Table 7.5 provides a comparative summary of the various methods of birth control discussed in this chapter. Table 7.5 Summary of Information on Methods of Contraception and Abortion
| Method | Effectiveness Rating | Failure Rate, Perfect Use, % | Failure Rate, Typical Use, % | Death Rate (per 100,000 Women) | Yearly Costs, $* | Advantages | Disadvantages | | Depo-Provera | Excellent | 0.3 | 3 | | 300 | Requires less memory | | | Combination birth control pills | Excellent | 0.3 | 8 | 1.6 | 455 | Highly effective; not used at time of coitus; improved menstrual cycles | Cost; possible side effects; must take daily | | Patch | Excellent | 0.3 | 1.3 | | 455 | Requires less memory than pill | | | Vaginal Ring | Excellent | 0.5 | 5 | | 455 | | | | IUD, Copper T | Excellent | 0.6 | 0.8 | 1.0 | 250 | Requires no memory or motivation | May be expelled | | Progesterone T | Excellent | 0.1 | 0.1 | | 250 | | | | Condom, male | Very good | 2 | 15 | 1.7 | 75 | Easy to use; protection from STIs | Used at time of coitus; continual expense | | Condom, female | Good | 5 | 21 | 2.0 | 375 | Protection from STIs | Awkward | | Diaphram with | Good | 6 | 16 | 2.0 | 100 | No side | Aesthetic | | spermicide | | | | | | effects, inexpensive | objections | | Femcap with spermicide | | | | | 100 | No side effects, inexpensive | | | Parous women | Fair | 26 | 32 | 2.0 | | | | | Nulliparous women | Good | 9 | 16 | 2.0 | | | | | Vaginal foam, cream | Fair | 18 | 29 | 2.0 | 50 | Easy to use; availability | Messy, continual expense | | Withdrawal | Good | 4 | 27 | 2.0 | None | No cost | Requires high motivation | | Rhythm | Poor to fair | 29 | 25 | 2.0 | None | No cost, accepted by Roman Catholic Church | Requires high motivation, prolonged abstinence; not all women can use | | Unprotected intercourse | Poor | 85 | 85 | 9 | None§ | | | | Legal abortion, first trimester | Excellent | 0 | 0 | 0.5 | 350700 | Available when other methods fail | Expensive; moral or psychological unacceptability | | Sterilization, male | Excellent | 0.10 | 0.15 | 0.3 | 1,500** | Permanent; highly effective | Permanence; expense | | Sterilization, female | Excellent | 0.5 | .5 | 1.5 | 1,5006,000** | Permanent; highly effective | Permanence; expense |
*Based on 150 acts of intercourse. Prices are provided by Planned Parenthood, 2007, for full-paying clients (http://www.plannedparenthood.org/birth-control-pregnancy). Prices are reduced for those with low incomes. Prices are higher for private physicians. Based on a cost of $500 for the IUD including insertion by a physician, and the assumption that the IUD will be used for two years. The cost per year is much less if the IUD is used for more than two years. Based on the death rate for pregnancies resulting from the method. Of every 100,000 live births in the United States, 12 women die (Cheng et al., 2003). §But having a baby is expensive.
**These are one-time-only costs. Source: Hatcher et al. (2004). |