Exploring
Effectiveness

Effectiveness of Available Methods

Different methods of birth control have different levels of effectiveness. This may depend on the method itself, or the commitment of the man or woman to use the chosen method consistently and as directed. For example, for the Pill to be most effective, a woman must commit to taking it as prescribed.

The typical effectiveness for various methods is outlined below. These effectiveness rates reflect a combination of effectiveness in clinical trials plus the estimated margin of human error (including inconsistent or improper use) for each of the methods listed. Talk to your doctor or health care professional to determine which choices may be right for you.


Percentage of Women Experiencing an Unintended Pregnancy Within the First Year of UseTrussel, p. 226. Chart 9-2
MethodTypical Use*Perfect Use
Chance8585
Spermicides 26 6
Periodic Abstinence25 
     Calendar 9
     Ovulation Method 3
     Sympto-Thermal 2
     Post-Ovulation 1
Cap  
     Parous Women
     (women who have given birth) Dorlands, p. 1372
4026
     Nulliparous Women
     (women who have not given birth) Dorlands, p. 1293
20 9
Sponge  
     Parous Women
     (women who have given birth) Dorlands, p. 1372
4020
     Nulliparous Women
     (women who have not given birth) Dorlands, p. 1293
20 9
Diaphragm 20 6
Withdrawal 19 4
Condom  
     Female215
     Male 14 3
Combined Pill and Minipill 8 0.3
IUD  
     Copper 0.8 0.6
     LNG 20 0.1 0.1
Depo-Provera 0.3 0.3
Implants0.050.05
Female Sterilization0.50.5
Male Sterilization0.150.10

*Among typical couples who initiate use of a method (not necessarily for the first time), the percentage who experience an accidental pregnancy during the first year if they do not stop use for any other reason.Trussel, p. 227

Among couples who initiate use of a method (not necessarily for the first time) and who use it perfectly (both consistently and correctly), the percentage who experience an accidental pregnancy during the first year if they do not stop use for any other reason.Trussel, p. 227