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Contraception after Pregnancy

 

Natural Family Planning
Barriers
IUDs
The Pill
Implants
Injections
Sterilization
Abstinence
 
During Breastfeeding
Yes
Yes
Yes
Progestin Only
Yes
Depo-Provera: Yes.
Lunelle: Same as combined oral contraceptives
Yes
Yes
 
Average Success Rate
Low
Low
High
Moderately High
Extremely High
Extremely High
Extremely High
Low
 
Length of Protection
Requires Constant Attention
Per use
A year or more
Continuous if taken daily
5 years
Depo-Provera: 3 months
Lunelle: 1 month
Permanent
Per use
 
Average Cost
None
$.50-$3 per use
$395-$540 at time of insertion
$20-$25 per month
$450-$750 per insertion
Depo-Provera: $60-$75
Lunelle: $30-37 both per injection
$2,500
None
 
Return to Fertility After Stopping Use
Immediate
Immediate
Immediate
Immediate
Immediate
Depo-Provera: 6-8 months
Lunelle 2-4 months per injection
None
Immediate
 
Requires Visit to Clinician to Stop Use
No
No
Yes
No
Yes
No
Non-applicable
No
 
Does Partner Need to be Involved?
Yes
Yes with condoms; No with other methods
No
No
No
No
No
No
 
Protection against STDs/AIDS
No
Yes with condoms; No with other methods
No
No
No
No
No
Yes
 
Practical Concerns
Keep a calendar of menstrual cycle; take body temp.; check cervical mucus; calculate when it’s safe to have intercourse; know signs of fertility
Must use method with each act of intercourse
Insertion by health care provider; after each menstrual period, woman should feel string to check IUD still in place
Take pill daily
Insertion and reinsertion every five years
Depo-Provera: Obtain injection every 3 months;
Lunelle: Obtain injection every month
Initial surgery
Refrain from all acts of sexual intercourse

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