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Essure vs. Temporary Birth Control

Temporary Birth Control

Method Description Failure Rate Risks Routine
Oral Contraceptives
An estrogen and/or progestin-based pill that suppresses ovulation
8%
Dizziness, nausea, changes in menstruation, mood, weight gain, acne, pain. Increased risk of cardiovascular disease, including high blood pressure, blood clots, heart attack, stroke
Must be taken daily
Essure
Essure Icon
A soft, small insert is delivered through the vagina and uterus and placed into each fallopian tube. Over the next three months, the body forms a natural barrier around the insert so sperm cannot reach the egg
0.05%
Post-procedure pain/discomfort including cramps and/or discharge
Once (permanent)
 
Method Description Failure Rate Risks Routine
Injection (Depo Provera®)
A progestin-containing injection that inhibits ovulation and fertilization
  3%
Irregular bleeding, weight gain, breast tenderness, headaches. Prolonged use may result in bone loss
One injection every month or every 3 months.
Essure
Essure Icon
A soft, small insert is delivered through the vagina and uterus and placed into each fallopian tube. Over the next three months, the body forms a natural barrier around the insert so sperm cannot reach the egg
0.05%
Post-procedure pain/discomfort including cramps and/or discharge
Once (permanent)
 
Method Description Failure Rate Risks Routine
Vaginal contraceptive ring (NuvaRing®)
A flexible ring inserted in the vagina that releases progestin and estrogen to prevent ovulation and fertilization
8%
Vaginal discharge, infection, irritation, other risks similar to those posed by oral contraceptives
Inserted and kept in place for three-week intervals. If expelled for more than three hours during the three-week interval, another method of contraception must be used
Essure
Essure Icon
A soft, small insert is delivered through the vagina and uterus and placed into each fallopian tube. Over the next three months, the body forms a natural barrier around the insert so sperm cannot reach the egg
0.05%
Post-procedure pain/discomfort including cramps and/or discharge
Once (permanent)
 
Method Description Failure Rate Risks Routine
Patch (Ortho Evra®)
A patch worn on the body that releases progestin and estrogen to prevent ovulation and fertilization
8%
Similar to oral contraceptives
A new patch must be applied each week, except for the week of the menstrual period
Essure
Essure Icon
A soft, small insert is delivered through the vagina and uterus and placed into each fallopian tube. Over the next three months, the body forms a natural barrier around the insert so sperm cannot reach the egg
0.05%
Post-procedure pain/discomfort including cramps and/or discharge
Once (permanent)
 
Method Description Failure Rate Risks Routine
IUD (Mirena®)
Essure Icon
A device placed in the uterus by a healthcare professional that emits hormones, possibly preventing ovulation
0.2%
Ovarian cysts, pelvic inflammatory disease, perforation of the uterus, embedding into the uterus, cramps, bleeding, miscarriage, premature birth, breast cancer, nausea, mood swings, headaches, nervousness, inflammation/pain of vagina/uterus, back pain, weight gain, acne, hypertension, changes in menstrual cycle, ectopic pregnancy
Remains in place for between 1 and 5 years.
IUD (Paraguard®)
A device placed in the uterus by a healthcare professional that releases copper, possibly preventing implantation
0.8%
Pelvic inflammatory disease, perforation of the uterus, embedding into the uterus, cramps, bleeding, vaginal discharge, allergic reaction, expulsion, anemia, ectopic pregnancy, life-threatening infection, miscarriage, premature birth, Wilson's disease, vaginal infection, inflammation/pain of vagina/uterus, back pain, pain during sex, fainting, changes in menstrual cycle
Remains in place for between 1 and 10 years
Essure
Essure Icon
A soft, small insert is delivered through the vagina and uterus and placed into each fallopian tube. Over the next three months, the body forms a natural barrier around the insert so sperm cannot reach the egg
0.05%
Post-procedure pain/discomfort including cramps and/or discharge
Once (permanent)
 
Method Description Failure Rate Risks Routine
Male condom
Essure Icon
A sheath placed over the penis that prevents passage of sperm
15%
Irritation, allergic reactions, reduced effectiveness if used with oil-based lubricants
Applied immediately before intercourse and used only once
Female condom
A lubricated sheath placed in the vagina to prevent sperm from entering the uterus
21%
Irritation and allergic reactions
Applied immediately before intercourse and used only once.
Essure
Essure Icon
A soft, small insert is delivered through the vagina and uterus and placed into each fallopian tube. Over the next three months, the body forms a natural barrier around the insert so sperm cannot reach the egg
0.05%
Post-procedure pain/discomfort including cramps and/or discharge
Once (permanent)
 
Method Description Failure Rate Risks Routine
Diaphragm with spermicide
A flexible, dome-shaped rubber disk that covers the cervix so sperm cannot reach the uterus—a spermicide must be applied before insertion
16%
Irritation, allergic reactions, urinary tract infection, risk of toxic shock syndrome
Inserted before intercourse and left in place for 6 to 24 hours. Spermicide must be added for repeated intercourse
Essure
Essure Icon
A soft, small insert is delivered through the vagina and uterus and placed into each fallopian tube. Over the next three months, the body forms a natural barrier around the insert so sperm cannot reach the egg
0.05%
Post-procedure pain/discomfort including cramps and/or discharge
Once (permanent)
 
Method Description Failure Rate Risks Routine
Spermicide
A foam, cream, jelly, film, suppository or tablet containing nonoxynol-9, a sperm-killing chemical
29%
Irritation, allergic reactions, urinary tract infections
Inserted 5 to 90 minutes before intercourse
Essure
Essure Icon
A soft, small insert is delivered through the vagina and uterus and placed into each fallopian tube. Over the next three months, the body forms a natural barrier around the insert so sperm cannot reach the egg
0.05%
Post-procedure pain/discomfort including cramps and/or discharge
Once (permanent)
 
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