Hormonal Methods

Hormonal methods work in different ways depending on the method being used. The two main ways most of the hormonal methods can work to prevent pregnancy are:

  1. They keep eggs from leaving the ovary.
  2. They change the mucus made in the cervix so that sperm can't live and travel through it to get to the egg. (The cervix is the bottom part of the uterus that is at the back of the vagina.)

Another way some of the hormonal methods may work is to cause the lining of the uterus to begin to thin. This can prevent the fertilized eggs from attaching to it and growing. The chance of a method working in this way is very unlikely.

The hormones in these methods are very much like the hormones estrogen and Preogesterone that are made naturally in every woman's body. Estrogen and Progestin are chemicals made in the ovaries that send special messages to the other parts of a woman's body to prepare it for the possibility of becoming pregnant. However, when hormonal methods are used, they stop the woman's body from making the right amount of these hormones. This causes changes in the woman's body that stop her from becoming pregnant.

Hormonal methods work very well to prevent pregnancy, but do not protect against HIV or other sexually transmitted diseases. If a woman is concerned that she might get a sexually transmitted disease from her partner, they should use condoms.

Birth Control Patch

What Is the Birth Control Patch?

The contraceptive patch is a small patch a woman can wear on her skin to keep her from getting pregnant. It sticks to the skin like a Band-Aid. The patch contains both estrogen and progestin. The hormones go slowly into the woman's body through her skin.

Each patch works for only 1 week. You wear 1 patch each week for 3 weeks. During the fourth week, you wear no patch at all. This is when you will get your period.

The patch works well to prevent pregnancy. But it does not protect against HIV and other STDs. If you have sex with anyone you think might give you a sexually transmitted infection, you should use a condom.

Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

With perfect use, the patch is 99.7% effective.

This means that if 100 women use the patch exactly the right way, only 1 woman (and probably no women) out of that group will get pregnant in a year.

With typical use, the patch is 92% effective.

For women who don't always use their patch exactly the right way, 8 women out of 100 might get pregnant in a year.

For women who weigh 198 pounds (90 kilos) or more, the patch may not work as well.

TOP

Advantages

  • The patch is easy to use.
  • The patch is very good at preventing pregnancy.
  • The patch does not interrupt having sex.
  • The patch stays on even when you exercise, shower, or take a bath.
  • The patch may make periods lighter and less "crampy".
  • The patch may make acne better.
  • The patch helps protect against cancer of the ovary and cancer of the uterus.
  • The patch does not cause any serious problems in most women.

TOP

Possible Side Effects

  • Tender or full breasts
  • Changes in menstrual bleeding
  • Nausea
  • Mood changes
  • Rash

Important: Some women stop using the patch when they have any of these side effects. The side effects won't hurt you or stop you from having a baby in the future. They usually go away in 1 to 3 months. If they bother you, go back to your clinician so that you can be given a different method that may not cause any side effects.

Remember: If you ever stop the patch for any reason, you can get pregnant right away.

TOP

Possible Warning Signs

Some signs of possible serious side effects are:

  • Dizziness
  • Numbness in arms or legs
  • Abdominal pain that is severe
  • Chest pain
  • Bad headache
  • Eye problems
  • Bad leg pain, swelling, or redness

The chances of having these warning signs of a possible serious health problem is very low. However, if you should have one or more of them, go to your clinician or an emergency room right away.

TOP

Important Warning

If you see a doctor for any reason, tell the doctor that you are using the patch. Some medicines may keep the patch from working as well. If you need to take one of these medicines, you may need to use a back up method of pregnancy prevention, like condoms, until you finish the medication. Your doctor will tell you if this is necessary.

TOP

To Learn More

To learn more about how to use the patch, go to:

TOP

Birth Control Pill

What Is the Birth Control Pill?

The contraceptive pill is what most people think of as "the pill." It is a pill made with both estrogen and progestin. The woman takes one pill at the same time each day.

There are many types and brands of contraceptive pills. They come in different colors and in different kinds of packs. A clinician decides which type and brand is best for each woman.

The pill works well to prevent pregnancy, but it does not protect against HIV and other STDs. Use a condom every time you have sex to help protect against these diseases.

Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

With perfect use, the pill is 99.7% effective.

This means that if 100 women use the pill exactly the right way, only 1 woman (and probably no women) out of that group will get pregnant in a year.

With typical use, the pill is 92% effective.

For women who don't always take their pill exactly the right way, 8 women out of 100 might get pregnant in a year.

TOP

Advantages

  • The pill is easy to use.
  • The pill is very good at preventing pregnancy.
  • The pill makes periods lighter and less "crampy".
  • The pill may make acne better.
  • The pill does not interrupt having sex.
  • The pill helps protect against cancer of the ovary and cancer of the uterus.
  • Breasts may be less tender while taking the pill.
  • The pill does not cause serious health problems in most women.

TOP

Possible Side Effects

  • Changes in bleeding
  • Nausea and vomiting
  • Tender or full breasts
  • Mood changes
  • Skin changes
  • Hair growth
  • Slight headaches

Important: Some women stop taking the pill when they have any of these side effects. The side effects won't hurt you or stop you from having a baby in the future. They usually go away in 1 to 3 months. If they bother you, go back to your clinician so that you can be given a different pill that my not cause any side effects.

Remember: If you ever stop the pill for any reason, you can get pregnant right away.

TOP

Possible Warning Signs

Some signs of possible serious side effects are:

  • Dizziness
  • Numbness in arms or legs
  • Abdominal pain that is severe
  • Chest pain
  • Bad headache
  • Eye problems
  • Bad leg pain, swelling, or redness

The chance of having these warning signs of a possible serious health problem is very low. However, if you should have one or more of them, go to your clinician or an emergency room right away.

TOP

Important Warning

If you see a doctor for any reason, tell the doctor that you are using the pill. Some medicines may keep the pill from working as well. If you need to take one of these medicines, you may need to use a back up method of pregnancy prevention, like condoms, until you finish the medication. Your doctor will tell you if this is necessary.

TOP

To Learn More

To learn more about how to use the pill, go to:

TOP

Birth Control Ring

What Is the Birth Control Ring?

The contraceptive ring is a thin, flexible, plastic ring that a woman wears inside the vagina to keep from getting pregnant. It comes in one size that works for most women. The ring has two hormones in it: estrogen and progestin. The hormones slowly go into the woman's body through the skin in her vagina.

The ring works on a 4-week cycle. The woman puts a new ring in once a month. The ring works to prevent pregnancy. But it does not protect against HIV and other STDs. If you are having sex with someone who might give you a sexually transmitted infection, use a condom.

TOP

Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

With perfect use, the ring is 99.7% effective.

This means that if 100 women use the ring exactly the right way, only 1 woman (and probably no women) out of that group will get pregnant in a year.

With typical use, the ring is 92% effective.

For women who don't always use their ring exactly as directed, 8 women out of 100 might get pregnant in a year.

TOP

Advantages

  • The ring is very good at preventing pregnancy.
  • You only have to put the ring in once a month.
  • The ring does not interrupt having sex.
  • The ring may make periods lighter and less "crampy".
  • The ring may make acne better.
  • The ring helps protect against cancer of the ovary and cancer of the uterus.
  • The ring does not cause any serious health problems in most women.

TOP

Possible Side Effects

  • Changes in menstrual bleeding
  • Headaches
  • Increased vaginal discharge or irritation

Important: Some women stop using the ring when they have any of these side effects. The side effects won't hurt you or stop you from having a baby in the future. They usually go away in 1 to 3 months. If they bother you, go back to your clinician so that you can be given a different method that may not cause any side effects.

Remember: If you ever stop the ring for any reason, you can get pregnant right away.

TOP

Possible Warning Signs

Some signs of possible serious side effects are:

  • Dizziness
  • Numbness in arms or legs
  • Abdominal pain that is severe
  • Chest pain
  • Bad headache
  • Eye problems
  • Bad leg pain, swelling, or redness

Important: If you have any of these signs, it could mean you have developed a blood clot. Though this is very rare, it is important that you go to your clinician or an emergency room right away.

TOP

Important Warning

If you see a doctor for any reason, tell the doctor that you are using the ring. Some medicines may keep the ring from working as well. If you need to take one of these medicines, you may need to use a back up method of pregnancy prevention, like condoms, until you finish the medication. Your doctor will tell you if this is necessary.

TOP

To Learn More

To learn more about how to use the ring, go to:

TOP

Birth Control Shot

What Is the Birth Control Shot?

The contraceptive shot that clinics now give is called Depo-Provera. It is a shot that the woman gets every 12 weeks to keep from getting pregnant. The shot only has progestin in it, no estrogen.

The shot works well to prevent pregnancy. But it does not protect against HIV or other STDs. If you are having sex with someone who might give you an STD, use a condom.

Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

With perfect use, the shot is 99.7% effective.

This means that if 100 women use the shot exactly the right way, only 1 woman (and probably no women) out of that group will get pregnant in a year.

With typical use, the shot is 97% effective.

For women who don't always use the shot exactly the right way, 3 women out of 100 might get pregnant in a year.

TOP

Advantages

  • The shot is easy to use and lasts for 12 weeks.
  • The shot is very good at preventing pregnancy.
  • The shot may help prevent some health problems, like ovarian cancer and cancer of the lining of the uterus.
  • Periods are lighter and less "crampy".
  • Some women like not having a period.
  • The shot can be used by women who can't take estrogen.
  • The shot doesn't interrupt sex.

TOP

Possible Side Effects

Changes in menstrual bleeding

At first, all women who use the shot have changes in their periods.

  • You may not know when you will have your period.
  • You may have spotting between periods. For most women, this lessens over time.
  • You may have longer or shorter periods.

After using the shot for 12 months, some women stop having periods. Your periods will return to normal after the last shot wears off.

TOP

Other Common Side Effects

Some women may get one or more of these side effects:

  • Fatigue
  • Sore breasts
  • Nausea
  • Weight gain (this can be 5 pounds or more)
  • Headaches
  • Nervousness
  • Depression
  • Dizziness
  • Changes in sex drive

Important: Some women stop getting the shot when they have any of these side effects. The side effects won't hurt you or stop you from having a baby in the future. They usually go away in 1 to 3 months. If they bother you, go back to your clinician so that you can be given a different pill that my not cause any side effects.

Remember: If you ever stop the shot for any reason, you can get pregnant right away.

TOP

Possible Warning Signs

Some signs of possible serious side effects are:

  • Dizziness
  • Numbness in arms or legs
  • Abdominal pain that is severe
  • Chest pain
  • Bad headache
  • Eye problems
  • Bad leg pain, swelling, or redness

The chance of having these warning signs of a possible serious health problem is very low. However, if you should have one or more of them, go to your clinician or an emergency room right away.

TOP

Important Warning

If you see a doctor for any reason, tell the doctor that you are getting contraceptive shots. Some medicines may keep the shot from working as well. If you need to take one of these medicines, you may need to use a back up method of pregnancy prevention, like condoms, until you finish the medication. Your doctor will tell you if this is necessary.

TOP

To Learn More

To learn more about how to use the shot, go to:

TOP

Emergency Contraception for Teens

What can be done to prevent pregnancy if a condom breaks, you don’t use a regular method of birth control correctly, you have sex without using any method of birth control, or someone has forced you to have sex? You can take Emergency Contraceptive Pills (ECPs).

What are Emergency Contraceptive Pills?

ECPs are very safe pills made from hormones like the ones a teen girl’s body makes after she starts having her menstrual periods. When a certain number of ECPs are taken soon after unprotected sex, they can prevent pregnancy.

The most recent scientific research shows that ECPs work by preventing ovulation (the time when the egg comes out of the ovary). This means if there is no egg to meet with the sperm, you cannot get pregnant. ECPs may also prevent sperm from getting to the egg.

ECPs do not work by causing an abortion. 

There are Different Kinds of Emergency Contraceptive Pills

  • Plan B® and Plan B® One-Step are the most common emergency contraceptive pill used today. It has one kind of hormone in it called a progestin.
  • Some of the regular birth control pills like Ortho Tri-Cylcen can also be used for emergency contraception. They have two types of hormones in them. One is a kind of estrogen, another is a kind of progestin. To find out what regular birth control pills can be used for emergency contraception and how to use them, ask your health provider or go to www.not-2-late.com or call 888-668-2528.

All of the emergency contraceptive pills are very safe.

When Should I Take Emergency Contraceptive Pills?

  • As soon as possible! The sooner ECPs are taken, the better they work to prevent pregnancy. They work the best to prevent pregnancy if taken within 24 hours after unprotected intercourse.
  • Plan B® can still can prevent pregnancy if it is taken up to 5 days of having unprotected intercourse.
  • Plan B® One-Step can be taken up to 5 days of having unprotected intercourse.
  • Some of the regular birth control pills can be taken up to 5 days of having unprotected intercourse.

Many women keep ECPs at home for emergencies. This allows them to take the ECPs as soon as possible.

It is Easy to Get Emergency Contraceptive Pills?

In most cases it is easy to get ECPs, especially in California.

  • If someone can’t afford to buy ECPs, they are available free by going to a family planning program that is called a FPACT program. You can us the clinic finder on www.TeenSource.org or go to http//familypact.org or call 1-800-942-1054 to find a family planning program near you.
  • Any teen 17 years of age or older can go into most pharmacies and buy Plan B® and Plan B® One-Step without a prescription. It is important to find out what pharmacy near you gives out ECPS.
  • Teens can go to their doctor or to a family planning program and get a prescription for Plan B®, Plan B® One-Step or one of the other kinds of ECPs.
  •  Many health care professionals keep ECPs in their clinic so that they can give it to teens as soon as possible.
  • Many clinics will even give teens ECPs in advance of needing them in case an emergency happens.

The National EC Hotline website at www.not-2-late.com and 1-888-668-2528 can also be used to find a place to get ECPs anywhere in the United States.

How Well Do Emergency Contraceptive Pills Work?

If 100 women have unprotected sex one time during the second or third week of their normal menstrual cycle, about 8 will get pregnant if they don’t take any kind of ECPS.

If 100 women take Plan B®, only 1 will get pregnant. If Plan B® is taken within 24 hours of unprotected sex, it is even more effective. If the other ECPs are used, only about 2 women will become pregnant.

How do I take Emergency Contraceptive Pills?

Important: Teens should always talk with a health provider or a pharmacist to make sure they get the proper ECP taking instructions.

  • Plan B® – Take 1 pill as soon as possible (within 5 days at the latest). Take another pill 12 hours later. Both pills can also be taken together at the same time.
  • Plan B® One-Step - Take 1 pill as soon as possible (within 5 days at the latest).
  • Regular Birth Control Pills - The instructions for using birth control pills as ECPs are different then Plan B. To learn how to use birth control pills for emergency contraception, talk to your health care provider. You can also find instructions for using birth control pills as ECPs at www.not-2-late.com

How Many Times Can I Take Emergency Contraceptive Pills?

There is no limit as to the number of times ECPs can be taken.

It is very important to remember that ECPs don’t work as well as many of the other methods of birth control. This means just because they worked one time, doesn’t mean they will work again. Emergency Contraception shouldn’t be used as a main method of birth control for anyone.

How Do I Know if the Emergency Contraceptive Pills Worked?

The only way of knowing if the ECPs worked is when you get your next period. You may get your period when you normally expected to have it. It can also happen one week earlier or one week later than usual. You may even have more bleeding with your period.

If the period doesn’t come within seven days when it normally is expected or when it does come, it is lighter than usual, you may be pregnant . You should go to a clinic or your doctor right away.

Will Emergency Contraceptive Pills Hurt a Pregnancy?

No. If you take ECPs accidently when you are pregnant, there is no scientific information that shows they will hurt the pregnancy . They will also not cause an abortion.

Do Emergency Contraceptive Pills Work as Well as the Pill, Patch, Ring, Implant or IUD?

No. All the other methods of birth control work better than ECPs when they are used correctly.

Will Emergency Contraceptive Pills Protect Against Sexually Transmitted Infections?

No. ECPs will not protect anyone from getting any of the sexually transmitted infections and HIV.