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This article was co-written by Carrie Noriega, MD. Dr. Noriega is a licensed obstetrician and gynecologist in Cporado. She specializes in women’s health, rheumatology, pulmonary, infectious diseases and digestive diseases. She received her MD from Creighton School of Medicine in Omaha, Nebraska and completed her residency at the University of Missouri – Kansas City in 2005.
There are 14 references cited in this article that you can view at the bottom of the page.
This article has been viewed 21,041 times.
There are ways to reduce the risk of unwanted pregnancy without using a condom. You can talk to your GP (and get a prescription) about medical birth control methods or choose natural methods. However, you should remember that condoms have many other benefits besides preventing pregnancy, such as preventing sexually transmitted diseases. In addition, the only way to prevent pregnancy that is 100% effective is to abstain from sex; All other options can significantly reduce the risk of pregnancy but are not absolute guarantees.
Steps
Using medical methods to prevent pregnancy without using a condom
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Use hormonal birth control pills (hormones). [1] X Source of Research If you are a woman and are looking for a way to prevent pregnancy without using a condom, the most common option is the hormonal birth control pill. Your GP can give you this medicine; Oral contraceptives usually contain estrogen and progesterone, or only progesterone. Normally, you will take one pill a day for 21 days, followed by 7 days of “sugar tablets” (in these days, the body will have a phenomenon of “withdrawal bleed” ) in place of menstruation.
- There are different types of oral contraceptives in different formulations, and you can talk to your doctor about your options to decide which is best for you.
- The advantage of oral contraceptives is that they are 91% effective at preventing pregnancy (even more effective if taken at exactly the same time every day and without forgetting which day).
- If you are a man having sex with a woman but don’t want to get your partner pregnant, you can ask her if she takes birth control pills. The downside of this method for men is that you are dependent on your partner and have to trust that she takes her pill every day, not missing a pill.
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Insert an IUD (IUD). [2] X Source of Research The IUD is a small, T-shaped device that is inserted vaginally into a woman’s uterus (and left in place for many years as a contraceptive). This method is 99% effective at preventing pregnancy.
- Types of IUDs available include: Mirena, Skyla, Liletta, and Copper.
- The Mirena IUD is a hormonal (hormonal) contraceptive device. This type is more expensive and lasts up to 5 years; But its benefits are to help relieve menstrual cramps and reduce menstrual bleeding. The Skyla and Liletta IUDs are also hormonal contraceptives and work for up to 3 years.
- The Copper IUD is not a hormonal contraceptive. The advantage of this type of ring is that it is cheaper and can be used for up to 10 years; However, the disadvantage of this type is that it can increase the amount of menstrual blood and monthly menstrual pain.
- Your GP may prescribe an IUD. You can get an appointment to have the IUD inserted, which only takes a few minutes.
- The IUD procedure may cause some pain when passing through the narrow cervix; However, you will be free of pain as soon as you have placed it.
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Try other hormonal birth control methods. [3] X Research Sources These options include the vaginal ring, the Depo-Provera injection, and the patch. Your GP can prescribe these methods of contraception for you.
- A vaginal ring (also called a NuvaRing) is an instrument that is inserted into the vagina and left in for 3 weeks (then removed for a week to reduce bleeding time due to hypogonadism. [4] X Research Sources This device inhibits ovulation by secreting hormones (a combination of estrogen and progesterone) during vaginal insertion.It rarely interferes with intercourse, and through Usually the couple doesn’t feel any problem.The chance of failure is usually 9% when used in the usual way, and 0.3% when used optimally.You can remove the vaginal ring in It can take up to 3 hours to prevent pregnancy, so if you feel more comfortable having intercourse without a vaginal ring, you can choose this method.
- Depo-Provera birth control injections are given every 3 months by your doctor, so the advantage of this method is that you don’t have to remember to take your birth control pills regularly (or use other methods), as long as every injection once every 3 months. [5] X Trusted Source Mayo Clinic Go to Source This method’s failure rate is less than 1% for people who inject every 3 months. [6] X Research Source
- The contraceptive patch is about 5cm x 5cm in size and is attached to the skin. Each contraceptive patch works for 1 week and then change to another – so you need to use three patches at a time, then take a week off to see a decrease in bleeding time due to hypothyroidism. The patch contains the same hormones as the oral contraceptive, and if used correctly (changing the patch every week), the chance of failure is less than 1%. [7] X Research source ww.nhs.uk/conditions/contraception-guide/pages/contraceptive-patch.aspx
- Ask your doctor about a birth control implant called Implanon. This is a contraceptive implant that is implanted in the arm and lasts up to 4 years. [8] X Research Sources
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Consider using a spermicide. Spermicide comes in the form of a gel or foam inserted into the vagina, which surrounds and destroys sperm with chemicals that are toxic to sperm. You can buy this product in pharmacies. [9] X Research Source The failure rate of this method is about 22%.
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Choose barrier methods such as cervical caps and diaphragms. These are instruments that are inserted into the vagina to cover the cervix. They will prevent sperm from entering the uterus. Neck caps or diaphragms also often contain spermicidal chemicals, further reducing the risk of pregnancy. [10] X Trusted Source PubMed Central Go to source The failure rate of this method is 14% for women who have never been pregnant, and 29% for women who have been pregnant before.
- You may have a cervical cap and diaphragm inserted at your doctor’s office.
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Consider sterilization. [11] X Trusted Source Centers for Disease Contrp and Prevention Go to the source One of the surest ways to prevent pregnancy is to have one of two people, male or female, (or both) sterilized. However, you need to know that this method is permanent. Do not use this method unless you are sure that you do not want to have children in the future.
- For men, this is called a “vasectomy.” With this procedure, the vas deferens (tubes that carry semen) are cut. This prevents male fertility.
- For women, this procedure is called “tubal ligation.” The fallopian tubes (the tubes that fall from the ovaries to the uterus) will be cut. This will prevent the egg from being fertilized, so you can’t get pregnant.
Use natural methods to reduce the risk of pregnancy
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Try the “vaginal ejaculation” method. [12] X Trusted Source Centers for Disease Contrp and Prevention Go to the source One way to reduce your chances of getting pregnant without using a condom is to use vaginal ejaculation. The man then pulls the penis out just before ejaculating so that the sperm doesn’t have a chance to enter the woman’s vagina and fertilize it.
- The disadvantage of this method is that some semen can leak out early (before ejaculation, which is also before the man pulls out the penis), so this method is only 78% effective at preventing pregnancy.
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Use the “contraceptive scheduler” method. [13] X Credible Sources Centers for Disease Contrp and Prevention Go to the source Technically, a woman has only a few days of fertility each month. Most women have a 28-day cycle, starting from the first day of their period. On average, ovulation occurs on day 14, but conception is possible a few days before and after ovulation.
- If you have intercourse a long time before and after ovulation, your chances of getting pregnant are much lower.
- The downside of the birth control method is that not all women have an exact 28-day cycle. This cycle is different for every woman. Even a woman may find her menstrual cycles irregular from month to month. For that reason, this method is only 76% effective at preventing pregnancy if a condom is not used.
- If your cycle is regular for more than 28 days, subtract 14 days from the END of your period and use that as the start of your most fertile days. The second half of the menstrual cycle (after ovulation) is usually more regular than the first half of the cycle (before ovulation).
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Monitor your ability to conceive through your body’s signs. [14] X Research Sources One way to track fertility is to use physical signs such as taking your temperature, and/or observing your cervical mucus to find your fertile days. so you can avoid intercourse during these days.
- With the method of “measurement of body temperature”, the first thing a woman will do every day is to measure her body temperature in the morning and before eating. A woman’s body temperature will rise about 0.3-0.5 degrees Celsius after ovulation. Therefore, you should use condoms, spermicide, or other non-hormonal methods of contraception from the first day after your period ends until 3 days after your temperature rises.
- With the “cervical mucus” method, the woman will observe the characteristics of the discharge from the neck from the uterus. Usually there is no discharge from the cervix immediately after the menstrual period ends, a few days later there will be some light, sticky discharge. The discharge will increase sharply, wet and clear on the days of ovulation, then there will be less discharge after the “ovulation period” ends until the start of the next menstrual period. Therefore, it is important to avoid intercourse on days when cervical mucus is heavy, clear, and wet, as that is when a woman is most fertile. [15] X Trusted Source Mayo Clinic Go to Source
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Understand that natural methods still carry risks of pregnancy. The two methods of vaginal ejaculation and birth control are less effective than medical methods of contraception. It’s important not to rely on these methods if you really want to find a way to prevent pregnancy. Here are the reasons:
- If you’re a man and you accidentally get a woman pregnant, most of the time, it’s up to her to choose whether or not to continue the pregnancy (or have an abortion).
- This may mean that, if your partner chooses to keep the baby, you will have a support obligation, and may have to share in parenting responsibilities.
- Both men and women are affected by pregnancy. The obligations and responsibilities you have towards the child before you are really ready will greatly affect (and possibly hinder) your other plans for career, relationship, or other areas of your life.
- If you are a woman and have an unwanted pregnancy, you may face a difficult decision about keeping the baby or terminating the pregnancy, if this is legal in your country.
Understand other benefits of condoms
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Using condoms as a way to reduce the risk of contracting sexually transmitted infections (STIs). [16] X Trusted Source Centers for Disease Contrp and Prevention Go to the source Before you decide to use a condom, it’s important to understand the role condoms play in reducing the risk of STIs and preventing pregnancy. Even if you are using other birth control methods such as hormonal birth control pills, other birth control methods cannot prevent STIs. Therefore, condoms have a very important benefit in protecting the safety of sex.
- Condoms protect you from STIs by limiting genital contact and stopping the flow of semen from the penis into the vagina. Both types of contact are ways of spreading the disease from one person to another.
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Use a condom if you don’t fully trust your partner. If you’re in a long-term monogamous relationship, you’ll know if your partner uses other methods of contraception, such as the Pill or IUD, because you already have trust with your partner. and previously discussed the best contraceptive methods for both. However, if you have a new sexual partner that you don’t understand enough to fully trust, then condoms are one of the most reliable methods of contraception.
- If you’re a man, you can never know for sure if your partner is actually taking the Pill (or other birth control method), and taking it regularly.
- It’s possible she wasn’t being honest about her use of birth control while intentionally getting pregnant.
- Similarly, a man may not be honest with his partner about having a vasectomy, but he is not. Or he said he would ejaculate outside the vagina, but in the end he didn’t.
- Using condoms is a clear and straightforward method of contraception that doesn’t require trust in others.
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Seek emergency contraception if a condom breaks or is used incorrectly. [17] X Research Sources The contraceptive effectiveness of condoms is 82%. [18] X Trusted Source Centers for Disease Contrp and Prevention Go to the source However, if a condom breaks during sex, it’s important to seek emergency contraception.
- You can buy emergency contraception at a pharmacy, which is sometimes also available in supermarkets.
- The options in this case are the oral pill (Plan B) or the Copper IUD. Plan B should be taken as soon as possible after unprotected sex (ideally within a day, as effectiveness decreases the longer you wait). However, Plan B can be used within 72 hours of unprotected intercourse. The Copper IUD is effective for emergency contraception for up to 5 days after intercourse.
- Other options include ulipristal acetate and the combined estrogen-progesterone oral contraceptive. [19] X Trusted Source World Health Organization Go to Source Both of these emergency contraceptive pills require a prescription from a doctor.
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Use condoms as backup protection if pregnancy is something you never thought of. Either method has a failure rate, so it’s wise to combine multiple methods – such as using both a condom and the pill – in case you don’t want to get pregnant at all. It is always better to take precautions than to take risks and then deal with the consequences.
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This article was co-written by Carrie Noriega, MD. Dr. Noriega is a licensed obstetrician and gynecologist in Cporado. She specializes in women’s health, rheumatology, pulmonary, infectious diseases and digestive diseases. She received her MD from Creighton School of Medicine in Omaha, Nebraska and completed her residency at the University of Missouri – Kansas City in 2005.
There are 14 references cited in this article that you can view at the bottom of the page.
This article has been viewed 21,041 times.
There are ways to reduce the risk of unwanted pregnancy without using a condom. You can talk to your GP (and get a prescription) about medical birth control methods or choose natural methods. However, you should remember that condoms have many other benefits besides preventing pregnancy, such as preventing sexually transmitted diseases. In addition, the only way to prevent pregnancy that is 100% effective is to abstain from sex; All other options can significantly reduce the risk of pregnancy but are not absolute guarantees.
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