Birth control methods include barrier methods,hormonal birth control, intrauterine devices (IUDs), sterilization, and behavioral methods. They are used before or during sex while emergency contraceptivesare effective for up to a few days after sex. Effectiveness is generally expressed as the percentage of women who become pregnant using a given method during the first year, and sometimes as a lifetime failure rate among methods with high effectiveness, such as tubal ligation.
In those with
specific health problems, certain forms of birth control may require further
investigations. For women who are otherwise healthy, many methods of birth
control should not require a medical exam—including
birth control pills, injectable or implantable birth control, and condoms. Specifically, a pelvic exam, breast exam,
or blood test before starting birth control pills do not appear to affect
outcomes and, therefore, are not required. In
2009, the World Health Organization (WHO) published a detailed list of
medical eligibility criteria for each type of birth control .
While all methods of birth control have some
potential adverse effects, the risk is less than that of pregnancy.] After stopping or
removing many methods of birth control, including
oral contraceptives, IUDs, implants and injections, the rate of pregnancy
during the subsequent year is the same as for those who used no birth control.
The most effective
methods are those that are long acting and do not require ongoing health care
visits. Surgical sterilization,
implantable hormones, and intrauterine devices all have first-year failure
rates of less than 1%. Hormonal
contraceptive pills, patches or vaginal rings, and the lactational amenorrhea method (LAM), if used strictly, can also
have first-year (or for LAM, first-6-month) failure rates of less than 1%.With
typical use first-year failure rates are considerably high, at 9%, due to
incorrect usage. Other methods
such as condoms, diaphragms, and spermicides
have higher first-year failure rates even with perfect usage. The American Academy of Pediatrics recommends long acting reversible birth control as first line for young people.
Birth control, ( contraception and fertility
control ), are methods or devices used to prevent pregnancy. Planning, provision and use of birth
control is called family
planning . Birth control methods have been used since ancient times,
but effective and safe methods only became available in the 20th century. Some
cultures limit or discourage access to birth control because they consider it
to be morally, religiously, or politically undesirable.
Comprehensive sex education and access to birth control decreases
the rate of unwanted pregnancies in this age group. While all forms of birth control may
be used by young people, long-acting reversible birth control such as implants, IUDs, or vaginal
rings are of particular benefit in reducing rates of teenage pregnancy. After the delivery of a child, a woman
who is not exclusively breastfeeding may become pregnant again after as few as
four to six weeks. Some methods of birth control can be started immediately
following the birth, while others require a delay of up to six months.
The most effective methods of birth control
are sterilization by means of vasectomy in males and tubal
ligation in females, intrauterine devices (IUDs) and implantable contraceptives. This is
followed by a number of hormonal contraceptives including oral pills, patches, vaginal rings,
and injections. Less effective methods include barriers such
as condoms, diaphragms and contraceptive sponge and fertility awareness methods. The least
effective methods are spermicides and withdrawal by the male before ejaculation.
Sterilization, while highly effective, is not usually reversible; all other
methods are reversible, most immediately upon stopping them. Safe sex,
such as the use of male or female
condoms, can also help prevent sexually transmitted infections. Emergency contraceptives can prevent pregnancy in the few days after unprotected sex. Some
regard sexual
abstinence as birth
control, but abstinence-only sex education may increase teen pregnancies when
offered without contraceptive education, due to non-compliance.
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