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* This method involves observing a variety of body changes in the woman (such as cervical mucus changes, basal body temperature changes) and recording them on a calendar to determine when ovulation occurs. The couple abstains from unprotected sex for several days before and after the assumed day ovulation occurs.
* This method requires education and training in recognizing the body’s changes as well as a great deal of continuous and committed effort.
* About 15 to 20 pregnancies occur over 1 year out of 100 women using this method (for those who are properly trained).

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* The IUD is a small plastic or copper device placed inside the woman’s uterus by her health care provider. Some IUDs release small amounts of progestin. IUDs may be left in place for up to ten years, depending on the device used
* The method should not be used by women who have a high risk of getting a pelvic infection.
* Less than 1 out of 100 women per year will get pregnant using an IUD.
* Women who get pregnant with an IUD in place have a higher risk of ectopic pregnancy.
* Risks include cramps, bleeding (sometimes severe), pelvic inflammatory disease, infertility, and perforation of uterus.

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* The vaginal ring (NuvaRing) is a flexible ring about 2 inches in diameter that is inserted into the vagina. It releases progestin and estrogen.
* A prescription is required.
* The woman inserts it herself and it stays in the vagina for 3 weeks. Then, she takes it out for one week.
* About 1 pregnancy occurs over 1 year out of 100 women using this method.
* Risks include vaginal discharge and vaginitis, as well as those similar to the combined birth control pill.

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* The skin patch (Ortho Evra) is placed on your shoulder, buttocks, or other convenient location. It continually releases progestin and estrogen. Like other hormone methods, a prescription is required.
* The patch provides weekly protection. A new patch is applied each week for three weeks, followed by one week without a patch.
* About 1 pregnancy occurs over 1 year out of 100 women using this method.
* Risks are similar to combined birth control pills.

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* Progestin injections, such as Depo-Provera, are given into the muscles of the upper arm or buttocks. This injection prevents ovulation.
* A single shot works for up to 90 days.
* Less than 1 pregnancy occurs over 1 year in 100 women using this method.

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* Implants are small rods implanted surgically beneath the skin, usually on the upper arm. The rods release a continuous dose of progestin to prevent ovulation.
* Implants work for 5 years. The initial cost is generally higher than some other methods, but the overall cost may be less over the 5-year period.
* The Norplant implant has been removed from the U.S. market.  A similar implanted rod system, Implanon, is available in Europe, but not available in the U.S.
* Less than 1 pregnancy occurs over 1 year out of 100 women using this type of contraception.

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* In 2003, the FDA-approved an estrogen and progestin pill called Seasonale. It is taken for three straight months, followed by one week of inactive pills.
* A women gets her period about four times a year, during the 13th week of her cycle.
* Seasonale is available by prescription.
* Fewer than 2 out of 100 women per year get pregnant using this method.
* The risks are similar to other birth control pills. Some women may have more spotting between periods.
* The pills must be taken daily, preferably at the same time of day.

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* The “mini-pill” is a type of birth control pill that contains only progestin, no estrogen.
* It is an alternative for women who are sensitive to estrogen or cannot take estrogen for other reasons.
* The effectiveness of progestin-only oral contraceptives is slightly less than that of the combination type. About 3 pregnancies occur over a 1 year period in 100 women using this method.
* Risks include irregular bleeding, weight gain, and breast tenderness.

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* Also called oral contraceptives or just the “pill”, this method combines the hormones estrogen and progestin to prevent ovulation.
* A health care provider must prescribe birth control pills.
* The method is highly effective if the woman remembers to take her pill consistently each day.
* Women who experience unpleasant side effects on one type of pill are usually able to adjust to a different type.
* About 2 to 3 pregnancies occur over 1 year out of 100 women who never miss a pill.
* Birth control pills may cause a number of side effects including: Dizziness, irregular menstrual cycles, nausea, mood changes, and weight gain. In rare cases, they can lead to high blood pressure, blood clots, heart attack, and stroke.

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* Vaginal contraceptive sponges are soft synthetic sponges saturated with a spermicide. Prior to intercourse, the sponge is moistened, inserted into the vagina, and placed over the cervix. After intercourse, the sponge is left in place for 6 to 8 hours.
* It is quite similar to the diaphragm as a barrier mechanism, but you do not need to be fitted by your doctor. The sponge can be purchased over the counter.
* In April 2005, the FDA granted re-approval for the Today sponge to return to the U.S. market.
* About 18 to 28 pregnancies occur over one year for every 100 women using this method.
* The sponge may be more effective in women who have not previously delivered a baby.
* Risks include irritation, allergic reaction, trouble removing the sponge. In rare cases, toxic shock syndrome may occur.

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