What are the types of contraceptives

An overview of contraceptives: which is the safest?

Video by Aischa Butt

The safest way to avoid getting pregnant is to not have sex in the first place. But let's be honest: In this case, the safest way is not necessarily the best! Good contraception will ensure that we can have sex without worrying about an unwanted pregnancy.

But what contraceptives are there and how safe are they? For example, do you know the Knaus-Ogino method? If not, it doesn't matter, because this method of contraception is not recommended, as you can read below.

A condom or pill are better, although the condom has the convincing advantage that it is a contraceptive with double protection. Used correctly, it prevents pregnancy and the transmission of sexually transmitted diseases at the same time.

The most popular contraceptive among women is the pill because it offers reliable protection and is easy to use. In the last few years, several other hormone-based contraceptives, such as chopsticks or plasters, have come onto the market that are also very safe.

The so-called Pearl Index reveals how safe a contraceptive is. The lower it is, the safer the contraceptive. Always provided it is used correctly.

Tip: You can also find more information about contraceptives at our partner portal Onmeda.de!

Here you will find an overview of all contraceptives:

1. Condom

The condom: How safe it is depends to a large extent on the correct application! In addition to an unwanted pregnancy, it also protects against sexually transmitted diseases. By the way: there are condoms in different sizes.

Conclusion: safe when used correctly (Pearl Index: 2 - 12)

2. Birth control pills

Is taken regularly birth control pills very sure. It suppresses ovulation with the help of hormones.

Conclusion: very safe (Pearl index: 0.1-0.9)

You can also find more information about the side effects of the pill here: Is the pill harmful? 6 questions you should know the answer to.

3. Mini pill

The Mini pill: Low-dose progestin affects the mucus in the cervix so that sperm cannot enter the uterus.

Conclusion: safe (Pearl index: 0.5 - 3)

4. Depot syringe

For women who forget the pill more often, it can be injected every three months Depot syringe (Three-month injection) be an alternative.

Conclusion: very safe (Pearl index: 0.3-0.88)

5. Contraceptive ring

Contraceptive ring: The flexible vaginal ring releases hormones and can be changed once a month.

Conclusion: very safe (Pearl index: 0.4 to 0.65)

You can find more information about the contraceptive ring here: What you should know about the contraceptive ring.

6. Hormone implant

Who one Hormone implant carries in the upper arm, you don't have to worry about pregnancy for the next three years.

Conclusion: very safe (Pearl index: 0 - 0.08)

7. Contraceptive patch

The hormone-containing Contraceptive patch works for a week, then it is changed. Since it is very thin, it can also be worn under tight clothing.

Conclusion: very safe (Pearl index: 0.72-0.9).

Also interesting:Test: which contraceptive is right for me?

8. Copper spiral

The spiral Usually consists of a small T-shaped plastic body, partly wrapped in copper, and remains in the uterus for 3 to 5 years.

Conclusion: safe (Pearl index: 0.3-0.8, depending on the copper content and the correct size)

You can also find information about the hormone and copper IUD here: Long-term prevention: What you should know about the IUD.

9. Copper pearl ball

Similar to the copper chain or the copper spiral, the copper pearl ball sits in the uterus. There it continuously releases copper ions, which slow down the man's sperm in their mobility and reduce their survival time

Conclusion: safe (Pearl index similar to that of the pill)

You can also find detailed information about the copper pearl ball here: Everything about the new hormone-free contraception

10. Copper chain

The copper chain is a new generation intrauterine device (IUD). It is therefore a variant of the copper spiral. The shape of the copper chain makes it more flexible and should therefore have fewer side effects.

Conclusion: safe (Pearl index is between 0.1 and 0.5)

You can also find detailed information about the copper chain here: Safe contraception entirely without hormones: Everything you need to know about the copper chain

11. Hormone IUD

The effect of the Hormonal IUD is based on hormones, more precisely the progestin levonogestrel.

The Pearl Index depends on the hormone content of the IUD used. There is a smaller IUD that is used for 3 years with a Pearl Index of 0.33. And there is a somewhat larger IUD that is used for up to five years, which releases more levonorgestrel and therefore has a Pearl Index of 0.16.

Conclusion: very safe (Pearl index: 0.16 - 0.33, depending on the hormone content)

In our special you can find more information about hormone and copper IUDs.

12. Temperature method

Temperature method: The time of ovulation is determined by measuring the cyclical fluctuations in basal temperature. Good complement to the Knaus-Ogino or Billings method, but requires accuracy and discipline.

Conclusion: only recommended in combination (Pearl index: 0.8 - 3)

13. Billings Method

In the Billings Method the woman examines the cervical mucus daily to determine ovulation. Suitable to complement other methods of natural contraception (e.g. temperature method).

Conclusion: only recommended in combination (Pearl index: 5)

14. Contraceptive computer

Contraceptive computer are not a contraceptive method, but can determine the fertile days, e.g. by measuring temperature or determining hormones in the urine.

Conclusion: security depends on the methods that the computer supports (Pearl index: 2 - 5)

15. Female condoms

Female condoms offer protection against pregnancy and venereal diseases. However, you are very insecure.

Conclusion: safe when used correctly (Pearl index: 5 - 25)

16. Diaphragm

Diaphragm: Once the doctor has determined the appropriate size of the latex or silicone membrane, it can be obtained from the pharmacy.

Conclusion: safe when used correctly (Pearl index: 1 - 20), spermicides increase safety!

17. Knaus-Ogino method

Knaus-Ogino method: To determine ovulation, the woman notes the days of her cycle on a menstrual calendar. Possible cycle fluctuations make this method very unsafe.

Conclusion: not recommended (Pearl index: 9)

Also read:For emergencies: this is how you should act properly in the event of a contraception failure

18. Vaginal douches

Forget Vaginal douches: Almost a third of 100 women get pregnant within a year using this method! But if you want to, go ahead ...

Conclusion: not recommended (Pearl index: 31)

19. Spermicides

Spermicides kill sperm, prevent them from entering or hinder their mobility. However, as a sole method, they are very unsafe.

Conclusion: only recommended in combination (Pearl index: 3 - 21)

20. Sterilization in women

Women who have completed family planning can do one sterilization contemplate.

Conclusion: very safe (Pearl index: 0.2 - 0.3)

21. Male sterilization

Even the man can have one sterilization think about it when his family planning is done.

Conclusion: very safe (Pearl index: 0.1-0.3)

You should also know that:

Unfortunately, there are still some persistent fallacies about contraception and getting pregnant. So here again to be on the safe side:

-> Breastfeeding does NOT protect against pregnancy

Many women get during the Breastfeeding do not ovulate and therefore do not get pregnant. However, when the first ovulation occurs after delivery is difficult to say, this method is not recommended.

Conclusion: not recommended (Pearl index: not known)

-> The morning-after pill is NOT a contraceptive

The morning-after pill is only for emergencies, it is not a contraceptive that should be used regularly. It is used, for example, if the condom has broken or another contraception failure has occurred. The hormone preparation is now available in pharmacies without a prescription. However, advice from a doctor or pharmacist is useful.

Conclusion: only for emergencies (Pearl index fluctuates depending on the type of pill)

You can read more about the morning-after pill here: The morning-after pill: every woman should know that.

You can also find more detailed information about the various contraceptives here:

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