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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
MethodEffectiveness RatingFailure Rate, Perfect Use, %Failure Rate, Typical Use, %Death Rate (per 100,000 Women)Yearly Costs, $*AdvantagesDisadvantages
Depo-ProveraExcellent0.33 300Requires less memory 
Combination birth control pillsExcellent0.381.6455Highly effective; not used at time of coitus; improved menstrual cyclesCost; possible side effects; must take daily
PatchExcellent0.31.3 455Requires less memory than pill 
Vaginal RingExcellent0.55455  
IUD, Copper TExcellent0.60.81.0250Requires no memory or motivationMay be expelled
Progesterone TExcellent0.10.1 250  
Condom, maleVery good2151.775Easy to use; protection from STIsUsed at time of coitus; continual expense
Condom, femaleGood5212.0375Protection from STIsAwkward
Diaphram withGood6162.0100No sideAesthetic
spermicide     effects, inexpensiveobjections
Femcap with spermicide    100No side effects, inexpensive
Parous womenFair26322.0   
Nulliparous womenGood9162.0   
Vaginal foam, creamFair18292.050Easy to use; availabilityMessy, continual expense
WithdrawalGood4272.0NoneNo costRequires high motivation
RhythmPoor to fair2–9252.0NoneNo cost, accepted by Roman Catholic ChurchRequires high motivation, prolonged abstinence; not all women can use
Unprotected intercoursePoor85859None§  
Legal abortion, first trimesterExcellent000.5350–700Available when other methods failExpensive; moral or psychological unacceptability
Sterilization, maleExcellent0.100.150.31,500**Permanent; highly effectivePermanence; expense
Sterilization, femaleExcellent0.5.51.51,500–6,000**Permanent; highly effectivePermanence; 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).








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