ᐅ Methods of contraception for women: Comparison

The choice of contraception is crucial for a woman, because it is necessary to find the most adapted to her life, her medical history, her habits, her organism, etc. Overview of the range of possibilities for female contraception.

In preamble it is important to remember that contraceptives do not protect against Sexually Transmitted Infections, except some which will be mentioned below.

Two main categories: hormonal contraception and mechanical contraception.

To date, the hormonal birth control only for women. The purpose of this contraception is to block the menstrual cycle in order toprevent ovulation, and or to complicate the passage of spermatozoa by making the wall of the uterus inhospitable or/andthicken cervical mucus (viscous secretion produced by the endometrial glands located on the cervix).

The mechanical contraception represents different contraceptives that can be used some by men and others by women.

Finally, the third category concerns the contraception by sterilization, tubal ligation, less often cited because it is irreversible or reversible depending on the means used.

It is important to remember that all hormonal contraception requires a prescription and a medical consultation prior to checking medical and family history. Each person is unique and a method of contraception may be perfectly suitable for one woman and not at all for another.

Some questions and points to review with your doctor to make your decision:

  • How old are you ? Do you have children?

  • What is your personal emotional situation (couple, single)?

  • What is your way of life? (Frequent travel involving jet lag)

  • What is your personality? Are you well organized? Do you have the deadlines in mind?

  • Do you smoke ?

  • Do you have heavy/painful periods? Acne? Medical history?

Hormonal contraception

The birth control pill

It is one of the best known and most widely used hormonal contraceptives.

There are many pills that fall into two categories:

The major difference is that with a progestogen alone it is easier to lead to a amenorrhea (absence of periods). If women wish, they can therefore not have their period. The effectiveness of the pill is very important provided you take it every day at a fixed time.

The hormonal IUD

It may be referred to as Hormonal IUS (intrauterine system) Where IUD (intrauterine device). It is a small, flexible, “T”-shaped rod, 3.5 cm long, which ends in a thread to facilitate removal. It continuously delivers a small amount of progestin hormone on the walls of the uterus. This thickens the secretions of the cervix, thus blocking the passage of sperm and it slows down the formation of the inner lining of the uterus (endometrium).

How to make it pose? It is necessary to make a first visit to a general practitioner or a gynecologist then to return during the first days of the rules in order to ask it. It can be painful and it is possible to ask for local anesthesia. the hormonal IUD protects for 3 to 5 years depending on the model, it can also be applied over a period of 6 months to a year if the person prefers.

The contraceptive implant

This soft little stick is implanted in the upper arm, under the skin, with local anesthesia. You can feel it with your fingers, but you can barely make it out.

L’implant hormonal releases a progestogen in small doses, for 3 years.

What is its action? It blocks ovulation, thickens the cervical mucus to prevent the passage of sperm and thins the uterine lining to complicate possible implantation. It is 99.95% effective. It can harmlessly stop menstruation.

The contraceptive patch

It is used from weekly manner and must stick on the skin of the arm, on the stomach or on the lower back (be careful not to put it on the breasts). At the end of three weeks it is necessary to make a week of stop without patch which corresponds to the period of the rules. The patch releases two hormones : a estrogen and one progestin. Unlike the pill, as the hormones are absorbed through the skin and not through the digestive system, there is no no risk of non-absorption in case of vomiting or diarrhea. In case of forgetfulness, the emergency period is more important than the pill.

The vaginal ring

He is on the same calendar model as the patch (3 weeks of exposure then a week off for menstruation). It is inserted at the bottom of the vagina in a very simple way. It’s a estrogen-progestogen contraceptive method who offers the same effectiveness as the pill or the patch. It has few adverse effects thanks to the continuous release of hormones. Like the IUD, it is not normally felt by the partner during penetration.

Contraceptive injections

It consists of injecting via intramuscular injection, every 3 months, a dose ofhormone progestative. The injection may cause menstruation to stop.

Mechanical contraception

The copper IUD

It is the only form of birth control without hormones. Placed in the uterus like the hormonal IUD, it acts locally on the uterine wall and inactivates the spermatozoa. Like the IUS, it requires two visits to the gynecologist and is effective from the moment of installation. It is active over a period of approximately 3 to 10 years. With the copper IUD the menstrual cycle continues normally and menstruation occurs naturally. Women with periods that are too abundant, too long and/or too painful will prefer the hormonal IUD because its copper equivalent risks aggravating this dysfunction.

The male condom

Essential – if you can call it that – used correctly, it both protects against STIs and acts as a form of contraception. It is necessary to take care of its state before putting it down (deadline, tightness, intact packaging), and to remove it after ejaculation.

The female condom

Less known and less used than its male alter ego, it is a latex or polyurethane tube, closed at one end. An inner ring and an outer ring keep it in place, in the vagina and on the external genitalia. It must be removed after ejaculation. It protects against STIs and unwanted pregnancies and is 95% effective like the male condom.

The diaphragm

This device comes in the form of a small silicone cap that is placed against the cervix before intercourse. How does it work? It blocks the passage of sperm. It must be left in place 6 to 8 hours after intercourse and then removed. It is difficult to set up and handle and must be accompanied by a spermicidal gel to increase its protection (not very effective at first) which makes it the outsider of this range of possibilities.

The symptothermie a natural method to manage your fertility

This mentioned method is not a means of contraception neither officially recommended nor recognized by the medical world. It is an alternative, natural and respectful means of the body and its functioning. The method SymptoTherm offers an alternative to the contraceptive pill called symptothermie, a natural method based on observation of oneself and one’s body.

The idea is that the knowledge of female intimacy is the key to emancipation.

How does it work ? This method is based on the observation of three signs: the temperature, the cervical mucus and the position of the cervix. With the help of these 3 elements, a woman is able to manage her fertility. It takes a learning time (3 cycles on average) and management is greatly facilitated by the mobile application.

The morning after pill for emergencies only

This progestogen pill is a special case because it is used in case of emergency of unprotected intercourse, forgetfulness or accident of contraception. It will make the uterine wall less welcoming to limit implantation and will block ovulation. It only protects for the last report. It must be taken within a maximum of 72 hours following intercourse because its effectiveness declines over time. It’s a mean emergency contraceptive and not a means that can be adopted on a daily basis.

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ᐅ Methods of contraception for women: Comparison

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