Comparison of birth control methods Different types of birth control methods have large differences in effectiveness, actions required of users, and side effects. Different methods require different actions of users. Barrier methods, spermicides, or coitus interruptus must be used at every act of intercourse. The male condom may not be applied until the man achieves an erection. Barriers such as diaphragms, caps, the contraceptive sponge, and female condoms may be placed several hours before intercourse begins (note that when using the female condom the penis must be guided into place when initiating intercourse). The female condom should be removed immediately after intercourse, and before arising. The other female barrier methods must be left in place for several hours after sex. Spermicides, depending on the form, may be applied several minutes to an hour before intercourse begins.
With IUDs, female or male sterilization, and hormone implant there is "little or nothing to do" post initial procedure; there is nothing to put in place before intercourse to prevent pregnancy Intrauterine methods require clinic visits for installation and removal or replacement (if desired) only once every several years (5-12), depending on the device. Sterilization is a one-time, permanent procedure - after the success of surgery is verified (for vasectomy), no action is usually required of users.
Implants, such as Nexplanon, provide effective birth control for three years without any user action between insertion and removal of the implant. Insertion and removal of the Implant involves a minor surgical procedure. Oral contraceptives require some action every day. Other hormonal methods require less frequent action - weekly for the patch, twice a month for vaginal ring, monthly for combined injectable contraceptive, and every twelve weeks for the injection Depo-Provera. Fertility awareness-based methods require some action every day to monitor and record fertility signs. The lactational amenorrhea method (LAM) requires breast feeding at least every four to six hours.
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