sperm from entering the uterus, sometimes used with a spermicide to be more effective. They must be used every time you have sex to be effective. They include condoms, internal condoms, membranes and sponges for contraception.

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24-hour crisis line for people in the Seattle area. Call if you are concerned about urgent mental health needs off campus. Despite bad publicity and a lack of awareness, reproductive health groups are leading the charge to make the IUD a first line of defense against unplanned pregnancy. It won’t be easy.

Most women have been there: Sitting in the gynecologist’s office, having yet another unsatisfactory conversation about yet another unsatisfactory contraceptive, wanting to try something new.

Take Marlice House. By the age of 17, she had already cycled, as many women do, through different versions of the pill, but the hormones either gave her headaches or made her gain weight, or she forgot to take the pill and was plagued with anxiety. She switched to the NuvaRing, a flexible loop that is inserted into the vagina where it releases hormones that prevent conception, but she hated how it felt inside her.

What Is The Most Effective Birth Control

House’s gynecologist referred her to the CHOICE Project at Washington University Medical School in St. Louis. CHOICE is an ongoing study of 10,000 women using contraception, and also provides family planning advice. It was there that House was first told about the intrauterine device (IUD). One of the selling points was the fact that the IUD is trouble-free and can last from three to 12 years without maintenance or replacement, depending on the brand. It is also virtually foolproof, similar to female sterilization or vasectomy to prevent pregnancy.

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“I thought, ‘That’s it,'” says House, now 25 and a social worker in Missouri. She was sold.

Yet American women — and the doctors who advise them on family planning — have been slow to take it up. Today, only 9% of American women of childbearing age use an IUD, the lowest rate in any developed country. And more than half of the American women surveyed have never heard of it.

But there is growing pressure for women to consider one. As successful as health groups have been in reducing unintended pregnancies, especially among teenagers, half of American pregnancies are still unplanned.

“If you can eliminate a lot of that by turning off the human ability to screw up, you’ve done some amazing things,” says Dr. Mary Jane Minkin, a clinical professor of obstetrics, gynecology and reproductive services at the Yale School of Medicine .

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Some early signs are promising. Data from the Centers for Disease Control and Prevention (CDC) shows that many women try at least five different types of birth control and are not satisfied with all of them — suggesting that alternatives may be ripe. Meanwhile, Planned Parenthood reports a 75% increase in IUD use among its patients since 2008. But the dual challenge of terrible PR and a lack of awareness among doctors who provide family planning advice means a shift away from the pill-a-day or condom approaches – and moving towards long-term contraception – will not be easy.

The IUD is a very small T-shaped rod that is inserted into the uterus by a doctor, where it releases either the hormone progestogen or copper, both of which are hostile to sperm. There are three FDA-approved IUDs available in the United States: Mirena and Skyla, which are hormonal, and ParaGard, which are wrapped in copper IUDs—and all are extremely effective, with a failure rate of less than one pregnancy per 100 women—compared to 9 per 100 women on the pill.

“Leading medical organizations are now recommending them as the first-line choice,” said Megan Kavanaugh, a senior researcher at the nonprofit reproductive rights organization Guttmacher Institute, who points out that while IUDs have traditionally been recommended for women who have already had a first child, that is no longer the case. case. In 2012, the American Congress of Obstetricians and Gynecologists, the authority on reproductive health, issued this message, concluding that IUDs are safe and appropriate for adolescents.

What Is The Most Effective Birth Control

So why the slow adoption in the US? This is largely due to the fact that the spiral is still the subject of widespread misconceptions. The device is plagued with a checkered history dating back to the 1970s, when an earlier version of the device called the Dalkon Shield was pulled from the market after being linked to infertility and infections. Current versions are smaller and much safer, with almost none of the risks, but the stigma is hard to erase, both from women and from the doctors who prescribe birth control.

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Until recently, the IUD could also be expensive — up to $900 upfront for the uninsured. But a provision of the Affordable Care Act requires coverage for all FDA-approved contraceptives, with the exception of women whose health plans are sponsored by religious employers. (The Supreme Court recently ruled that for-profit companies whose owners say they operate according to religious principles do not have to cover emergency contraception. The IUD can act as emergency contraception if inserted after unprotected sex, because it prevents implantation of fertilized eggs in uterus).

Another obstacle is lack of awareness. The IUD remains virtually unknown in more than half of American women, according to figures from the Guttmacher Institute. But according to the first findings of the CHOICE project, more than half will choose it when women learn about the IUD.

“We thought cost and availability were the only barriers,” says Gina Secura, an epidemiologist and CHOICE project director who previously worked at the CDC. “But when we asked the first contestant, ‘Which method do you want?’, she asked, ‘What are my options? The pill?’ We realized we had a lot of teaching to do.’

Fears of the previous spiral are not unjustified. IUDs began appearing on the U.S. market in the 1950s, and by the early 1970s, one brand, the Dalkon Shield, reached $2.8 million in sales, according to the CDC.

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But Dalkonen was wrong. Unlike T-shaped spirals, the Dalkon was more insect-shaped with multiple legs on each side. It made insertion difficult, causing it to be misplaced, which also resulted in IUD failure and pregnancy. Doctors and manufacturers also did not know that the IUD had to be removed if a woman became pregnant, but failure to do so could lead to serious infections. According to various reports, more than 15 women who became pregnant with a Dalkon IUD inside them died of infections after a miscarriage.

The Dalkon Shield was besieged with lawsuits, and in 1974 the manufacturer, AH Robins Co., voluntarily withdrew the product from the market. A few years later, A.H. Robins filed for bankruptcy and by 1986 virtually all brands of IUDs had disappeared from American shelves.

Dalkon Shield has also been linked to pelvic inflammatory disease (PID), a painful condition where the lining of the uterus, fallopian tubes or ovaries can become inflamed and lead to infertility.

What Is The Most Effective Birth Control

But Yale’s Minkin, who was brought in as a medical expert in one of the lawsuits against Dalkon Shield, says the IUD’s demise was far more complicated than any single product. Minkin says many cases of PID may have been due to sexually transmitted diseases such as gonorrhea and chlamydia in the 60s and 70s. “So you have a sexual revolution, growing chlamydia, women not using condoms or birth control pills, and bingo! You have a problem,” says Minkin. “It was terrible because women lost a good method. People went hysterical.”

What’s The Most Effective Birth Control Method?

After the Dalkon Shield, “the concerns were the same worldwide, but no one had the same response as the United States, where IUDs largely disappeared,” says Dr. Carolyn Westhoff, senior medical adviser for the Planned Parenthood Federation of America. In the late 1980s, there was interest in bringing back the IUD from some health groups, especially outside the United States.

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