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  • Vaginal spermicides - Sperm-killing chemical jellies, foams, creams or suppositories, inserted into the vagina prior to intercourse. This method is readily available; all forms can be purchased in most drug and grocery stores. However, this method used by itself is not very effective.
  • Progestin-only oral contraceptive ('The Mini-pill') - This type of birth control pill does not contain any estrogen component. It is therefore an alternative for those women who desire a highly effective method of contraception in a 'pill' form but are sensitive to estrogen or cannot take a contraceptive containing estrogen for other reasons (such as breast feeding). The effectiveness of progestin-only oral contraceptives is slightly less than that of the combination type. About 3 to7 pregnancies occur over a period of one year out of 100 women using this method.
  • Progestin implants - Six small progestin -containing rods are implanted surgically beneath the skin, usually under the upper arm, by a woman's health care provider. The rods release a continuous dose of progestin that inhibits ovulation, changes the lining of the uterus, and thickens cervical mucus, which may prevent sperm from entering the uterus. The implants provide contraceptive protection for a period of 5 years. Initial expense is several hundred dollars, but the cost may actually be less than buying a package of oral contraceptives every month over the same period of time. The method is highly effective. Less than 1 pregnancy occurs over 1 year out of 100 women using this type of contraception.
  • Hormonal injections - A progestin injection is given into the muscular tissue of the upper arm or buttocks. This injection prevents ovulation. A single shot provides contraceptive protection for a period of 90 days. This method is highly effective and does not depend on the compliance of patients.


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