Understanding your options: Permanent and Temporary Contraception Methods

When considering a procedure like Adiana Permanent Contraception, it is important for you to understand and consider all of the available permanent and temporary contraception options. Please carefully review the options listed below and discuss these options with your doctor to help you determine if the Adiana procedure is the right choice for you.

Permanent Contraception Methods | Temporary Contraception Methods

Permanent Contraception Methods

Adiana Permanent Contraception¹ A minimally invasive procedure that provides protection from pregnancy. It works by stimulating your body's own tissue to grow in and around tiny, soft inserts that are placed inside your fallopian tubes.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

One-time, permanent procedure
Procedure makes no cuts through the skin, leaves no scars
May not require general anaesthesia
Most women return to their normal activities within approximately a day or two
Does not involve hormones

Post surgical pain/discomfort, risk of infection
Not all women are candidates for the Adiana procedure
Some risk of ectopic pregnancy
No protection from STDs
Risks associated with anaesthesia

1.1%^*

Tubal ligation² A surgical procedure that cuts through the abdomen to reach the fallopian tubes, which are then sealed off to prevent pregnancy.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

One-time, permanent procedure
No need for temporary birth control afterwards
Does not involve hormones

Post surgical pain/discomfort, risk of infection
Risks associated with general anesthesia
Recovery time
Some risk of ectopic pregnancy
No protection from STDs

0.5%^†

Vasectomy² A surgical procedure for men where an incision is made into the scrotum, and then the tube that carries sperm out of the testes is sealed or blocked. Afterwards, a man can still achieve orgasm and ejaculate, but there is no sperm in the fluid, so it cannot fertilise a woman's egg.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

One-time, permanent procedure
Does not involve hormones

Post-surgical pain/discomfort, bleeding, risk of infection
No protection from STDs

0.15%^†

Temporary Contraception Methods

Oral Contraceptives (Birth control pills)² Daily pill that either contains the hormones estrogen and progestin, or progestin only.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

More predictable menstrual cycle
May reduce menstrual bleeding in some women

Hormone side effects may include nausea, headache, decreased libido, weight gain, breast tenderness, moodiness
Increased risk of blood clots, heart attack and stroke. Risks are increased in women over age 35 who smoke
Must be taken every day at a certain time
No protection from STDs

8%^†

Copper IUD² T-shaped copper device inserted into the uterus by a healthcare professional.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Long-term protection from pregnancy (up to 10 years, depending on type)
Reversible at any time by removing
No hormones

Risk of heavier/longer menstrual bleeding, cramps
Risk of pelvic inflammatory disease
Increased risk of ectopic pregnancy
Risk of expulsion (the device becoming dislodged)
No protection from STDs

0.8%^†

IUC (LNG-IUS Mirena^TM)² T-shaped plastic device inserted into the uterus that releases the hormone progestin. Inserted by a healthcare professional. For use in women who have had a baby.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Long-term protection from pregnancy (up to 5 years)
Reversible at any time by removing
Hormones delivered locally, not systemically
May result in lighter menstrual bleeding

Hormone side effects may include abdominal pain, acne, pelvic pain, ovarian cysts, breast tenderness, moodiness³
Risk of irregular menstrual bleeding
Risk of spotting between periods
Higher risk of ectopic pregnancy
Risk of expulsion (the device becoming dislodged)
No protection from STDs

0.2%^†

Patch (OrthoEvra^TM)² Skin patch that releases the hormones estrogen and progesterone. A new patch is applied once a week for 3 consecutive weeks, and left off for one week per month.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Convenience
Applied only once a week

Visibility
May fall off, increasing risk of pregnancy
Forgetting to change patch on correct day requires use of backup contraception
Side effects may include nausea, skin irritation, breast tenderness, and headache
Increased risk of blood clots, heart attack and stroke. Risks are increased in women over age 35 who smoke
No protection from STDs

8%^†
(less effective in women who weigh more than 195 pounds (100 kilograms))

Implant (Implanon^TM)² A small, thin rod that releases the hormone progestin. It is inserted just under the skin on the upper arm by a healthcare professional. Left in place for up to 3 years.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Long-term protection from pregnancy (up to 3 years)
Reversible at any time by removing

Side effects may include irregular periods, weight gain, acne, headaches
No protection from STDs

0.05%^†
(May be less effective in women who are very over-weight)

Vaginal Ring (NuvaRing^TM)² A flexible plastic ring inserted into the vagina once a month, slowly releasing the hormones estrogen and progestin.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Inserted only once a month

Side effects of ring may include vaginal infections, irritation
Hormone side effects may include headache, nausea, decreased libido, breast tenderness
Increased risk of blood clots, heart attack and stroke. Risks are increased in women over age 35 who smoke
Risk of ring falling out. If it remains out for more than 3 hours, must use backup contraception
No protection from STDs

8%^†

Hormone shot (Depo-Provera^TM injection)² An injection of the hormone progestin given every 3 months.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Only needed once every 3 months
May lessen menstrual bleeding

Hormone side effects may include irregular periods, spotting, weight gain, breast tenderness, headaches
Prolonged use may result in bone loss - therefore not recommended for use for more than 2 years
Possible delayed return to fertility after stopping the injections
No protection from STDs

3%^†

Male condom (latex)² Disposable latex sheath placed on penis.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Best protection from STDs
No hormones

May break
Can only be used once
Risk of allergic reactions

15%^†

Female condom² Similar to a male condom, inserted into vagina with a flexible ring at the closed top.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Some protection from STDs
No hormones

Can only be used once
Risk of allergic reactions
May extend outside of vagina

21%^†

Diaphragm w/ spermicide² Flexible, dome-shaped rubber disk used to cover the cervix each time a woman has intercourse. Spermicide is applied before insertion into the vagina. Must be fitted by a healthcare professional.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

No hormones

Must be inserted correctly
Must be left in place at least 6 hours after intercourse
Additional spermicide must be used for repeated intercourse
Risk of toxic shock syndrome if not removed within 24 hours
No protection from STDs

16%^†

Spermicide alone² A foam, cream, jelly, suppository, or film that contains nonoxynol-9, an ingredient that kills sperm.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Only used when needed

Less effective than other methods described within
May cause irritation, allergic reactions, or urinary tract infections
No protection from STDs

29%^†

Cervical Cap w/Spermicide (Sponge)² A soft rubber cap filled with spermicide and inserted into the vagina to cover the cervix.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Can be left in place up to 24 hours without applying additional spermicides for repeated intercourse
No hormones

No protection from STDs
Can be difficult to insert
Risk of allergic reactions
Risk of toxic shock syndrome if left in place longer than 24 hours

32% for women who have given birth, 16% for women who have not given birth^†

Withdrawal Method (coitus interruptus)² Withdrawal of the penis from the vagina before ejaculation.

Benefits/Advantages

Risks/Disadvantages

Failure Rate

Allows for spontaneity
No dependence on devices or drugs
No hormones

No protection from STDs
Less effective than methods described within
Appropriate time of use is hard to predict
Requires self control

27%^†

^* 1-year pregnancy rate based on Adiana pivotal clinical trial data (the Evaluation of the Adiana System for Transcervical Sterilization (EASE))

^† 1-year, typical use pregnancy rates (Adapted from: Trussell J. Contraceptive Efficacy. In Hatcher RA, Trussell J, Nelson AL, Cates W, Stewart FH, Kowal D. Contraceptive Technology: Nineteenth Revised Edition. New York NY: Ardent Media; 2008.)

^1. Vancaillie T, Anderson T, Johns A. A 12-month prospective evaluation of transcervical sterilization using implantable polymer matrices. Obstet. & Gynecol 2008; 112:1270-7.

^2. Hatcher RA, Trussell J, Nelson AL, Cates W, Stewart FH, Kowal D. Contraceptive Technology. Nineteenth Revised Edition. New York, NY:Ardent Media;2008.

^3. Mirena [Prescribing Information]. Wayne, NJ: Bayer HealthCare Pharmaceuticals, Inc.; 2009.