Methods that Provide Protection from Pregnancy & Sexually Transmitted Infections: Effectiveness for All Methods Depends on Use
Work either by preventing sperm and egg from meeting or by creating a barrier between sperm and egg. Also limit sharing of body fluids for STI prevention.
For pregnancy prevention partners
Can decide not to have sex if you
Can be difficult to maintain if partners
The only 100 % effective method
for preventing pregnancy and/or
agree not to have vaginal sex
feel you are not ready or when you
don’t talk about expectations regarding
For STI prevention partners agree
STI infection, BUT ONLY if used
have no other method
sex before becoming sexually aroused
May decide to have sex at the last
correctly and consistently.
• Free
not to have anal, vaginal and
sometimes oral sex
moment and not be protected
Not an option if want to have sex
Place on an erect (hard) penis,
Protects from STIs
Some people are allergic to latex but
85% - 98% effective
Buy it in a drug store at any age
A close-fitting latex, polyisoprene,
leaving room at the tip for semen
there are many non-latex options
Roll down length of penis
Easy to use and carry
May interrupt sex
or polyurethane covering that fits
Use with water-based lubricants
Can slip or break if not used correctly
over penis and catches semen.
Can be made part of foreplay
Use a new one for each act of
User must be comfortable touching
Can be used during vaginal, oral
Use only when needed
or anal sex for STI prevention.
May help keep an erection
vaginal, anal or oral sex
penis
Inserted before intercourse
Protects from STIs; may give extra
More expensive than external condoms
79% to 95% effective
Push inner ring against cervix for
A nitrile “sheath” or tube that is
protection from HPV and herpes
but free at many clinics
Buy it in a drug store at any age
User must be comfortable touching
put into the vagina or anus before
vaginal sex; can remove inner ring
Can be put in before sex
sex. Creates a barrier between
for anal sex
vagina or anus
Outer ring remains outside the
Outer ring may rub clitoris, which
Can slip during sex if not used correctly
sperm and egg. Limits sharing of
body fluids.
vagina or anus
some people find pleasurable
Long-Term, “Forgettable” Methods: Over 99% Effective, regardless of how used (1 in 100 users will become pregnant within 1 year)
3 choices: Skyla, Mirena, or
Health provider puts it in uterus.
Hard to detect
Mirena and Skyla may cause spotting
Lasts several years:
Few health concerns
ParaGard
between periods
Mirena and Skyla contain
Easy to use
ParaGard may cause slightly heavier
Skyla lasts up to 3 years
Forgettable, always in place
hormones that prevent ovulation
Mirena lasts up to 5 years
bleeding or cramping during periods
Doesn’t interfere with sex
& create a “plug” in cervix
ParaGard lasts up to 10 years
(pain relievers can help)
ParaGard has no hormones;
User checks string monthly to make
Rarely, may slip out of uterus or push
Mirena and Skyla may cause light or
prevents a fertilized egg from
sure it’s in place
through wall
no periods; ParaGard allows user to
Partner may feel string
implanting
have regular periods
Tiny, flexible rod that slowly
Health provider places one rod
Hard to see or feel under skin
Causes bleeding changes; may have
Few health concerns
releases hormones
under skin on arm
spotting or have longer periods
Stops ovaries from releasing an
Lasts 3 years
Minor incision required to insert and
Forgettable, always in place
Doesn’t interfere with sex
egg and creates a “plug” in
remove rod
Insertion site may be bruised and sore
May have lighter or no periods
cervix that blocks sperm from
meeting an egg
several days after insertion