5 Most Effective Birth Control Options (Besides the Pill)

Longer-Term & Less Hassle Birth Control Options

Looking for options other than birth control pills to prevent pregnancy? Taking the pill at the same time every day for it to be fully effective, along with hormones in the pill, can make it an undesirable option for many. So many simply use condoms. But you should know that if condoms are your only form of birth control, they are typically only 82 percent effective at preventing pregnancy. That means 12 out of every 100 women will get pregnant each year with typical condom use. So while condoms are necessary to help prevent the transfer of sexually transmitted infections, you may want to find another form of birth control to use as well.  

The good news is: there are other effective non-pill options out there to ward off the stork before you’re ready. Because it’s crucial to talk to your doctor about what birth control options are right for you, we’ve compiled an overview of popular birth control methods as a primer to empower you to bring up the topic at your next visit and have opinions formed about what you might like to try.     


Skin Implants

Sounds like something out of a sci-fi flick, but skin implants are actually a highly effective form of preventing an unwanted pregnancy. If you’re looking for a low-responsibility birth control option and can tolerate hormones, the implants might be your best bet. They were even recently named the most effective type of reversible contraceptive by the American College of Gynecologists due to their safety and efficacy—skin implants are more than 99 percent effective (meaning that less than one out of 100 sexually active women will become pregnant using them).  

Skin implants (brand names Implanon or Nexplanon) are inserted into your arm just beneath the skin and release the hormone progestin. The implant is often recommended for women who can’t take estrogen, such as women who are breastfeeding (estrogen can interfere with breast milk).  

Progestin helps prevent pregnancy by “preventing ovulation and thickening cervical mucous,” explains nurse midwife Melicia Escobar. So they prevent eggs from being released and, by thickening cervical mucous, also make it difficult for sperm to reach the egg (if it hypothetically were released).  

The low-maintenance implant will work for three years to prevent pregnancy, and no one can tell if you have one. You may also experience fewer, lighter periods. Simple, discreet and it works: awesome. You’ll also be fertile again after the implant is removed, if you decide you do want to get pregnant.  

The most common complaint about the implant is that it can cause irregular menstrual bleeding, particularly during the first six months to a year. Some also experience increased acne, mood swings, depression, changes in sex drive and appetite, pain or discoloration at the site of the implant, and mild insulin resistance—which is why it’s key to see your doctor regularly and not just when you need a refill.  

Read here for more on implant birth control.


IUDs
If you’re looking for an even longer-term form of birth control that’s also extremely low maintenance and highly effective, consider an IUD (intrauterine device). IUDs are small, T-shaped devices that help keep sperm from reaching your cervix. They are placed into the uterine cavity in just a few minutes in your doctor’s office and come in hormonal (progesterone) and non-hormonal (copper) options. Both hormonal and non-hormonal IUDs are more than 99 percent effective at preventing pregnancy.  

IUDs are “a highly effective form of birth control, comparable in efficacy to getting your tubes tide, but it isn’t permanent,” explains obstetrician and gynecologist Mandi Beman, MD. “I think of an IUD as semi-permanent birth control. The progesterone-containing IUD can be left in place for five years and the copper-containing IUD for 10 years.” And when you want to become pregnant, you just need the IUD removed to be fertile again.    

The fact that you have the option of getting a non-hormonal IUD (the brand name is Paragard) is huge for anyone who suffers from side effects associated with hormonal birth control. Many women turn to the copper IUD after having negative experiences with the birth control pill’s side effects. The copper IUD may result in heavier periods, though (nothing’s perfect).  

If you opt for the progesterone containing IUD (brand name: Mirena), you may get lighter periods, but you may also experience side effects similar to birth control pills (headaches, acne, breast tenderness, spotting) due to the hormone. However, Dr. Berman says that they are less likely to occur with IUDs and often lessen or go away completely over time. You may also experience cramps and backaches as a side effect of using an IUD (either type).    

No one can tell if you have an IUD, but sometimes partners will say that they can feel a string. This can be adjusted by your doctor if it’s an issue.  

If you’re thinking an IUD may be the best option for you, consider this: “The best candidate for an IUD is a woman who is at low risk for an STD, wants a low-maintenance birth control, and does not desire pregnancy in the near future,” Dr. Berman explains.    


The Ring

The ring (brand name: NuvaRing) is a small, bendable ring that you insert (yourself) into your vagina once a month. While in place, the ring release low doses of progestin and estrogen, which help prevent your ovaries from releasing eggs and thicken your cervical mucous to help prevent sperm from being able to travel to the (hypothetical) egg. After wearing the ring for three weeks, you remove it yourself, and keep it out for one week of menstruation. After that, you insert a new ring and the cycle continues.  

Since the ring is not implanted by your doctor and left in you for years, the way that the birth control implant and IUDs are, it is less effective at preventing pregnancy. People don’t generally use the ring perfectly (if they did, it would be 99% effective); with typical use, the ring has a 91 percent effective rate.  

If you’re worried about giving the NuvaRing a try due to concerns it might interfere in sex, relax. “Even if your partner does feel the ring, it won’t in any way interfere with using it or make him/her uncomfortable,” explains certified sexuality counselor and nurse midwife Evelyn Resh. “It is very soft and pliable and generally adheres to the vaginal wall.”  

Family nurse practitioner Bob Smithing adds, “If the ring does bother you or your partner, you can remove it during sex. It can stay out for no more than three hours and still be effective.” Just don’t forget to put it back though!  

The most common side effects of the ring may include spotting between periods, breast tenderness and nausea (though these side effects are likely to go away after three months). You may also experience a change in your sex drive and vaginal irritation or increased discharge.  

On the flip side, you could also experience shorter, lighter periods, reduced PMS and cramps, and you may find that the ring helps clear up acne.      


The Shot
Contraceptive injections (brand name Depo-Provera) are a shot of progestin that helps prevent you from ovulating and increases the thickness of cervical mucus, like some of the other forms of birth control mentioned. The shot lasts for three months, so you need to receive one from your doctor four times per year (so you don’t have to worry about it as often as you would the pill or the ring).  

The shot is commonly prescribed to women older than 35, women who can’t take estrogen or those who have health problems such as anemia, seizures or endometriosis.  

The shot has a 94 percent effective rate with typical use
(with perfect use, it’s a 99 percent effective rate). It may also result in decreased painful period cramps, shorter and lighter periods, as well as a decreased risk of pelvic inflammatory disease. And of course, there is no way for anyone to tell that you are using the shot. 

The most common side effects are irregular bleeding (particularly in the first six to twelve months) and a change in appetite/weight gain. Some women gain around five pounds in the first year—but others gain nothing. Fewer people experience side effects like depression, change in sex drive, hair loss, nausea, headaches and sore breasts. (If you are experiencing negative side effects after having two shots in a row, talk to your doctor about switching methods).  

Note that though the shot works for three months, it can take up to 12 months for fertility to return in some women after their last shot. So if you think you may want to get pregnant in the shorter term (but just not immediately), this may not be the best option for you.    


The Patch
The patch (brand name Ortho Evra) looks like a square, nude colored adhesive bandage and works by releasing estrogen and progestin through the skin. You need to apply the patch once a week for three weeks, then you leave it off for the fourth week, when you’ll get your period.  

If used perfectly, the patch would be 99 percent effective, but with typical use, the patch is 91 percent effective.  

Side effects are typical of other estrogen and progestin birth control methods, but may also include an increase in blood clots (commonly associated with estrogen), as Ortho Evra results in a higher level of estrogen in your body than other estrogen-containing birth controls. Some also experience skin irritation where the patch is applied.  

But on the flip side, the patch may also give you more regular, lighter periods, may help clear acne, and can reduce cramps and PMS. It’s also less invasive than the other non-daily birth control methods listed in this article (no rings to insert where the sun don’t shine, no shots, no implanted rods or IUDs), while having the benefit of not needing to think about it every day (just once a week).      


BONUS INFO:
 
Emergency Contraception
Emergency contraception (EC), commonly dubbed, “The Morning After Pill,” is designed to be used after unprotected sex to prevent pregnancy, and is not recommended as a regular birth control method.  

“The morning after pill is a progesterone-only pill that works primarily by preventing the release of an egg/ovulation,” explains Resh. She explains that the pill works to prevent pregnancy after unprotected sex by disrupting the uterine lining and making it impossible for a fertilized egg to attach.  

The pill is 86 percent effective at preventing pregnancy if it is taken with 72 hours of unprotected sex or a condom-snafu. “The sooner it is taken after unprotected intercourse, the better it works and the more likely you will not be able to ovulate,” says Resh.  

Plan B, Next Choice, and Levonorgestrel are common brands of EC that you can get without a prescription from your pharmacist if you’re 17 or older. Another brand, Ella,  is available by prescription only, but unlike the other EC pills, Ella is shown to be effective for five days after unprotected sex without declining in effectiveness over those five days.  

Because EC pills contain high doses of hormones, you should consider the side effects before making one a crutch. “It is essentially concentrated doses of hormones,” explains sex coach and sexuality educator Amy Levine. “It generally causes temporary side effects like nausea, dizziness and vomiting.”    


Birth Control & STDs

Even if you’re on the birth control pill or one of the other contraceptive options discussed here, it goes without saying that you need to use a condom if you’re having sex with someone who is not a regular, monogamous partner, or if you and your partner have not been tested for STDs.  

“It’s important to keep in mind that [any method of contraception] besides a condom, does not offer any protection from STDs,” stresses Levine. “Unless you’re in a monogamous relationship and you and your partner are STD-free, it’s a good idea to also use a condom to reduce STD risk.”  

Read more on tips to properly use and put on condoms to ensure they don’t break.    


References: Mayo Clinic (2012) NuvaRing (Vaginal Ring). Retrieved from mayoclinic.com/health/nuvaring; Mayo Clinic (2013) Depo-Provera (Contraceptive Injection). Retrieved from http://www.mayoclinic.com/health/depo-provera; Mayo Clinic (2013) Ortho Evra (Contraceptive Patch). Retrieved from http://www.mayoclinic.com/health/ortho-evra; Bedsider.org
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yoxyox24 commented
what about VCF? its great I love it
EXPERT
Dr. Charles Bollmann, M.D. commented
Excellent answer of the types of birth control available. Just a comment about Progesterone. This frequently causes depression in women, and I prefer to avoid this if possible. So I would not be a fan of the progesterone implant - side effects will be common since this is absorbed by the body. The Progesterone IUD will decrease your periods and will not be absorbed systemically (at least not as much as the implant). Dr. Charles Bollmann, MD
Anonymous commented
I'd be interested in the shot ... I can't ever remember to take my pills! A cousin had a IUD and it caused to her to sterile (malfunction) so I'm afraid of those. The Ring? I'd be petrified to do that myself --- I can't even wear condoms because of the pain.
Anonymous commented
I meant to say I can't even wear tampons, haha
Steph commented
I had the IUD after I had my daughter and I had a full year of bleeding. I would bleed heavily like a period sometimes 2 weeks out of a month and sometimes 3. Sex was painful,oh and also had never ending yeast infections(i was never prone to the before) when I was finally able to have it removed(I had to convince my doctor that it was causing all this) my gyno found that it had moved and my body was try to push it out! I was mortified. It didn't work for me but i have a friend thats had it for 3 years and seems to work great for her.
Anonymous commented
If anyone is interested in the shot, please do your research. Plenty of doctors have confirmed and also Harvard University backed up an article by a coalition against the Depo shot that is very dangerous. It's Black box labeled by the FDA which is not good. please do your research. this drug has been said to make women unable to have children completely in the future after long term use, causes bone loss and is said to make double risks for breast cancer and HIV. so please research.
Anonymous commented
Im 45 years old ..What Safe form of birth control can i go on besides the pill, will condoms be enough
Anonymous commented
Hi! How to use patch? Where it will put? Where can i buy? Is it can buy without prescription? Tnx
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jemy1111 commented
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mariaalexander commented
My Ex and I broke up 1 year and 2 months ago and i was six months pregnant. We both love each other and it was a shock to me and it really broke my heart. I tried to call him and both of his lines were disconnected. I tried to reach him on social networks but he deleted me off of them. I tried to reach his parents and they told me that their son said that he does not love me and does not want to see me and they do not know what is wrong. I cried and cried everyday because I loved him very much. Until I gave birth and the baby was one year old, I could not get my love back. Again, I was confused. I do not know what to do and I also lost my job and I have no money to take care of the baby. I was miserable in life so I cried to my sister and told her my problem and said that she knew of one powerful spell caster that helped her when she could not get pregnant. I contacted him by email and he said he will help me and told me that a woman cast a spell upon my man and said he will help me break the spell so my man will come back to me and be mine forever. It was a great surprise to me that everything that he said came to pass. My man came back to me immediately, saying that I should forgive him. I am sending a very big thank you to this powerful and real spell caster. I pray for him to live long and do more of his wonderful work. If you have any kind of problem disturbing you in life, you have to contact this powerful spell caster! He can help you. He will not disappoint you, I give you 100% guarantee that he will help you, Here’s his contact: Email him at: Unityspelltemple@gmail.com , you can also call him or add him on Whats-app: +2348071622464 , you can also visit his website:http://unityspelltemple.webs.com . Elizabeth Alexandra from United Kingdom.
JuniaNoel commented
Hi, I really appreciate your inputs on my situation Dr happy and what could I do with-out you. Thank you in advance. I was in a relationship with this guy for the past 1 and a half year.. We became close real fast and were very serious about each other… he’s German and was in the country for her internship.. he left after first 6 months and came back after a couple of months.. he said that he had come down for me.. WE started living – in.. We discussed faMILY, KIDS, future, moving to EU together.. everything was going good until of last August when I started to get jealous about his moves, I got controlling and things started to get worse.. we spoke about it a lot of times where he expressed how he felt but I was not able to understand why I was doing that.. During our discussion I would always say I did .. This February he called it off and since then I have been a mess.. I gave it a lot of thought and realised my mistakes and why I was doing it.. I tried talking to him .. begged him.. pleaded him .. but he says that he has lost all his feelings for me and would never get back to me..I was in my knees praying looking for help, them i fine a comment online how a spell caster help to restored relationship get ex lover back, ” so i decided to give a try coz i love my boyfriend so much. so i contacted Dr happy http://happyspelltemple.webs.com/ tell him all my problem and he gave me 100%guarantee that i will have my boyfriend back after the spell so i was gifted and lucky to have contacted him i did every thing he ask of me and to my greatest surprise a day after the spell my boyfriend call me and apology for what he did to me and ask for my forgiveness to come back again for me, we both are happily living together again plz Contact him urgently via......... happylovespell2@gmail.com or add him on whats-app +2348133873774 Junia Noel from USA
DONNA500 commented
THE MIGHTY SPELL CASTER THAT HELPED ME SOLVED MY URGENT CRITICAL RELATIONSHIP PROBLEM. I dont know how to really thank Dr. Keke Odin for what he did for me. My Name is Anita Kelly from Los Angeles, i was dating this man who i loved very much for over four years now without any problem in our relationship. so at a point he changed so suddenly after returning from the office and started behaving so strangely. it even got to the extent that he told me it was over and i should never call him again. This was a person that loved me with everything that he had. When i told my friend jenny what happened, she introduced me to a great spell caster called DR KEKE ODIN, the chief priest of all spell caster. At first sight this man told me all my problems that it was his secretary that used a charm on him. Dr KEKE ODIN told me not to worry that he will help me solve the problem. The following day, i was in the house in a sober mood when i first received a message from my boyfriend that he was very sorry and before i dropped the phone, he called me again to say he is on his way home and that he was truly sorry for everything. To my greatest surprise, one week later he engaged me and we got married. All Thanks to KEKE ODIN. You can contact him through the following means Email: greatkekespelltemple@gmail.com Mobile Number: +1 386-336-9876 website: http://greatkekespelltemple01.webs.com
Jessica Luis commented
Hey,I'm so excited my broken Marriage has been restored & my husband is back after he left me and our 2 kids for another woman. After 8 years of marriage, me and my husband has been into one quarrel or the other until he finally left me and moved to California to be with another woman. i felt my life was over and my kids thought they would never see their father again. i tried to be strong just for the kids but i could not control the pains that torments my heart, my heart was filled with sorrows and pains because i was really in love with my husband. Every day and night i think of him and always wish he would come back to me, I was really upset and i needed help, so i searched for help online and I came across a website that suggested that Dr Mohammed can help get ex back fast. So, I felt I should give him a try. I contacted him and he told me what to do and i did it then he did a (Love spell) for me. 28 hours later, my husband really called me and told me that he miss me and the kids so much, So Amazing!! So that was how he came back that same day,with lots of love and joy,and he apologized for his mistake,and for the pain he caused me and the kids. Then from that day,our Marriage was now stronger than how it were before,All thanks to Dr Mohammed. he is so powerful and i decided to share my story on the internet that Dr Mohammed real and powerful spell caster who i will always pray to live long to help his children in the time of trouble, if you are here and you need your Ex back or your husband moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact: Email him at: monicaspiritualtemple@gmail.com , you can also call him or add him on Whats-app: +2348134493948
Jessica Luis commented
Hey,I'm so excited my broken Marriage has been restored & my husband is back after he left me and our 2 kids for another woman. After 8 years of marriage, me and my husband has been into one quarrel or the other until he finally left me and moved to California to be with another woman. i felt my life was over and my kids thought they would never see their father again. i tried to be strong just for the kids but i could not control the pains that torments my heart, my heart was filled with sorrows and pains because i was really in love with my husband. Every day and night i think of him and always wish he would come back to me, I was really upset and i needed help, so i searched for help online and I came across a website that suggested that Dr Mohammed can help get ex back fast. So, I felt I should give him a try. I contacted him and he told me what to do and i did it then he did a (Love spell) for me. 28 hours later, my husband really called me and told me that he miss me and the kids so much, So Amazing!! So that was how he came back that same day,with lots of love and joy,and he apologized for his mistake,and for the pain he caused me and the kids. Then from that day,our Marriage was now stronger than how it were before,All thanks to Dr Mohammed. he is so powerful and i decided to share my story on the internet that Dr Mohammed real and powerful spell caster who i will always pray to live long to help his children in the time of trouble, if you are here and you need your Ex back or your husband moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact: Email him at: monicaspiritualtemple@gmail.com , you can also call him or add him on Whats-app: +2348134493948