Contraception: When You Just Can’t Comprehend Conceiving

For many, the birds and the bees are as simple as the As, Bs, and Cs. If you have unprotected sex, you are putting yourself at risk for pregnancy (as well as a plethora of some pretty nasty infections). While there will likely come a day and time that seeing a smiley face on the pregnancy stick brings a smile to your face, now is probably not that time. You are career focused. You are education focused; you are you focused (at least for now). We totally get that.

But while you are not ready today, you don’t necessarily want to give that option up in the future and commit yourself to abstinence. We are here to review with you the many reversible forms of contraception that are available, effective, and reliable. (Note that reversible is bolded. We will not be addressing irreversible forms of contraception, a.k.a. tying anyone’s tubes  LINK: Done and Done).  

When you think birth control, two options probably come to your mind first—condoms and pills. And while these are very popular methods, they are not the only ones out there. They require some brainpower and even willpower and therefore are not right for everyone. So here is a list, with the pros, cons, and everything in between on what’s out there (in as few words as possible!). 

  1. Male Condoms:
    • Pros: Cheap, easily available, minimal planning, reversible, protect against STDs
    • Cons: Must be used consistently; applied correctly, can break…
  2. Female Condoms:
    • Pros: You are in the driver seat, no need for a prescription, does not require a fitting, can be placed before intercourse starts
    • Cons: Cumbersome, hard to find, can’t be reused
  3. Oral Contraceptive Pills (OCPs) (known by most of us as “the pill”)
    • Pros: Highly effective when taken correctly, other positive bodily features (decreased risk for ovarian and uterine cancer, goodbye to acne and unwanted hair growth, shorter/lighter periods, less cramps), when stopped periods/regular cycles return pretty quickly
    • Cons: Not highly effective when not taken correctly, many reasons why women can’t take the pill (headache variants, high blood pressure, etc.), does not protect against STDs
  4. Hormonal Patch
    • Pros: Does not have to be swallowed (for all of you who have trouble with pills), does not require daily administration (patch is changed once/week), reversible
    • Cons: Must “make weight” to use this option (women heavier than 195 pounds have decreased efficacy with this option), not ideal in women with sensitive skin or dermatologic conditions, slightly higher risk of blood clots (versus the oral route)
  5. Hormonal Ring
    • Pros: Can be placed in the comfort of your home (and does not need to be sized), more private (not worn like a patch or taken like a pill), offers all the benefits of the pill (decreased cancer risk, shorter/lighter periods, less cramping with your period)
    • Cons: Higher rates of vaginitis/vaginal wetness, requires a prescription, some report feeling it
  6. IUD (non-hormonal = Copper T, hormonal = Mirena, Skyla, Liletta)
    • Pros: Most effective form of reversible contraception, once it’s properly placed in the uterus, it’s pretty much smooth sailing for five to 10 years, does not interfere with the spontaneity of sex, can be used in women who need to avoid estrogen
    • Cons: Must be placed by a medical professional, can be expulsed, “mal-placed,” or broken, strings can get lost and require surgical removal, placement can (in very rare cases) cause pelvic inflammatory disease
  7. Depo-Provera (aka “depo”)
    • Pros: Is taken every three months (does not require daily administration), eliminates monthly menses, can be taken by women who can’t take estrogen (Depo-Provera contains only progesterone), reduces the risk of migraines
    • Cons: It’s a shot, can cause weight gain, can lower bone mineral density, menses can take many months to return
  8. Implantable Devices (Implanon, Nexplanon)
    • Pros: Effective for several years after placement, can be used in women who can’t take estrogen, does not need to be placed before intercourse
    • Cons: Must be placed and removed by a medical professional, often causes irregular bleeding, discomfort/pain at site of implant
  9. Diaphragm/Cervical Cap
    • Pros: Provides contraception without delivering hormones, can be carried in even the smallest of purses! Can be used while breastfeeding, cannot be felt by you or your partner
    • Cons: Requires a fitting, can be difficult for some women to place/insert, can be pushed out by certain sexual positions, not as effective as hormonal contraception
  10. Withdrawal
    • Pros: Can be used in a real bind (requires nothing but commitment!), no medical/hormonal side effects, free, no prescription required
    • Cons: Not really a reliable method for contraception. Simply stated, it’s an ineffective way to prevent pregnancy, requires trust, and is not good for men with premature ejaculation or men who are not sure when to “pull out”
  11.  Rhythm Method (Fertility Awareness-Based Methods = FAMs)
    • Pros: Minimal cost, no medication required, safe, can be stopped at any time
    • Cons: Timing is key (you must be really in sync with your body and know when you are ovulating), not the most effective way to go about preventing pregnancy, there are several days in the month where sex is off (requires a committed partner), no protection from STDs

Birth control, like those who use it, comes in many shapes and sizes. And in almost all cases, one of the shoes fits. While you may never, ever choose to wear a diaphragm or test out the female condom, at least you know what’s out there. Unwanted and unplanned pregnancies happen, sometimes even while using contraception. But by utilizing a form of birth control that works for you, you can dramatically reduce the chance that it will happen to you. While we fully support a night out at the casino, we do not recommend gambling on the possibility of pregnancy. Unlike the blackjack table, here, the risk is not worth it.