essure
Description Failure rate Risks Routine
Oral contraceptives, progestin-only (minipill) An oestrogen /progestin-based pill that suppresses ovulation 8% Dizziness, nausea, changes in menstruation, mood, weight gain. Rare: cardiovascular disease, including high blood pressure, blood clots, heart attack, stroke Must be taken daily
Oral contraceptives A progestin-based pill that inhibits fertilization 8% Irregular bleeding, weight gain, breast tenderness, less protection against ectopic pregnancy Must be taken daily
Injection (Depo Provera®) A progestin-containing injection that inhibits ovulation and fertilization 3% Irregular bleeding, weight gain, breast tenderness, headaches One injection every month or every 3 months
Vaginal contraceptive ring (NuvaRing®) A flexible ring inserted in the vagina that releases progestin and oestrogen to prevent ovulation and fertilization 8% Vaginal discharge, vaginitis, irritation, other risks similar to those posed by oral contraceptives Inserted by the woman and kept in place for three-week intervals. If expelled for more than three hours during the three-week interval, another method of contraception must be used
Patch (Ortho Evra®) A patch worn on the body that releases progestin and oestrogen to prevent ovulation and fertilization 8% Similar to oral contraceptives-combined pill A new patch must be applied each week, except for the week of the menstrual period
Coil (Mirena®) A device placed in the uterus by a healthcare professional emits hormones, preventing ovulation 0.2% Ovarian cysts, pelvic inflammatory disease, perforation of the uterus, embedding into the uterus, cramps, bleeding, miscarriage, premature birth, breast cancer, nausea, mood swings, headaches, nervousness, inflammation/pain of vagina/uterus, back pain, weight gain, , acne, hypertension changes in menstrual cycle Remains in place for between 1 and 5 years
Coil (Paraguard®) A device placed in the uterus by a healthcare professional that releases copper, preventing ovulation and fertilization 0.8% Pelvic inflammatory disease, perforation of the uterus, embedding into the uterus, cramps, bleeding, vaginal discharge, allergic reaction, expulsion, anaemia, ectopic pregnancy, life-threatening infection, miscarriage, premature birth, Wilson’s disease, vaginal infection, inflammation/pain of vagina/uterus, back pain, pain during sex, fainting, changes in menstrual cycle Remains in place for between 1 and 10 years
Male condom A sheath placed over the penis that prevents passage of sperm 15% Irritation, allergic reactions, reduced effectiveness if used with oil-based lubricants Applied immediately before intercourse and used only once
Female condom A lubricated sheath placed in the vagina to prevent sperm from entering the uterus 21% Irritation and allergic reactions Applied immediately before intercourse and used only once
Diaphragm with spermicidal A dome-shaped rubber disk with a flexible rim that covers the cervix so sperm cannot reach the uterus—a spermicidal must be applied to the dome of the diaphragm before insertion 16% Irritation, allergic reactions, urinary tract infection, risk of toxic shock syndrome Inserted before intercourse and left in place for between 6 and 24 hours after. For repeated intercourse, spermicidal must be added without removing the diaphragm
Spermicide A foam, cream, jelly, film, suppository or tablet containing nonoxynol-9, a sperm-killing chemical 29% Irritation, allergic reactions, urinary tract infections Instructions vary. Inserted 5 to 90 minutes before intercourse and usually left in place at least 6 to 8 hours after
Periodic abstinence/rhythm method Deliberately refraining from having sexual intercourse during times when pregnancy is more likely 25% None Requires continuous monitoring of ovulation cycle and body temperature