She Strengthens

The Ultimate Guide to Birth Control: Finding the Right Method for You

Sex, Choices, and Consequences

When it comes to sex, we’re faced with a multitude of choices – and one of the most critical decisions is how to prevent unwanted pregnancies and sexually transmitted infections (STIs). With so many birth control options available, it can be overwhelming to navigate the landscape. But don’t worry, we’ve got you covered.

Barrier Methods: The First Line of Defense

Barrier methods are exactly what they sound like – they create a physical barrier between sperm and egg, preventing pregnancy. They’re also the only methods that prevent STI transmission. There are several types of barrier methods:

• Condoms: Made from latex, polyurethane, or animal membranes, condoms come in male and female varieties. They’re cheap, hormone-free, and can be bought over-the-counter. However, they may reduce spontaneity and can cause sensitivity issues in some individuals.
• Diaphragm and Cervical Cap: These dome-shaped devices are made from silicone or latex and fit over the cervix to block sperm. They require spermicide and can be inserted hours before sex. While they’re hormone-free, they need to be fitted by a doctor and may cause urinary tract infections.
• Sponge: A soft foam device covered in spermicide, the sponge stops sperm from entering the uterus. It’s available over-the-counter, hormone-free, and has a built-in spermicide. However, it may cause vaginal irritation and increase the risk of toxic shock syndrome (TSS).

Hormonal Methods: A Different Approach

Hormonal methods release estrogen and progestin to prevent pregnancy by stopping ovulation and making the uterus less hospitable to sperm. They come in various forms:

• Pill: Taken daily, the pill is 93% effective. It can make periods shorter, lighter, and less crampy, and may help with acne and migraines. However, it requires daily maintenance and can cause side effects like breast soreness and nausea.
• Patch: Worn on the skin, the patch is also 93% effective. It’s convenient and can help with heavy periods, but may cause skin irritation and increase the risk of blood clots.
• Ring: Inserted into the vagina, the ring is 91% effective. It’s easy to use and can help with heavy periods, but may cause vaginal irritation and increase the risk of blood clots.
• Implant: Placed under the skin, the implant is more than 99% effective. It’s convenient and can help with heavy periods, but may cause side effects like headaches and mood changes.
• Shot: Given every 3 months, the shot is 94% effective. It can help with heavy periods and may reduce the risk of ovarian, uterine, and colon cancers. However, it may cause side effects like breast soreness and weight gain.

Intrauterine Devices (IUDs): A Long-Term Solution

IUDs are T-shaped devices placed inside the uterus to prevent pregnancy continuously for years. They come in two varieties:

• Hormonal IUDs: Releasing progestin, these IUDs can make periods lighter and less painful. They’re more than 99% effective and can stay in place for up to 7 years.
• Copper IUDs: Releasing copper, these IUDs are also more than 99% effective and can stay in place for up to 10 years. However, they may make periods heavier and more uncomfortable.

Permanent Methods: A Lasting Solution

For those who are 100% sure they don’t want children, permanent methods like vasectomy and tubal ligation are available. While reversible, the reversal process is not always successful.

Fertility Awareness Methods: Getting in Tune with Your Body

Fertility awareness methods involve tracking your cycle and fertile days to prevent pregnancy. While free and hormone-free, they’re less reliable and won’t prevent STIs.

Which Birth Control Method is Right for You?

With so many options, it’s essential to consider your lifestyle, budget, and health goals. Ask yourself:

• How often do you have sex?
• How many partners do you have?
• What’s your budget?
• Are you trying to treat another condition, like endometriosis or heavy periods?
• How effective do you need your method to be for preventing pregnancy?
• Do you prioritize protection against STIs?
• Will you remember to take birth control pills regularly?

Once you’ve thought through these questions, consult with a primary care doctor or gynecologist to find the method that’s right for you.