At-a-Glimpse Comparison of Birth Control Methods

Method   Effectiveness rate Most common side effects, risks   Major benefits  Cost, availability
 Cervical cap 86 % - women who have not had children; possibly lower in women who have had children Side effects rare; high failure rate; does not protect against STDs Reusable; reversible $69 and up per cap; $50-$ 200 for fitting
Combination birth control pills 92 %  Rarely causes life-threatening complications; no STD protection  Highly effective; reversible  $20-$ 50 a month; $35-$ 175 per exam
 Condom  85 % Up to 95 % when used with vaginal spermicide  Latex allergies; interrupts sexual activity; may alter sensation Proven protection against STDs, including HIV 25 cents to $1 per condom; OTC
 Diaphragm  84 %  Side effects rare; interrupts sexual activity; no STD protection  Reusable; reversible; may protect against STDs $30-$ 50 per diaphragm; $50-$ 200 for fitting
 Emergency contraception  98%-99 % - Plan B pills; 99 % or higher - IUD  Nausea, abdominal pain, fatigue, headache, menstrual changes, no STD protection  Only option for post-sex birth control; highly effective  $8-$ 25 for Plan B pills; $200-$ 400 per IUD 
 Essure  99 % or higher  Short-term procedural discomfort; not immediately effective; difficult to reverse; no STD protection  Highly effective; permanent  $1,200-$ 3,000
 Injection 97 %  Irregular menstrual bleeding, mild weight gain; no STD protection  Highly effective; reversible $60-$ 75 per shot; $35-$ 125 per exam
Intrauterine device (IUD) 99 % or higher Increased risk of pelvic infection; expensive if removed early; no STD protection Highly effective; long-lasting; cost-effective $200-$ 400 per device; $50-$ 200 per exam
 Natural family planning  87 % - calendar; 80 % - basal body temperature; 78 % - cervical mucus; 80-87 % sympto-thermal; 98 % - lactational amenorrhea; 88 % - standard days Restricts sexual activity; requires sophisticated knowledge of reproduction; no STD protection No side effects; immediately reversible No cost
 Progestin-only birth control pills  92 % Irregular menstrual bleeding, mild weight gain; no STD protection  Highly effective, reversible $20-$ 35 per month; $35-$ 125 per exam
 Shield  85 % Side effects rare; relatively high failure rate  Reusable; reversible $65 per shield; $50-$ 200 for exam
 Skin patch  99 % Rarely causes life-threatening complications; no STD protection  Highly effective; reversible $30-$ 40 for a month's supply of three patches; $35-$ 175 per exam
 Spermicides  71 %  Nonoxynol-9 allergies; no STD protection  Easy to use; reversible  $1-$ 1.50 per use; OTC
 Sponge 84 % Possibly higher in women who have had children  Vaginal dryness, itching or soreness; no STD protection  Easy to use; reversible $2.50 for a single sponge
 Tubal ligation  99 % or higher Short-term procedural discomfort; potential complications from surgery; difficult to reverse; no STD protection  Highly effective; permanent $2,500-$ 4,000
 Vasectomy  99 % or higher  Occasional swelling, bruising of scrotum; rare infection; difficult to reverse; no STD protection  Highly effective; permanent  $250-$ 1,000
 Withdrawal  73 % High failure rate; no STD protection  Doesn't require any devices; always available No cost

  

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