Contraceptive methods

Contraception is the set of methods to prevent pregnancy. There are many, then, how to choose the one that suits you best? In fact, everything depends on your relationship status, family, work and your health. Other factors also count: do you smoke? Are you required to travel often? Do you have an irregular rhythm of life? ... All these elements will help you choose the most appropriate contraceptive method for your situation, with your doctor's advice.

  • When you have difficulties with its method of contraception, must not hesitate to change.
  • Condoms, male or female, is the only method of contraception that protects against HIV-AIDS and sexually transmitted infections (STIs).

Male condom

Condom 1704

Sheaths or coverings that fit over a man’s erect penis.
Forms a barrier to prevent sperm and egg from meeting.

Effectiveness to prevent pregnancy:

  • 98% with correct and consistent use
  • 85% as commonly used

Comments: Also protects against sexually transmitted infections including HIV.

Female condom

Femidom 1703

Sheaths or linings that fit loosely inside a woman's vagina, made of thin transparent soft plastic film. Forms a barrier to prevent sperm and egg from meeting.

Effectiveness to prevent pregnancy:

  • 90% with correct and consistent use
  • 79% as commonly used

Comments: Also protects against sexually transmitted infections including HIV

 

Diaphragm, cervical cap

Cap cervicalediaphragma

Local means, they slip into the vagina, in contact with the cervix, must be systematically placed before each intercourse (or a few hours before), and as a precaution, be jointly used with spermicides.

 

Effectiveness to prevent pregnancy:

  • 91 % per year for nulliparous women (women who have never given birth)
  • 74 % per year for parous women

Comments: The diaphragm and the cape are reusable, but must be thoroughly washed and stored.

 

Emergency contraception (Levonorgestrel 1.5mg)

Pilule du lendemain

Progestogen only pills taken to prevent pregnancy up to 5 days after unprotected sex. Prevents ovulation.

Effectiveness to prevent pregnancy:

  • 1 in 100 chance of becoming pregnant.

Comments: Does not disrupt an already existing pregnancy.

IUD Intrauterine device: copper containing

DIU 6259 90 0

Small flexible plastic device containing copper sleeves or wire that is inserted into the uterus. Copper component damages sperm and prevents it from meeting egg.

Effectiveness to prevent pregnancy:

  • 99%

Comments: Longer and heavier periods during the first months of use are common but not harmful.

IUD Levonorgesterel

carte DIU 210x145

T-shaped plastic device inserted into the uterus that steadily releases small amounts of Levonorgesterel each day. Suppresses the growth of the lining of uterus (endometrium).

Effectiveness to prevent pregnancy:

  • 99%

Comments: Reduces amount of blood lost with menstruation over time; Reduces menstrual cramps and symptoms of endometriosis; amenorrhoea in some users.

Progestogen-only pills (POP) or “the minipill”

Pilule SAM 1704

Contains only progestogen hormone. Thickens cervical mucus to block sperm and egg from meeting and prevents ovulation.

Effectiveness to prevent pregnancy:

  • 99% with correct and consistent use
  • 90-97% as commonly used

Comments: Can be used while breastfeeding; Must be taken at the same time each day.

Combined oral contraceptives (COC) or “the pill”

Pillen SAM 1704 COC

Contains two hormones (estrogen and progestogen) Prevents ovulation (release of eggs from the ovaries)

Effectiveness to prevent pregnancy:

  • Contains two hormones (estrogen and progestogen)
  • Prevents ovulation (release of eggs from the ovaries)

Comments: Reduces risk of endometrial and ovarian cancer

Monthly injectable or combined injectable contraceptives (CIC)

carte injection 210x145

Injected monthly into the muscle, contains estrogen and progestogen.

Prevents ovulation.

Effectiveness to prevent pregnancy:

  • 99% with correct and consistent use
  • 90-97% as commonly used

Comments:  Irregular vaginal bleeding common, but not harmful.

Progestogen only injectable

SAM 1698

Injected into the muscle every 2 or 3 months, depending on the product.

Thickens cervical mucus to block sperm and egg from meeting and prevents ovulation.

Effectiveness to prevent pregnancy:

  • 99% with correct and consistent use
  • 90-97% as commonly used

Comments: Delayed return to fertility (about 1-4 months on the average) after use; Irregular vaginal bleeding common, but not harmful.

Implants 

Intrant

Small, flexible rods or capsules place under the skin of the upper arm; contains progestogen only.

Thickens cervical mucus to block sperm and egg from meeting and prevents ovulation.

Effectiveness to prevent pregnancy:

  • More than 99% 

Comments: Health care provider must insert and remove; Can be used for 3 – 5 years depending on implant; Irregular vaginal bleeding common but not harmful.

Male sterilization (vasectomy)

sterilisation 1

Permanent contraception to block or cut the vas deferens tubes that carry sperms from the testicles. Keeps sperm out of ejaculated semen.

Effectiveness to prevent pregnancy:

  • 99% after 3 months semen evaluation
  • 97%-98% with no semen evaluation

Comments: 3 months delay in taking effect while stored sperm is present; does not affect male sexual performance; voluntary and informed choice is essential.

Female sterilization (tubal ligation)

sterilisation 2

Permanent contraception to block or cut the fallopian tubes. Eggs are blocked from meeting sperm.

Effectiveness to prevent pregnancy:

  • 99% 

Comments: Voluntary and informed choice is essential

Lactational amenorrhoea (LAM)

carte methode naturelle 210x145

Temporary contraception for new mothers whose monthly bleeding has not returned; requires exclusive or full breastfeeding day and night of an infant less than 6 months old.
Prevents ovulation.

Effectiveness to prevent pregnancy:

  • 99% with correct and consistent use
  • 98% as commonly used

Comments: A temporary family planning method based on the natural effect of breastfeeding on fertility.

 
 
 

Appeared on the website www.choisirsacontraception.fr
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