1. HormonalBarrier SurgicalMechanical Natural Contraception Use nothing 10% effective

2. Hormonal Pill – daily 92%-99% effective 3 month pill (Seasonale) 99% effective Continuous pill (Lybrel) 99% effective Mini-pill (progestin only) 92%-99% eff. Patch (Ortho Evra) 99% eff. Nuvaring 99% Injection (Depo-Provera) 97-99% eff. All can have side effects! All are prescription No STD protection

3. Barrier Male condom 85-98% eff. »With spermicide 98-99% eff. Female condom 79-95% eff. »Better with spermicide Condoms provide some protection against STDs Spermicide alone 71-85% Sponge – recently reapproved 70% eff. (no STD protection) All of the methods on this slide are available “over the counter”

4. Barrier, cont. Diaphragm w/ spermicide 84-94% eff. Cervical cap w/ spermicide 68-91% »Better results if you haven’t already had kids These barrier methods need to be fitted by a professional These do not offer any STD protection All barrier methods have some disadvantages!

5. Surgical These are PERMANENT! Tubal ligation – female 99+% eff. Essure – female – causes scar tissue to block the fallopian tube 99+% eff. Vasectomy – male 99+% eff. No STD protection Performed by a Dr.

6. Mechanical I.U.D. - Intrauterine Device 99% eff. I.U.D. with hormones 99+% No STD protection Need a Dr. to insert Possible side effects

7. Natural ABSTINENCE! – the only 100% eff. form of birth control Great for STD protection too! Reduces cervical cancer risk Fertility awareness 80-98% eff. Need directions from a trained professional Withdrawal 75-99% No STD protection