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Important Questions To Consider When Choosing Birth Control Methods

Deciding Upon Effective Birth Control


Updated June 16, 2014

Having sex is about making choices. We choose our partners, when we're ready to have sex, when to wait, and what we feel comfortable doing.

Finally, we can choose to have sex in the safest way.

Not getting pregnant requires you to weigh the pros and cons of all birth control methods and to choose effective birth control that you find comfortable, can use correctly and will use consistently each time you have sex.

With so many options, choosing birth control methods may be hard. Here are the top questions to ask yourself when making this decision.

1. How comfortable would I be using a particular birth control method?

Choosing Birth Control
Photo Courtesy Peter Dazeley/Getty Images

Consider your comfort level when choosing a birth control method. If you are not at ease with an option or might not consistently use it (for any reason), that method is unlikely to be reliable for you in the long run.

  • Decide whether or not a particular method may cause irritation or discomfort for you or your partner.
  • Consider how comfortable you are with touching your body. For women, some methods like a diaphragm or NuvaRing require inserting them into your vagina and taking them out. For men, using a condom requires rolling it onto your penis.
It's important to be honest about your feelings regarding these issues.

2. Will the contraceptive prevent sexually transmitted diseases?


Condoms (both male and female) are the only birth control method that reduces your risk of catching sexually transmitted infections as well as HIV (the virus that causes AIDS). Remember, that unless you know for sure that your partner has no other sex partners and is free of sexually transmitted diseases, you are at risk for catching an infection.To protect yourself, use a condom in addition to any other birth control method if you fall under this risk category.

Keep in mind that a male condom should NEVER be used at the same time as a female condom.

3. How important is ease of use and convenience?


Some birth control methods are more convenient to use than others. Likewise, some methods are easier to understand. For example, The Patch (which only needs to be changed once a week) is more convenient than a diaphragm (which needs to be with you and inserted before intercourse). On the same note, receiving a Depo-Provera injection every 3 months is easier to figure out than using a Natural Family Planning.

You should honestly evaluate how important these factors are to you and how your birth control method will fit into your lifestyle.


4. Do I want to have a biological child in the future?

First, you need to decide if you want a permanent or temporary birth control method. Whether or not you wish to conceive any (or more) children can help in this decision. If you are unsure about the future, consider a temporary method. When choosing one, think about how quickly you can become pregnant after stopping a particular method.


Also, keep in mind that you may regret choosing a permanent method if you are young, if you have few or no children, if you are choosing this method because your partner wants you to, you think it will solve money issues, and/or you believe this option will fix relationship problems.

5. How effective do I want my birth control method to be?


Though some birth control methods are more reliable than others, no birth control method is 100% effective in preventing pregnancy except for abstinence. So, choosing effective birth control is important. In general, permanent methods and some hormonal ones tend to be the most reliable.

Effectiveness rates are usually provided as a typical user rate and a perfect use rate. Normally, methods that require less for you to do tend to have lower failure rates. Carefully consider how effective you want your birth control method to be and at what rate you will feel most comfortable.



6. How would an unplanned pregnancy affect my life?


Your answer to this question can also help to point you in the right direction when choosing birth control methods.

It is recommended that you choose a highly effective birth control method:

  • If you would perceive an unplanned pregnancy as a potentially devastating event
  • If an unintended pregnancy would seriously impact your plans for the future
You may feel comfortable using less reliable birth control methods if you are in a stable relationship, have a reliable source of income, and/or are planning to have children in the future (but would embrace a pregnancy should it happen now).


7. Do I have health factors that may limit my choice of contraceptive?


If you have certain health problems or other risk factors, some birth control methods may not be the safest option for you. Though there could be health issues that might prevent you from using a certain method, these are usually rare.

To be safe, before beginning any contraceptive, always talk with your doctor first.

Another health factor to consider is whether or not you currently have or potentially could have been exposed to a sexually transmitted disease. These situations could also help determine the safest option for you to choose.

8. What are my religious and moral values?


If you are morally (ie., vegans may not feel comfortable using vegan condoms), spiritually or religiously opposed to using certain birth control metods, there are natural family planning methods that can be used successfully - given that both partners are motivated with this choice. Couples report that these methods can be a truly rewarding experience once you figure out the technique that best suits you and become accustomed to it. These methods usually receive less attention, but do not rule them out until you have done some research.

Though considered a Natural Method, please note that Withdrawal is not an effective birth control choice.

9. How much will the birth control method cost?


Various costs are associated with each type of contraceptive. When choosing birth control methods, keep in mind the following costs (in addition to the actual contraceptive):

It is helpful to consider the possibility that some of the higher, one-time costs of certain methods may, over time, be less than the continued costs of buying pills, patches, or condoms.


10. Am I looking for a contraceptive that offers additional benefits?


Birth control prevents unwanted pregnancies. The medical risks of pregnancy/delivery are much higher than the risks of using any contraceptive.

Some birth control methods provide health benefits in addition to preventing pregnancy. Examples include:

What Factored the Most Into Your Decision?

Please share your advice about what you found to be most helpful when making the decision about which type of birth control option to use. You can do this by posting your ideas or suggesstions in our Contraception Forum!
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