I wonder why there is such a push for abortion as birth control these days when there are other options that are 99% effective in preventing an unwanted pregnancy. Abortion is a choice but so is taking steps to make the need for one almost nonexistent. I think that we need to start promoting these options more.
From the Cleveland Clinic
Progestin arm implant – Nexplanon®What is it? Nexplanon® is a single rod of hormone (the size of a matchstick) that is placed directly under the skin of the upper arm by a physician. It delivers a progestin hormone (no estrogen), over a three-year period.
How can I get it? Nexplanon® is placed by a physician who is certified in this procedure.
How effective is it? Nexplanon® is almost 100 percent effective. It is the most effective form of reversible contraception, with less chance of failure than even female sterilization.
What is it? An intrauterine device (IUD) is a small, flexible, T-shaped device that is placed into the uterus (womb). There two types of IUDs:An IUD made of copper
An IUD made of plastic with very low doses of progestin (no estrogen)
The copper ParaGard T380A®, can be kept in place for 10 years. The copper stops the sperm from making it through the vagina and uterus to reach the egg, preventing fertilization.
The progestin IUDs include Mirena® (five years, highest progestin dose), Kyleena® (five years, medium dose), and Skyla® (three years, lowest progestin dose). The progestin dose of the IUDs are so low, that they have minimal absorption into the body. These IUDs work by causing the cervical mucus to become thicker so the sperm cannot reach the egg. The hormone also thins the lining of the uterus, so menstrual bleeding becomes lighter.
How is it used? Once the IUD has been inserted, the woman does not need to take any further steps to prevent pregnancy.
How is it available? After a pelvic exam, the IUD is placed into the uterus through the cervix by a trained healthcare provider.
How effective is it? The IUD is close to 100 percent effective. Progestin containing IUDs and the arm implant are the most effective contraceptive options.
Combined hormonal contraception
Includes estrogen containing birth control pills, the contraceptive vaginal ring (NuvaRing®), and patch (Xulane®)
What is it? The pill, patch and ring are medications that women take to prevent pregnancy. The pill is taken daily, the vaginal ring is used once a month, and the patch is changed weekly.
How is it used? A pill is taken at the same time every day. There are several different types of pills. Some are designed to allow the woman to have a period every month and others allow the women to have period every three months or not at all. All of these methods require that a woman use it regularly. If you forget to use the contraceptive, irregular menstrual cycles are common, and you can get pregnant.
How can I get it? In most states, the pill must be ordered for you by your healthcare provider. It is obtained by prescription. In a growing number of states it is available over-the-counter without a prescription, under the supervision of a pharmacist.
How effective is it? Combined hormonal contraceptives have the potential to be 99 percent effective if used correctly. However, in the real world with typical use, nine out of 100 women will get pregnant each year on the pill because they do not use it correctly. Some studies show that women who are overweight might be more likely to get pregnant while on the pill than normal weight women. However, the pill is much more effective than the barrier methods such as condoms, diaphragm, cervical cap, contraceptive foam, etc.
What is it? These are pills that contain only one hormone (progestin).
How do they work? Mini pills work by thickening the cervical mucus so the sperm cannot reach the egg. The hormone in the pills also thins the lining of the uterus, so menstrual bleeding is lightened. A pill is taken every day with no placebo (break).
How is it available? In most states, the pill must be ordered for you by your healthcare provider. It is obtained by prescription. In a growing number of states it is available over-the-counter without a prescription, under the supervision of a pharmacist.
How effective is it? With typical use, nine out of 100 women will get pregnant each year on the pill because they do not use it correctly. It is important to take it daily, at the same time each day. Some studies show that women who are overweight might be more likely to get pregnant while on the pill than thinner women. However, the pill is much more effective than the barrier methods such as condoms, diaphragm, cervical cap, contraceptive foam, etc.
Depo-provera®
What is it? Depo-Provera® is a form of the hormone progestin.
How is it used? It is given as an injection into the woman's buttocks or arm. Each injection provides protection against pregnancy for 12 to 15 weeks.
How is it available? Depo-Provera® must be ordered by a healthcare provider. It is taken every three months, usually given at the doctor's office. There is a lower dose formulation that is available to be injected at home by the patient.
How effective is it? The Depo-Provera® shot has the potential to be 99 percent effective if used correctly. However, with typical use, six out of 100 women will get pregnant each year on the shot because they do not get the four injections per year on time.
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