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FEATURE ARTICLE

Methods of Contraception – Comparison Chart & Information

A vasectomy is a popular and safe method to prevent conception. Here’s how it compares among other options available to couples.

Perhaps the first and most important thing to know is that a wide range of contraception options exist for couples to review and consider. There is simply no right or wrong choice, but some options are better for some people and situations than other options.

Therefore, always take the time to discuss these options with your physician or qualified health care advisor and be fully informed before making your decision. Some methods can have serious side effects.

Select a contraceptive method from the following list for more information about each.

Abstinence Condom Diaphragm Hormone Implant Hormone Injection IUD No Method
Oral "The Pill" Rhythm Method Spermicides Tubal Litgation Vaginal Pouch Vasectomy Withdrawal

Regardless of your choice, always follow the directions or instructions of your physician consistently and carefully. One of the major factors in the failure rate of many contraceptive methods is simply that they were not followed correctly.

COMPARISON MATRIX

METHOD USED BY TYPE

Dr./ Rx?

SIDE EFFECTS

ACTUAL FAILURE RATE*

USEFUL DURATION

REVERSIBILITY
ABSTINENCE Both M & F Natural No No 0.0% BRIEF Yes
CONDOM Male Barrier No No 1 - 33% BRIEF Yes
DIAPHRAGM Female Barrier Yes Yes 1 - 21% BRIEF Yes
HORMONE IMPLANT Female Hormonal Yes Yes 0.2% LONG-TERM Yes
HORMONE INJECTION Female Hormonal Yes Yes 0.4% LONG-TERM Yes
IUD Female Intrauterine Yes Yes 0.5 - 5% LONG-TERM Yes
NO METHOD Both M & F n/a No No greater than 85% n/a n/a
ORAL 'THE PILL' Female Hormonal Yes Yes 0.16 - 3% BRIEF Yes
RHYTHM METHOD Both M & F Natural No No 14 - 47% BRIEF Yes
SPERMICIDES Female Barrier No No 13 - 28% BRIEF Yes
TUBAL LIGATION Female Surgical Yes Yes 0.2 - 0.4% PERMANENT Maybe
VAGINAL POUCH Female Barrier No No 28% BRIEF Yes

VASECTOMY

Male Surgical Yes Yes 0.02 - 0.2% PERMANENT Maybe
WITHDRAWAL Male Natural No No 19% BRIEF Yes

**Actual Rate signifies rate when method is used routinely over a one year period.

Adapted from:
1. Trussell J, Hatcher RA, Cates W, Stewart FH, Kost K. A Guide to Interpreting Contraceptive Efficacy Studies. Obstetrics and Gynecology 1990; 76:558-67.

2. Mishell DR, Jr. Contraception. New England Journal of Medicine 1989; 320: 777-787.

In Summary:

  • A wide range of contraception options exists for your consideration.
  • Some methods are better suited to some individuals or situations.
  • Some methods have side effects; some can be serious.
  • Consult with your doctor or health care professional.




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