North Central District Health Department

Family planning helps improve women's lives by assisting with spacing pregnancies, helping adolescents make responsible choices, allowing men to share in responsibility for reproductive child rearing and generally improving the women's health.

Intrauterine Devices -a IUD is small plastic contraceptive device that is gently inserted into the uterus (womb) by either a physician or nurse practitioner. IUDs are about 98-99% effective in preventing pregnancy and on type of IUD can stay in place for up to 10 years before needing to be replaced. Once inserted, the IUD is immediately effective and when removed, its contraceptive effect is immediately stopped.

Diaphragm and Contraceptive Jelly - The diaphragm is a latex cup with a flexible rim. The cup is filled with contraceptive jelly containing a spermicide such as nonxynal 9 . The diaphragm is inserted into the vagina and cover the cervix. I mainly works by preventing the sperm from reaching the cervix.

Depo-Provera Contraception - The "shot" is a medicine called Depo-Provera, which contains a hormone very similar to the hormone (progesterone) a woman normally produces during the last two weeks of her menstrual cycle. This hormone is given by injection (a shot) every 12 weeks and works by stopping the egg from leaving the ovaries.

Birth Control pills - Birth control pills contain two hormones, estrogen and progestin. They work by stopping ovulation (release of an egg) and by making the lining of the uterus (womb) thinner. For every 100 women who use birth control pills exactly as instructed, only 1 will become pregnant in one year.

Condoms - A condom is used by the male to prevent sperm from entering the uterus and causing pregnancy.

Emergency Contraception - Pills may be taken up to 120 hours (5 days) after unprotected sexual intercourse to prevent an unintended pregnancy. ECP is most effective when taken within 12 hours after unprotected sexual intercourse.

Implanon - A small, thin, plastic rod with hormones inserted under the skin of the woman's upper arm. Left inserted for up to 3 years. Offer private use of birth control for women. (99% effective).

Abstinence - Refraining from sexual intercourse. Free and available to all. No medical side effects, including pregnancy and sexually transmitted diseases. May be started at any time in a person's life.

Contraceptive Patch - An adhesive patch that contains the same hormones as birth control pills is placed on the women's body. The patch is changed once a week for 3 weeks. (99% effective).

Cervical Caps - A small latex cap is placed over the cervix. May be left in place for up to 48 hours. Offers private use of birth control for women. (84-91% effective in women who have never given birth; 68-74% effective in women who have given birth).

Natural Family Planning - Avoiding sex during the fertile days in a women's cycle. Requires instruction from a health care provider to determine the days of fertility. Free. No exam needed. Can be used to plan pregnancy as well as avoid pregnancy (80-99% effective).

Spermicidal Films, Foams, Creams, Suppositories, and Jellies - Chemicals which kill sperm and come in different forms. Placed in the vagina just before intercourse. No health risks. No prescription or exam needed. Works better when used with with condoms or diaphragm. Can be used as a back-up method until regular method obtained. (85% effective; 99% effective with condom).

Sponge - A soft foam sponge containing spermicide is moistened and inserted into the vagina to cover the cervix. Easy to use. Inserted several hours before sex and left in place for 24 hours; must stay inserted for a least 6 hours after sex. (82% effective in women who haven't given birth; 91.2% effective in women who have given birth).

Sterilization - Permanent method available to men and women who are absolutely sure they do not want children in the future. The male procedure is called a vasectomy and involves cutting and tying the tubes that carry sperm. The female procedure is called tubal ligation and involves cutting and tying the tubes that carry the sperm. The female procedure is called tubal ligation and involves cutting and tying the Fallopian tubes. (99.6- 99.8% effective females' 99.8-99.9% effective for males).

Vaginal Ring - A small flexible ring that contains hormones is placed in the vagina to prevent the release of an egg from the ovary. Worn by patient for 3 weeks at a time. Easy to use. Low change of irregular bleeding (99.7% effective).