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Contraceptive methods that don't depend on you remembering to take or use them.
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| Contraceptive implant | Intrauterine device (IUD) | Intrauterine system (IUS) | Contraceptive injection | Sterilisation | |||
|---|---|---|---|---|---|---|---|
| What is it? | A small, flexible rod put under the skin of the upper arm releases progestogen. | A small plastic and copper device is put into the uterus (womb). | A small, T-shaped, progestogen-releasing, plastic device is put into the uterus (womb). | An injection of progestogen. | An injection of progestogen. | The fallopian tubes in women or the tubes carrying sperm in men (vas deferens) are cut, sealed or blocked. | The fallopian tubes in women or the tubes carrying sperm in men (vas deferens) are cut, sealed or blocked. |
| Effectiveness | Perfect use: over 99%. Typical use: over 99%. | Perfect use: over 99%. Typical use: over 99%. | Perfect use: over 99%. Typical use: over 99%. | Perfect use: over 99%. Typical use: over 99%. | Perfect use: over 99%. Typical use: around 94%. | Overall failure rate is about 1 in 2,000 for females and 1 in 2,000 for males. | Overall failure rate is about 1 in 2,000 for females and 1 in 2,000 for males. |
| Advantage | Works for 3 years but can be taken out sooner. | Works for 5 or 10 years depending on type but can be taken out sooner. | Works for 3, 4 or 5 years but can be taken out sooner. Periods often become lighter, shorter and less painful. | Works for 8 or 13 weeks โ you don't have to think about contraception during this time. | Works for 8 or 13 weeks โ you don't have to think about contraception during this time. | Sterilisation is permanent with no long or short-term serious side effects. | Sterilisation is permanent with no long or short-term serious side effects. |
| Disadvantage | It requires a small procedure to fit and remove it. | Periods may be heavier, longer or more painful. | Irregular bleeding or spotting is common in the first 6 months. | Can't be removed from the body so side effects may continue while it works and for some time afterwards. | Shouldn't be chosen if in any doubt about having children in the future. | Shouldn't be chosen if in any doubt about having children in the future. | Shouldn't be chosen if in any doubt about having children in the future. |
| Contraceptive methods that you have to use and think about regularly or each time you have sex. | |||||||
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| Contraceptive patch | Contraceptive vaginal ring | Combined pill (COC) | Progestogen-only pill (POP) | External condom | Internal condom | Diaphragm/cap with spermicide | |
| What is it? | A small patch stuck to the skin releases estrogen and progestogen. | A small, flexible, plastic ring put into the vagina releases estrogen and progestogen. | A pill containing estrogen and progestogen, taken orally. | A pill containing progestogen, taken orally. | A very thin latex (rubber) polyurethane (plastic) or synthetic sheath, put over the erect penis. | Soft, thin polyurethane sheath that loosely lines the vagina and covers the area just outside. | A flexible latex (rubber) or silicone device, used with spermicide, is put into the vagina to cover the cervix. |
| PERFECT USE MEANS USING THE METHOD CORRECTLY EVERY TIME. TYPICAL USE IS WHEN YOU DON'T ALWAYS USE THE METHOD CORRECTLY. | |||||||
| Effectiveness | Perfect use: over 99%. Typical use: around 91%. | Perfect use: over 99%. Typical use: around 91%. | Perfect use: over 99%. Typical use: around 91%. | Perfect use: over 99%. Typical use: around 91%. | Perfect use: 98%. Typical use: around 82%. | Perfect use: 95%. Typical use: around 79%. | Perfect use: 92โ96%. Typical use: 71โ88%. |
| Advantage | Can make bleeds regular, lighter and less painful. | One ring stays in for 3 weeks โ you don't have to think about contraception every day. | Often reduces bleeding and period pain, and may help with premenstrual symptoms. | Can be used if you smoke and are over 35. | Condoms are the best way to help protect yourself from sexually transmitted infections. | Can be put in any time before sex. | No physical side effects, and can be used to plan as well as prevent pregnancy. |
| Disadvantage | May be seen and can cause skin irritation. | You must be comfortable with inserting and removing it. | Missing pills, vomiting or severe diarrhoea can make it less effective. | Late pills, vomiting or severe diarrhoea can make it less effective. | May slip off or split if not used correctly or if wrong size or shape. | Not as widely available as male condoms. | You need to use the right size. If you have sex again extra spermicide is needed. |










