Effectiveness of Contraceptive Methods More Effective Implant Intrauterine Device (IUD) Sterilization Male (Vasectomy) Female (Abdominal, Laparoscopic, Hysteroscopic) LNG - 0.2 % Copper T - 0.8 % Injectable Pill 0.15 % 0.5 % Patch SUN MON TUES WED THUR FRI Diaphragm Ring SAT Patch, Ring: Keep in place, change on time. 2 3 4 9% 6% Male Condom 18 or more pregnancies per 100 women in a year 18 % 21 % JANUARY 1 8 15 22 29 2 9 16 23 30 3 10 17 24 31 4 11 18 25 1 5 12 19 26 2 24 % Less Effective 9% Female Condom Fertility-Awareness Based Methods 6 13 20 27 3 7 14 21 28 4 Injectable: Get repeat injections on time. Pills: Take a pill each day. 1 6-12 pregnancies per 100 women in a year After procedure, little or nothing to do or remember. Vasectomy and hysteroscopic sterilization: Use another method for first 3 months. Less than 1 pregnancy per 100 women in a year 0.05 %* How to make your method most effective 9% Withdrawal 22 % 12 % Sponge 24 % parous women 12 % nulliparous women Spermicide Sp erm icid e Effectiveness of Contraceptive Methods This is a chart showing the effectiveness of different contraceptive methods. Effectiveness is measured as the number of unintended pregnancies that will occur for every 100 women using that method in a year, under typical use. Contraceptive methods are categorized into three levels of effectiveness: most effective, moderately effective, and least effective. The most effective methods result in less than one pregnancy per one hundred women in a year, with typical use.They include the permanent methods of male and female sterilization. The most effective methods also include two reversible methods, implants and intrauterine devices. The moderately effective methods result in 6-12 pregnancies per 100 women in a year, with typical use. They include injectables (such as Depo-Provera), oral contraceptive pills, patch, ring and the diaphragm. The least effective methods result in 18 or more pregnancies per 100 women in a year, with typical use. They include male and female condoms, withdrawal, sponge, fertility-awareness-based methods, and spermicide. Condoms should always be used to reduce the risk of sexually transmitted infections. Other methods of contraception include Lactational Amenorrhea Method (LAM), which is a highly effective but temporary method of contraception. Emergency contraceptive pills or a copper IUD after unprotected intercourse can be used as emergency contraception, and substantially reduce risk of pregnancy. Diaphragm: Use correctly every time you have sex. Condoms, sponge, withdrawal, spermicides: Use correctly every time you have sex. Fertility awareness-based methods: Abstain or use condoms on fertile days. Newest methods (Standard Days Method and TwoDay Method) may be the easiest to use and consequently more effective. 28 % * The percentages indicate the number out of every 100 women who experienced an unintended pregnancy within the first year of typical use of each contraceptive method. CONDOMS SHOULD ALWAYS BE USED TO REDUCE THE RISK OF SEXUALLY TRANSMITTED INFECTIONS. Other Methods of Contraception Lactational Amenorrhea Method: LAM is a highly effective, temporary method of contraception. Emergency Contraception: Emergency contraceptive pills or a copper IUD after unprotected intercourse substantially reduces risk of pregnancy. Adapted from WHO’s Family Planning: A Global Handbook for Providers (2001) and Trussell et al (2011). CS 231556
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