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Birth control and family planning

Contraception; Family planning and contraception; Coitus interruptus

Your choice of a birth control method depends on a number of factors, including your health, how often you have sex, and whether or not you want children.

Images

The cervical cap
The diaphragm
The female condom
Intrauterine device
Side sectional view of female reproductive system
The male condom
Hormone-based contraceptives
Tubal ligation
Vaginal ring
Before and after vasectomy

Presentation

Barrier methods of birth control - Series
Tubal ligation - uterine anatomy
Birth control pill - series - Normal female anatomy

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Information

Here are some questions to consider when selecting a birth control method:

BARRIER METHODS OF BIRTH CONTROL

CONDOMS:

DIAPHRAGM AND CERVICAL CAP:

VAGINAL SPONGE:

HORMONAL METHODS OF BIRTH CONTROL

Some birth control methods use hormones. They will have either both an estrogen and a progestin, or a progestin alone. You need a prescription for most hormonal birth control methods.

Types of hormonal birth control methods include:

IUD (INTRAUTERINE DEVICE):

PERMANENT METHODS OF BIRTH CONTROL

These methods are best for men, women, and couples who feel certain they do not want to have children in the future. They include vasectomy and tubal ligation. These procedures can sometimes be reversed if a pregnancy is desired at a later time. However, the success rate for reversal is not high.

BIRTH CONTROL METHODS THAT DO NOT WORK VERY WELL

References

American College of Obstetricians and Gynecologists website. ACOG Practice Bulletin No. 206: Use of hormonal contraception in women with coexisting medical conditions. Obstet Gynecol. 2019;133(6):1288. Erratum for: Obstet Gynecol. 2019;133(2):e128-e150. PMID: 31135757 pubmed.ncbi.nlm.nih.gov/31135757/.

Committee on Adolescent Health Care. Committee Opinion No 699: Adolescent pregnancy, contraception, and sexual activity. Obstet Gynecol. 2017;129(5):e142-e149. PMID: 28426620 pubmed.ncbi.nlm.nih.gov/28426620/.

Curtis KM, Jatlaoui TC, Tepper NK, et al. US selected practice recommendations for contraceptive use, 2016. MMWR Recomm Rep. 2016;65(4):1-66. PMID: 27467319 pubmed.ncbi.nlm.nih.gov/27467319/.

Harper DM, Wilfling LE, Blanner CF. Contraception. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 26.

Jatlaoui TC, Ermias Y, Zapata LB. Contraception. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 143.

Rivlin K, Davis AR. Contraception and abortion. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 13.

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Review Date: 1/10/2022  

Reviewed By: John D. Jacobson, MD, Department of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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