Wednesday, July 25, 2007

[contraception] just the stats, ma'am

Sources used were Bacchus: Smarter Sex, based on the U.S. Planned Parenthood and on Contraception: an Australian clinical practice handbook. (2006), pp 17-18. These were used because they provided charts, as distinct from the others which just yabbered on.

This started as a quiz, believe it or not - which contraceptive method is the most effective , 2nd, 3rd etc. Then two things happened:

1] I realized that many, particularly Catholics, Americans or both, were not going to see the light side of contraception; and

2] I started not to see the light side myself. As I waded through the stats, trying to collate them, I realized just how much effort goes into contraception and how far the reconstitution of society depends on contraception - plus one more thing:

3] When I saw that Planned Parenthood was behind it I baulked. This organization has some allegedly quite shady practices that I've met before and it's my right to personally be circumspect about their agenda, whatever my actual view on abortion and a woman's right to her own body.

Anyway, I'll still publish and be damned [as if you don't know all this already]. In each case, the percentage is the chance of getting pregnant again after use. The results from the two lists are listed separately and repeated so you can compare :

0% Abstinence

0.05% Norplant and Norplant-2

0.1% Etonogestrel implants LNG-IUD Mirena® (Hormonal IUD)

0.1% Etonogestrel implants Implanon™

0.1% Combined (estrogen and progestin)

0.1% LNg

0.15% Male sterilisation

0.15% Male Sterilization

0.3% Injectables Depo-Provera

0.5% Progestin Only

0.5% Tubal ligation (female sterilisation)

0.5% Female Sterilization

0.8% Etonogestrel implants Cu-IUD (Copper IUD)

0. 8% IUD Progesterone T 2 Copper T 380A

0.1-1% Injectables Lunelle

1% Ortho Evra (skin patch)

2% Nuvaring (vaginal ring)

2% Lactational amenorrhoea (LAM) when all three conditions below are met:

a. fully breastfeeding

b. <6>

c. amenorrhoea

3% Ovulation Method

3% Etonogestrel implants Depot medroxyprogesterone acetate (DMPA)

5% Pill

8% Combined oral contraceptives (COC)

8% Combined hormonal vaginal ring NuvaRing®

8% Progestogen only pill (POP)

9% Calendar Method

14% Male Condom

15% Condoms - Male

16% Diaphragms (with spermicide)

19% Withdrawal

20% Sponge Women who have never given birth

20% Diaphragm

20% Cap Women who have never given birth

21% Female Condom

21% Condoms - Female

25% Periodic Abstinence

25% Fertility awareness based methods e.g. standard days method, symptothermal method

26% Spermicides

27% Withdrawal

29% Spermicide only

40% Sponge - Women who have given birth

40% Cap - Women who have given birth

85% Leaving it up to chance

Seems to me that the best methods are to either abstain or to have some horrid chemicals and implants inserted in you, bit s of metal or else be surgically operated upon. Ouch.

6 comments:

  1. I can remember we were learning about contraception at school the same day the army came to do a recruitment/open day.
    I can remeber out teacher was talking about the resistant power of the sperm to many forms of contraception- at which point a host of army vehicles rolled past the window- he continued 'There like those guys- they have a job to do, and they're gonna do it!'

    Sex has had two billion years to get very efficient at the function it is designed for- and we all get caught out one way or the other.

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  2. Well, I think I said before that I once had to show a class how to put on a condom by putting one over a toothpaste tube [thanks to the wonderful PSHE curriculum] and I wonder if there are any ststistics on how useful that was? ! I dread to think. Abstinence may be the best method, but it would be a dull world if we were all able to carry it out.

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  3. I'm surprised withdrawal works so well as it does... Surely they should have covered that up!

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  4. Question? What's the difference between Male Condom and Condoms - Male and how come they have a different statistic?
    Higher failure rate than I would have expected.

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  5. Crushed - we all get caught out? Tell papa about it.

    Welshcakes - hmmmm!

    Gavin - it works the first you times and then wham.

    JMB - interesting question.

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  6. jmb, there's also two categories of femidom

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