The ABC of contraception. The pros and cons of different methods

Which one is most reliable? Try to understand!

Today a women — a lot of contraception with different properties, routes of administration, preventive and even curative effect.

Intrauterine system (ius)


  • a high level of reliability (when properly installed);
  • does not require constant monitoring;
  • alternative for women who are contraindicated for oral (oral) hormonal contraceptives.

In facts and figures: 3.5 million abortions a year do women in Russia


  • the effectiveness of the method depends on the skill of the doctor, which establishes the intrauterine device;
  • the possibility of damage to the walls of the uterus, the development of inflammatory processes and the onset of ectopic pregnancy by improper installation of the CPA;
  • contraindication to the use of inflammatory reproductive disease, cervical disease, endometriosis (with the exception of the intrauterine system, releasing low doses of hormones), growths in the genitals;
  • a ban on the use of the pool, sauna and exercise within a month after the Navy;
  • the lack of protection from sexually transmitted infections.

Physiological methods (coitus interruptus, temperature, calendar method)


  • no side effects.


  • low contraceptive effect;
  • the complexity of execution. So, to successfully use the calendar method, which is dangerous for the conception days are calculated by the woman herself, you want a stable menstrual cycle, which can boast not all. Besides ovulation (the period when the egg released from the ovary) can occur prematurely or be delayed as a result of stress, illness, acclimatization and other reasons;
  • method interrupted sexual intercourse is fraught with potency disorders in men;
  • the lack of protection from sexually transmitted infections.

Barrier methods: condoms, diaphragm, cervical caps, spermicides (vaginal gels, sponges, creams, candles)


  • protection from sexually transmitted infections (condoms);
  • the lack of serious side effects and numerous contraindications to the use.

History of item No. 2 and modern methods of contraception


  • low contraceptive effect;
  • their successful use requires constant attention and the need to comply with rigid rules: for example, spermicides need to be applied 15 minutes before sexual intercourse, do not use soap and other detergents before specified time;
  • can cause allergies such as rubber, latex or polyurethane, which is produced by most condoms.

Hormonal (pills, vaginal rings, patches, subcutaneous implants, spiral)


  • a high level of reliability (when properly used);
  • therapeutic effect in menstrual irregularities, uterine fibroids, endometriosis, premenstrual syndrome, dysmenorrhea;
  • prevention of some cancers: cancer of the endometrium, ovaries, colon, rectum.


  • to prescribe hormonal contraception can only be a doctor after examination that includes: examination of the mammary glands, complete blood count and examination of the cervix, an analysis for cervical cancer (PAP test) and others;
  • the need for continuous monitoring and strict compliance with the prescribed receiving mode;
  • incompatibility with Smoking;
  • ban to use of diabetes, severe liver disease, heart, cancer, severe varicose veins, disorders of blood coagulation.

Hormonal dilemma. Errors in the reception contraceptives

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Surgical method (sterilization)


  • almost 100% contraceptive effect (when properly carried out the operation to block the fallopian tubes);
  • no side effects: sterilization does not affect the process of hormone production and does not violate the menstrual cycle.


  • the irreversibility of the method;
  • the possibility of complications.

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