Birth Control Method Options Chart

Birth Control Method Options

Most Effective

Least Effective

Female

Male

IUD

Implant

Injectables

Pill

Patch

Ring

Diaphragm

Male

Female

Withdrawal

Sponge

Fertility

Spermicides

Sterilization

Sterilization

Condom

Condom

Awareness Based

Methods

Risk of

.5 out

.15 out

LNG: .2 out

.05 out

6 out

9 out of 100

12 out

18 out

21 out

22 out

12–24 out

24 out

28 out

of 100

of 100

of 100

of 100

of 100

of 100

of 100

of 100

of 100

of 100

of 100

of 100

pregnancy*

CopperT:

.8 out of 100

How the method

Surgical procedure

Placement

Placement

Shot in arm,

Take a pill

Put a patch

Put a ring in

Use with

Put over

Put inside

Pull penis

Put inside

Monitor fertility

Put inside

inside uterus

into upper

hip or under

on skin

vagina

spermicide

penis

vagina

out of the

vagina

signs. Abstain or

vagina

is used

arm

the skin

and put in

vagina

use condoms on

vagina

before

fertile days.

ejaculation

How often the

Permanent

Lasts up to

Lasts up to

Every

Every day

Each week

Each month

Every time you have sex

Daily

Every time

3–12 years

3 years

3 months

at the same

you have sex

method is used

time

Menstrual

None

LNG:

Spotting,

Spotting,

Can cause spotting for the first few months.

None

Spotting,

lighter or no

lighter or no

Periods may become lighter.

side effects

lighter or no

periods

periods

periods

CopperT:

Heavier

periods

Other possible

Pain,

Some pain

May cause

May have nausea and breast tenderness

Allergic reaction, irritation

None

Allergic

None

Allergic

side effects to

bleeding,

with placement

appetite

for the first few months.

reaction,

reaction,

infection

increase/

irritation

irritation

discuss

weight gain

Other

Provides permanent

LNG: No

No estrogen

No estrogen.

Some client’s may report improvement

No hormones

No hormones.

No hormones.

No hormones.

No hormones.

No hormones.

protection against an

estrogen.

May reduce

in acne. May reduce menstrual cramps

No prescription necessary.

Nothing to

No

Can increase

No

considerations

unintended pregnancy.

May reduce

menstrual

and anemia. Lowers risk of ovarian

buy.

prescription

awareness and

prescription

cramps.

cramps.

and uterine cancer.

necessary.

understanding

necessary.

of a woman’s

CopperT: No

fertility signs.

hormones.

May cause

more cramps.

Counsel all clients about the use of condoms to reduce the risk of STDs, including HIV infection.

* The number of women out of every 100 who have an unintended pregnancy within the first year of typical use of each method.

Other Methods of Birth Control: (1) Lactational Amenorrhea Method (LAM) is a highly effective, temporary method of contraception; and (2) Emergency Contraception: emergency contraceptive pills or a copper IUD after unprotected intercourse

substantially reduces risk of pregnancy. Reference for effectiveness rates: Trussell J. Contraceptive failure in the United States. Contraception 2011; 83: 397-404. Other references available on

May 2016