• Female Contraception: Choosing the Right Birth Control

    There are many different forms of birth control for women. Some include the popular daily pill, the IUD, and less conventional birth control methods such as the โ€œdiaphragm.โ€ If youโ€™re eager to know which female birth control is the best for your needs and lifestyle, youโ€™re in the right place!

    In this article, we will explore different types of female contraception, their mechanisms, and factors to consider when making this important choice.

    What are the kinds of birth control for women? 

    There are two main types of birth control available for women: hormonal birth control and non-hormonal birth control. 

    Hormonal birth control 

    Hormone contraceptives usually consist of synthetic estrogen and/or progestin. These hormones operate together to prevent the release of an egg from the ovaries (ovulation). The most common birth control methods for women, pills, injectables, implants, and patches are all hormonal birth controls.

    Non-hormonal birth control 

    This other type of birth control involves physical ways of preventing pregnancy. Some of the ways it does its job include forming a barrier for the semen (such as using female condoms) or killing the sperm through chemical means. 

    Types of hormonal birth control 

    Pills 

    As one of the most widely-known and used forms of birth control, the pill is known for its effectiveness and availability. Around 1.6 million women in the United States alone use birth control pill. 

    The pill contains synthetic duplicates of the hormones estrogen and/or progestin that are used to prevent ovulation by suppressing the production of hormones that cause ovulation. 

    There are also progestin-only pills available for women who cannot take estrogen. This form of pill thickens the uterine lining, making it more difficult for the sperm to access the egg.

    Benefits: Easily available in most pharmacies. Highly effective (up to 90% pregnancy prevention)

    Downside: The pill is only effective if used daily. If youโ€™re taking the pill, we advise creating a daily reminder to take your contraceptive. It may also not be advisable for women with certain reproductive conditions to take the pill

    Birth control shot (Injectables)

    Injectable contraceptives, commonly referred to as birth control shots or Depo-Provera, are hormonal birth control methods that work by injecting a progestin hormone into the body. 

    Every injection offers protection for a set period, usually three months.

    Benefits: An injectable contraceptive is low-maintenance compared to the daily pill. It is also advisable for those who prefer more discreet birth control

    Downside:  Birth control shots may not be suitable for all women, especially those with health conditions. You will also need to stop taking injectable contraceptives for a certain period if you wish to conceive again

    Birth control implant

    A birth control implant is a small rod (typically the size of a matchstick) inserted under the skin. To prevent conception, this implant gradually delivers a synthetic hormone into the body, usually progestin.

    An implant lasts around two to three years, making it one of the most long-term and low-maintenance birth control options available for women. 

    Benefits: An implant is ideal for those who want a โ€œone-and-doneโ€ kind of contraceptive. Fertility also returns a short while after removing the implant 

    Downside: Some women may experience changes in their menstrual patterns, including irregular bleeding

    Birth control patch 

    Progestin and estrogen synthesized from birth control patches are absorbed through the skin. The most common placement is on the buttocks, abdomen, upper torso, or the outside of the upper arm. 

    For three weeks, you should apply a patch once a week, followed by a patch-free week during which menstruation usually occurs.

    Benefits: Patches help maintain stable hormone levels throughout the menstrual cycle compared to other hormonal contraceptives.

    Downside: Common side effects may include skin irritation at the patch site, breast tenderness, and mood changes.

    Types of non-hormonal birth control 

    Copper IUD 

    The main way that the copper IUD functions is by introducing copper ions into the uterus. Because copper harms sperm, it keeps them from getting to the egg, which prevents fertilization.

    If fertilization occurs, the copper IUD may interfere with fertilized egg implantation by changing the uterine lining.

    Benefits: An IUD lasts up to 10 years, making it the longest-lasting LARC (long-acting reversible contraception.) It is also more cost-effective than other female contraceptive methods

    Downside:  Some women with copper IUDs report experiencing heavier menstrual bleeding and severe cramps. You should also consult regularly with your doctor to ensure that your IUD is in the right place. 

    Spermicide

    Spermicide is a chemical compound used as a method of contraception by immobilizing or killing sperm. It is available in various forms, including creams, gels, foams, films, and suppositories. 

    Spermicides are applied topically to the genital area or inside the vagina before intercourse.

    Benefits: Spermicides are a non-hormonal form of contraception, making them suitable for individuals who cannot or prefer not to use hormonal methods

    Downside: Spermicides may not be as successful as some other methods of birth control when used on their own. Some women may also experience irritation, itching, or burning feelings on their genital area upon application 

    Female condom 

    Yes, there are also female condoms even if we do not have โ€œthatโ€ appendage! Unlike traditional male condoms, female condoms are worn inside the vagina providing a physical barrier that prevents sperm from reaching the egg. It is also the only female contraceptive that protects from sexually transmitted diseases (STDs).

    Benefits: The female condom prevents both pregnancy and STDs! 

    Downside: The first time using a female condom may be an unpleasant experience for some. Applying the female condom with ease is also a learning curve

    Diaphragm 

    A diaphragm is a barrier method of female contraception designed to cover the cervix and prevent sperm from entering the uterus. What makes the diaphragm distinct from the female condom is its shape and material. 

    Usually, silicone or latex are used to make diaphragms. For those who are allergic to latex, female condoms are frequently composed of nitrile or polyurethane.

    You can put your diaphragm in place six hours before intercourse, making it a good option for those anticipating a steamy night ahead. 

    Benefits: When used with a spermicide, the diaphragm makes a very safe and protective contraception. A diaphragm can also be used more than once, as long as you reapply spermicide. 

    Calendar method 

    The calendar method is a natural family planning method that involves charting a woman’s menstrual cycle to identify the days when she is probably fertile. It is also referred to as the rhythm method or fertility awareness method. 

    Couples often use the pull-out method (withdrawing the penis before ejaculation) along with the calendar method. 

    It is essential to keep in mind that the calendar method is less effective than other methods of contraception and is only effective for women with regular menstrual cycles.

    Benefits: The calendar method does not interfere with your hormones and is not harmful for women with reproductive health issues

    Downside: This method is very high-risk for pregnancy and requires you to keep track of your discharge, basal body temperature, and menstrual dates. 

    Things to consider when choosing a contraceptive method 

    Medical history

    The first thing you should consider is health conditions or medical history that might influence the choice of contraceptive method. Most hormonal contraceptive methods require a prescription from doctors, specifically if you have hormone or reproductive health concerns. 

    Sexual activity

    The amount of sexual activity you engage in may affect your decision. For sporadic sexual activity, condoms or emergency contraception, for instance, may be the best option. Meanwhile, if you are in a committed relationship or have a more active sexual lifestyle, you may be more inclined towards long-term contraceptives such as implants and injectables. 

    Convenience 

    Evaluate how simple and convenient the method is to apply in your day-to-day activities. While some techniques offer long-term protection with less regular upkeep, others demand daily care.

    Reversibility 

    Think about the reversibility of the contraceptive method and the rate of fertility recovery following cessation. If you intend to become pregnant in the future, this is crucial.

    Final thoughts

    There are many options to consider when thinking about female birth control. Remember though, there is no form of contraception that is 100% effective and it is always best to consult your doctor before making a final decision. 

    References

    โ€œBirth Control Methods & Options | Types of Birth Control.โ€ Planned Parenthood, plannedparenthood.org/learn/birth-control 

    โ€œBirth control options: Things to consider.โ€ Mayo Clinic, mayoclinic.org/healthy-lifestyle/birth-control/in-depth/birth-control-options/art-20045571 

    โ€œContraception – Contraception.โ€ CDC, cdc.gov/reproductivehealth/contraception/index.htm 

    Sachdev, Poonam. โ€œDiaphragms for Birth Control: Use, Effectiveness, Pros & Cons.โ€ WebMD, 28 April 2022, webmd.com/sex/birth-control/diaphragm-birth-control 

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