Types of contraception you can choose, along with their strengths and weaknesses

Types of contraception you can choose, along with their strengths and weaknesses

Types of contraception you can choose, along with their strengths and weaknesses


Types of contraception you can choose, along with their strengths and weaknesses

In sexually active women, pregnancy in the first year can reach 90% if not using KB or contraception. Some women postpone pregnancy for various reasons, such as education, career, financial and others. The right choice of contraception can help women to delay pregnancy.

Most contraceptive methods are effective if used correctly. Contraceptive failure can be caused by many things, either due to misuse, missed or irregular use, or because the method itself is not effective. The choice of family planning method must be tailored to the needs of the couple, along with the contraceptive methods that are often used.

Hormonal contraception

Hormonal contraception generally contains a combination of progestin & amp; estrogen, or progesterone only. These contraceptives are available in various forms, birth control pills, birth control injections, implants, patches and vaginal rings.

1. Progestin and estrogen combination birth control pills

Strength :

  • Reduces menstrual bleeding
  • Reducing PMS symptoms
  • Make your menstrual cycle more regular
  • Increase bone density
  • Reducing the risk of ovarian cancer & amp; endometrium, stroke, salphingitis, rheumatism

Weakness :

  • Increases the risk of hypertension and cardiovascular disease
  • Weight gain
  • Can interfere with ASI production
  • Does not reduce the risk of sexually transmitted infections

Methods that use a combination of hormones are pills, injections, patches, vaginal rings. What are the advantages and disadvantages of each?

  • Birth control pills: must be taken every day, do not interfere with the comfort of sex.
  • KB injection: once a month injection.
  • KB patch: easy to use, water resistant, does not interfere with sex, can cause skin irritation.
  • Vaginal ring: easy use, replaced once a month, relatively more expensive, side effects such as inflammation or vaginal discharge can occur.

2. Progestin birth control pill

Strength :

  • Does not cause side effects of hypertension and cardiovascular disease
  • Does not interfere with breast milk production

Weakness :

  • Weight gain
  • Irregular menstrual cycles
  • Does not reduce the risk of sexually transmitted infections

The method using progestin is a pill, injection, implant. What are the advantages and disadvantages?

  • Pills: must be taken at the same time every day.
  • Injections: injections every 3 months.
  • Implants: effective for long periods of time, pain can occur at the site of installation.

3. IUD (Intra-Uterine Device) KB tool

An IUD is a device shaped like the letter T inserted into the uterus, sometimes leaving a little thread in the vagina to indicate the position of the IUD. There are 2 types of IUDs, namely IUDs containing copper and hormones. A copper IUD can be used for up to 10 years, while a hormone IUD is only up to 5 years, some women feel abdominal cramps in the use of a copper IUD.

Strength :

  • Is a method of "use and forget". Easy to use, and after installation, women don't need to bother everyday like using birth control pills
  • Is a long-term method.
  • Does not interfere with fertility, once released, fertility can return quickly.

Weakness :

  • The position of the IUD can shift.
  • It is uncomfortable for women, especially for men when they are in contact because there are leftover threads of IUDs.
  • Side effects can occur such as cramps and bleeding during more menstruation.

Physical barrier contraceptive method

1. Condom

Condoms can be used in men and women. The effectiveness of condoms in preventing pregnancy increases especially after adding spermicidal lubricants to condoms.

Strength :

  • Can prevent transmission of venereal disease
  • Practical and easy to use

Weakness :

  • In some people, allergies can occur due to condom-making ingredients
  • Can only be used once
  • Usage must be appropriate because risks can arise regardless

2. Spermisida

Spermicides are chemicals that can damage sperm. Spermicide can be in the form of cream, jelly, foam or suppository.

Strength :

  • An alternative for women who want temporary protection.
  • Can be obtained easily.

Weakness :

  • A short period of protection, its effectiveness decreases if it exceeds one hour of use.
  • Does not prevent transmission of venereal disease.

3. Diaphragm

The diaphragm is usually made of latex or silicone, in a circular shape like a dome and serves to prevent sperm from entering the uterus.

Strength :

  • Can be used with spermicides to increase its effectiveness.
  • Can be used repeatedly.

Weakness :

  • Diaphragms that are too large can make feelings uncomfortable, while those that are too small can risk removing or moving positions.
  • Can cause irritation.

Natural contraception

Some couples do not use the contraception method above due to various factors, such as religion, culture, or family. The choice methods that can be done include:

1. Calendar KB system

This method uses the calculation of a woman's fertile period, and avoids having sex during the fertile period.

Strength :

  • Cheap.
  • Don't use tools or hormones.

Disadvantages : Less effective, the failure of this method in the first year reaches 20%.

2. Breastfeeding

In mothers who breastfeed their children exclusively, fertilization cannot occur during the first 10 weeks, so pregnancy can be prevented.

Strength : Same as a calendar system.

Disadvantages : Less effective. Usually couples who use this method wait for the first period after giving birth to stop having sex, even though the conception period occurs before menstruation.

Permanent contraception

Permanent contraception or sterilization is an option for couples who don't want to have more children. In women, techniques that can be performed are tubectomy, tubal ligation, tubal implants, and tubal electrocoagulation. Whereas in men can be done vasectomy.

Strength :

  • Very high effectiveness in preventing pregnancy
  • No need for additional tools or hormones

Weakness :

  • Costs are relatively more expensive than other methods
  • Risk of complications in the form of bleeding or infection
  • Does not reduce the risk of transmission of venereal disease

The choice of contraception to prevent pregnancy is a choice that must be decided together with the partner. It should be considered whether the couple still wants to have children or not, when the couple wants to have another child, whether the mother is breastfeeding or not, or is there a particular disease in women that can be made worse by contraception. Also consider the price and practicality of each method.

Also Read:

  • Rules of Use and How to Take the Right Birth Control Pills, According to the Brand
  • Morning-After Pill, Pregnancy Prevention Contraception
  • When is the best time to have sex if you don't want to get pregnant?


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