Contraceptives
Forms of Contraception
External Condom
- Effectiveness: 85%-98%
- How it works: Blocks semen from entering the vagina or anus.
- Advantages: Safe, effective and easy to get. Prevents both pregnancy and sexually transmitted infections. Latex free options are available.
- Disadvantages: Decrease spontaneity, and may feel uncomfortable putting on. You have to be sure to use it correctly every time.
- How to Use
Internal Condom
- Effectiveness: 79%-98%
- How it works: It is inserted into the vaginal canal prior to penetration.
- Advantages: Latex free. Can be used in the vagina or anus. The external ring of the condom may provide extra clitoral stimulation, thus enhancing pleasure.
- Disadvantages: Can be difficult to insert, uncomfortable to wear. More expensive and harder to find than male condoms. May feel uncomfortable interrupting foreplay to put in.
- How to Use
Birth control pills (oral contraceptives)
- Effectiveness: 92%- 99.7%
- How it works: Take 1 pill per day orally for 3-3.5 weeks. Changes hormone levels in body.
- Advantages: Does not interfere with spontaneity. Increases menstrual regularity. Can provide protection from ovarian cysts, uterine and breast fibroids, specific cancers, and pelvic inflammatory disease.
- Disadvantages: Requires a prescription, no protection from STIs, potential side effects, can be expensive. Must remember to take 1 pill per day, every day.
- How to use
Intrauterine Device (IUD)
- Effectiveness: 99.2%-99.9%
- How it works: Small plastic device is inserted by a physician to bottom of cervix. Two types: Paraguard and Mirena.
- Advantages: Least expensive method of contraception over time. Does not interfere with spontaneity. Long-lasting contraceptive effects. Mirena IUD reduces or eliminates menstrual flow. Can also be used as emergency contraception. Once removed, fertility is quickly restored.
- Disadvantages: Require moderately painful insertion and removal procedures. May cause irregular bleeding and spotting. Heavier periods if using Paraguard IUD. No protection from STIs.
- How to use
Withdrawal
- Effectiveness: 73% – 96%
- How it works: Involves withdrawing the penis from the vagina or anus before ejaculation.
- Advantages: It is an acceptable means for those who use another birth control method or for religious reasons. It is better than nothing.
- Disadvantages: No protection from STIs. Can be difficult and stressful to use. This requires trust from the female partner and control by the male partner.
- How to use
Three-month Injectable (such as Implanon)
- Effectiveness: 97%-99.7%
- How it works: A shot that is injected once every 3 months.
- Advantages: Does not interfere with spontaneity. Reduces menstrual flow. Does not contain estrogen. Moderately expensive.
- Disadvantages: Must schedule office visits once per 3 months to be injected. Can experience a range of side effects. Bone density loss (but will return after use stops).
- How to use
Nuvaring
- Effectiveness: 92%- 99.7%
- How it works: Inserted in the vagina once per month; it releases a constant amount of estrogen and progestin.
- Advantages: Does not interfere with spontaneity. Increases menstrual regularity. Easy to use. Has lower levels of hormones than other hormonal methods. May offer protection from pelvic inflammatory disease and specific cancers.
- Disadvantages: Prescription is necessary. No protection from STIs. May cause side effects. There is risk of Toxic Shock Syndrome. It may take 1-2 months for a woman’s period to return after discontinued use.
- How to use
Diaphragm
- Effectiveness: 84% – 94%
- How it works: Inserted in vagina before intercourse creating a barrier between female reproductive organs and sperm. Should be left in place at least 8 hours after intercourse.
- Advantages: Allows partners to engage in intercourse multiple times using the same method. May reduce risk for cervical dysplasia and cancer. Protects against pregnancy. Does not affect hormone levels.
- Disadvantages: Requires prescription. Does not protect against STIs. May be difficult to insert and may shift during intercourse. Cannot be used during menstruation.
- How to use
Contraceptive Sponge
- Effectiveness: 84%-91%
- How it works: Pushed in through vagina to cervix. Blocks entrance to uterus, absorbs sperm, and deactivates sperm.
- Advantages: Immediately effective. Does not affect hormone levels or spontaneity. Partners can engage in intercourse multiple times during a 24-hour period. Does not require prescription.
- Disadvantages: Does not protect against STIs. Can be found in many pharmacies. May be difficult to insert. Cannot be used during menstruation. May increase risk for Toxic Shock Syndrome.
- How to use
I take birth control pills. What should I do if I miss one?
For women using 21 or 28-day combination birth control pills:
Number of pills missed | When pills were missed | What to do | Should I use a back-up method? |
---|---|---|---|
First 1-2 Pills | Beginning of Pack | Take a pill as soon as you remember.
Take the next pill at usual time. |
Yes |
1-2 Pills | Days 3-21 | Take the pill as soon as you remember.
Take the next pill at the usual time. |
No |
3 or more Pills | First 2 weeks | Take the pill as soon as you remember.Take the next pill at the usual time. | Yes |
3 or more Pills | Third week | Do not finish pack.
Start new pack. |
Yes |
Source: Planned Parenthood Federation of America
Drugs and herbs that interact with birth control pills
Where can I find birth control on Elon’s Campus?
For prescription birth control and free external condoms
For free external condoms (latex, latex-free, vegan), dental dams (oral sex barriers), Lube, and internal condoms
You can request these safer sex supplies delivered to your campus box here.