All about hormonal and hormone-free contraceptives

Looking for the right contraceptive?

Contraceptives should not be missing during sex. An exception, of course, is if you want to get pregnant. In the following, we will give you an overview of what is available and how safe you are.

condoms

Condoms not only protect against unwanted pregnancy, but also against sexually transmitted diseases. It therefore has a double protection if applied correctly! The condom is pulled over the erect penis before sex. It is important that at the top of a little space is left, because if this is missing, the condom ruptures during sex.

Advantages:

  • The condom is easy to use and is easily available
  • has a double protection (both before pregnancies and from diseases)

Disadvantage:

  • Before every sex you have to think about contraception
  • it can lead to application errors, which can cause it to tear or slip off

Tip: Condoms are also available in different sizes. Sample calculations can be found on the internet about how each boy finds out the optimal size of the condom for himself.

Birth control pill (also called micropille)

Probably the most popular contraceptive for women is the pill. The contraceptive pill is easily applicable by taking it once a day. Protection from pregnancy is reliable as it suppresses ovulation with the help of hormones. Nevertheless, she does not tolerate all medications that are still on the market. If, for example, antibiotics are taken, the pill loses its effect.

Advantages:

  • When taken regularly, it provides very safe protection.
  • It is effective from the first day of use
  • Bleeding intensity and duration usually decrease as a result of ingestion
  • Periodic pain can usually be alleviated by the pill
  • Skin blemishes are alleviated and the appearance of the skin often improves significantly
  • You know exactly when the menstrual period sets in

Disadvantage:

  • does not protect against sexually transmitted infections
  • must be taken daily at the same time of day
  • It can cause side effects such as nausea, vomiting, weight gain, bleeding
  • The combination pill should not be taken while breastfeeding

minipill

This pill is also consumed once a day. In contrast to the micropillus, it contains only one hormone. In this pill, ovulation is not suppressed, instead it ensures that sperm can not only penetrate the uterine mucus. Benefits:

  • generally have fewer side effects than combination pills
  • for women who want to breastfeed yet hormonally prevent

Disadvantage:

  • can still cause side effects such as headache, acne, breast tensions, nausea and mood swings
  • Bleeding and cycling irregularities can occur
  • Antibiotics, sleeping pills and sedatives affect the effect of the minipill
  • Must be taken much more accurately than the micropillus: The user ring may differ by a maximum of 30 minutes to the day before the time of taking

Depot syringe (three months syringe)

Many women know it: The phone rings in the evening, it is stress at work, and was already forgotten to take the pill. For these women, the depot injection (three-month injection) is an alternative. The protection: very safe.

Advantages:

  • It does not have to be thought of prevention every day
  • long-lasting contraceptive security
  • may also be suitable for women due to certain diseases

Disadvantage:

  • many women do not tolerate high dose
  • Side effects such as bleeding, total absence, dizziness, acne, depression, nervousness, headache, weight gain and nausea may occur
  • spontaneous "stopping" is not possible

contraceptive ring

The contraceptive ring is a flexible vaginal ring that releases hormones. This can be changed once a month. You do not feel it, have less effort and are still safe.

Advantages:

  • Only works locally in the abdomen, not like the pill in the entire body
  • contains fewer hormones, ie hormone levels remain constant
  • cleaner skin
  • vomiting or diarrhea, the protection remains
  • less stress as it only needs to be changed once a month

Disadvantage:

  • Side effects such as weight gain, mood swings or reducing the desire for sex
  • rather suitable for experienced women, as it requires some skill for the introduction
  • a bit more expensive than most alternatives

hormonal implant

The hormone implant is worn on the upper arm under the skin. You do not have to worry about getting pregnant for the next three years. Protection: very safe.

Advantages:

  • for women who do not tolerate the hormone estrogen or have difficulty with regular pill intake and the use of other contraceptives
  • no stress about contraceptives

Disadvantage:

  • Side effects such as acne, headache, tightness in the chest, depression and weight gain can occur
  • many women experience prolonged or frequent bleeding
  • is not easy "deductible"

contraceptive patch

The contraceptive patch is stuck to the skin and works for a week, after which it is changed again. It is very thin and therefore does not bother with tight clothing and is still safe.

Advantages:

  • only needs to be applied once a week
  • Vomiting and diarrhea do not affect efficacy

Disadvantage:

  • does not protect against sexually transmitted infections
  • Side effects such as irregular bleeding, headache, patch site reactions, nausea and breast tenderness may occur
  • can not be used during breastfeeding
  • in overweight, the effectiveness is reduced
  • is visible

IUD

The copper spiral remains in the uterus for three to five years. It usually consists of a small, partly wrapped with copper T-shaped plastic body. The protection is safe.

Advantages:

  • no stress about contraception
  • Women do not have to give up their natural cycle
  • beneficial for women who already have children
  • hormone-free

Disadvantage:

  • can increase menstrual bleeding and menstrual pain
  • Side effects such as abdominal and back pain may occur
  • correct seating should be checked regularly as it may be expelled at the beginning with the bleeding
  • during first months increased risk in girls and young women of inflammation in the pelvic area
  • Can go away without this being noticed by the user

copper chain

The copper chain remains in the uterus of the woman for 3-5 years. In contrast to the copper spiral, the copper chain is not simply inserted into the uterus, but attached to the uterine wall. The chain therefore does not run the risk of being rejected by the body and thus being able to go unnoticed. The pros and cons are similar to those of the spiral.

Advantages:

  • It does not have to be thought of contraception
  • Bleeding and discomfort during the period are not increased
  • hormone-free

Disadvantage:

  • Period pain and bleeding can be intensified
  • Again, the function must be checked after three years
  • significantly more expensive than the copper spiral

IUS

There are different spirals because they depend on the hormone content. Smaller hormonal spirals are used for three years and the larger ones up to five years. The protection is safe.

Advantages:

  • For most, monthly bleeding will be shorter, weaker and less painful
  • In some, the bleeding is almost completely gone
  • also applicable during lactation

Disadvantage:

  • Side effects such as bleeding, irregular or even no bleeding,
  • Abdominal pain, breast tenderness, headache, acne, depression, mood swings, nervousness, and sexual aversion can all occur
  • slip or eject the spiral
  • does not protect against sexually transmitted diseases
  • not suitable as a first option for young women who have not yet born

temperature method

The temperature method is used to measure the cyclical fluctuations in basal body temperature in order to determine the time jump of ovulation. We do not recommend it as the only contraceptive because it is not safe but can be used as a combination. However, it requires accuracy and discipline.

Advantages:

  • no hormone load for the body
  • Can be used specifically for children

Disadvantage:

  • It requires a lot of discipline and accuracy
  • works only with stable cycle and regular rhythm of life
  • Must be used with other contraceptives as a combination if you do not want to get pregnant
  • various factors affect body temperature, such as illnesses, alcohol consumption, ingestion of painkillers etc.
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