Content

• Steps

There are many ways to reduce the risk of an unwanted pregnancy without using a condom. You can talk to your family doctor (and ask your doctor to prescribe it) about medical contraception or choose natural methods. However, keep in mind that condoms have many other benefits besides preventing pregnancy, such as preventing sexually transmitted diseases.In addition, the only way to prevent pregnancy that is 100% effective is to abstain from sex; every other option can significantly reduce the risk of pregnancy but is not absolutely guaranteed.

Steps

Method 1 of 3: Using medical methods to prevent pregnancy without using a condom

1. 

   Use hormonal contraceptive pills (hormones). If you are a woman and are trying to prevent pregnancy without using a condom, the most common option is a hormonal birth control pill. Your family doctor can give you this medicine; Oral contraceptives usually contain estrogen and progesterone, or only progesterone. Usually, you will take one pill every day for 21 days, followed by 7 days to take the "sugar pill" (during these days your body will experience a "withdrawal bleed" (reduced bleeding time due to hormonal decrease). ) instead of menstruation.
   • There are many different types of oral contraceptive pills, and you can talk with your doctor about your options to decide which one is best for you.
   • The advantage of oral contraceptives is that they achieve a contraceptive effect of up to 91% (even more effective if taken at exactly the same time each day and without forgetting a date).
   • If you are a man who has sex with a woman but don't want to get your partner pregnant, you can ask her if she takes birth control pills. The downside of this method for men is that you depend on your partner and have to be confident that she takes her full pill every day, without missing any pills.

2. 

   
   
   IUD insertion. The IUD is a small, T-shaped device that is inserted into a woman's uterus through the vagina (and left in place for years as a contraceptive). The contraceptive effectiveness of this method reaches 99%.
   • The types of IUDs available include: Mirena, Skyla, Lilletta, and Copper.
   • The Mirena IUD is a hormonal contraceptive (containing hormones). These are more expensive and last up to 5 years; But its benefits are to help reduce menstrual cramps and reduce menstrual bleeding. The Skyla and Lilletta IUD are also hormonal contraceptives and last for up to 3 years.
   • The Copper IUD is not a hormonal contraceptive. The advantage of this ring is that it is cheaper and can last up to 10 years; However, the disadvantage of this type is that it can increase monthly bleeding and menstrual cramps.
   • Your family doctor may prescribe an IUD. You may be scheduled for an IUD insertion, which takes just a few minutes.
   • IUD insertion may cause some pain as it passes through the narrow cervix; however, the pain will be relieved as soon as you are booked.

3. 

   
   
   Try other methods of hormonal contraception. These options include the vaginal ring, the contraceptive injection Depo-Provera, and the birth control patch. Your family doctor can prescribe you for these methods of contraception.
   • The vaginal ring (also called NuvaRing) is an instrument that is placed in the vagina and left for 3 weeks (then removed for a week for a decrease in bleeding time due to hormonal loss. it inhibits ovulation by secreting hormones (a combination of estrogen and progesterone) during the time it is placed in the vagina.It rarely interferes with sexual intercourse, and is usually not felt by the couple. The chance of failure is usually 9% when used in the normal way, and 0.3% when used optimally.You can remove the vaginal ring in up to 3 hours. It is still effective against contraception, so if you feel more comfortable without a vaginal ring, you can choose this option.
   • The Depo-Provera contraceptive injection will be injected every 3 months by your doctor, so the advantage of this method is that you do not need to remember to take regular contraceptive pills (or use other methods), provided that inject once every 3 months. The failure rate of this method is less than 1% for those who get injections every 3 months.
   • The contraceptive patch measures about 5cm x 5cm, which is attached to the skin. Each birth control patch works for 1 week and then changes to another - so you need to use three patches each time, then take a week off for a decrease in bleeding time due to hormonal decrease. The patch contains the same hormones as the oral contraceptive pill, and if used correctly (change the patch every week), the chance of failure is less than 1%.
   • Ask your doctor about a contraceptive implant called an Implanon. This is a birth control device that is implanted in the arm and lasts up to 4 years.

4. 

   
   
   Consider using a spermicide. The spermicide comes in the form of a gel or foam inserted into the vagina that besieges and destroys sperm with chemicals that are toxic to the sperm. You can buy this product in pharmacies. The failure rate of this method is about 22%.

5. 

   Choose barrier methods such as cervical caps and vaginal diaphragms. These are devices that are inserted into the vagina to wrap the cervix. They will stop the sperm from entering the uterus. Cervical caps from the bow or vaginal diaphragm also often contain spermicidal chemicals, further reducing the risk of pregnancy. The failure rate of this method is 14% for women who have never become pregnant, and 29% for women who have ever been pregnant before.
   • You may have a cervical cap and vaginal diaphragm placed in your doctor's office.

6. 

   Consider using a sterilization method. One of the surest ways to prevent pregnancy is by either male or female, (or both) sterilization. However, you need to know that this method is permanent. Don't do this unless you definitely don't want to have children in the future.
   • For men, this is called "vasectomy." With this procedure, the vas deferens (the tube of the semen) are severed. This prevents male fertility.
   • For women, this is called "tubal ligation." The fallopian tube (fallopian tube from the ovary to the uterus) is severed. This will prevent the egg from fertilizing, so you cannot get pregnant.

Method 2 of 3: Use natural methods to reduce your risk of pregnancy

1. 

   Try the "vaginal ejaculation" method. One way to reduce your chances of getting pregnant without using a condom is with the vaginal ejaculation method. Then, the man will pull the penis out just before ejaculation so that the sperm will not have a chance to enter the woman's vagina and fertilize.
   • The downside of this method is that a certain amount of semen can ooze prematurely (before ejaculation, also before the man withdraws his penis), so this method is only effective to prevent pregnancy 78%.

2. 

   Use the method of "contraceptive scheduling.""Technically, a woman has only a few days to conceive a month. Most women have a cycle of 28 days, starting from the first day of menstruation. On average, ovulation occurs. release on day 14, but can conceive a few days before and after ovulation.
   • If you have sex for a long time before and after ovulation, your chances of getting pregnant are much lower.
   • The downside of the contraceptive method is that not every woman has an exact 28-day cycle. This cycle is different for each woman. Even a woman may find her menstrual cycles irregular from month to month. For that reason, this method is only 76% effective if you don't use a condom.
   • If your cycle is more or less than 28 days consistently, subtract 14 days from the date your period ends and see it as the start of your most fertile days. The second half of the menstrual cycle (after ovulation occurs) is usually more regular than the first half of the cycle (before ovulation).

3. 

   Monitor fertility through your body's cues. One way to monitor fertility is to use body cues such as body temperature measurements, and / or observe cervical mucus to find out the most fertile days, from which you can become pregnant. Avoid intercourse during these days.
   • With the "body temperature" method, the first thing a woman will do every day is take her temperature in the morning and before eating.A woman's body temperature will increase by about 0.3 -0.5 degrees Celsius after ovulation. Therefore, you should use condoms, spermicides, or other non-hormonal methods of contraception from the first day after your period ends to three days after your temperature rises.
   • With the method of "cervical mucus", the woman will observe the characteristics of the secretions from the neck from the cervix. Normally, there is no mucus secreting from the cervix as soon as the period ends, and a few days later there will be some mild, sticky fluid. The discharge will increase strongly, wet and clear on the days of ovulation, after which there will be less discharge after the "ovulation" ends until the next menstrual cycle begins. Therefore, it is important to avoid intercourse during days when cervical mucus is highly secreted, clear and wet, since that is the time when a woman is most likely to conceive.

4. 

   Understand that natural methods still carry a risk of pregnancy. The two methods of vaginal ejaculation and the contraceptive scheduling are less effective than the medical contraceptive methods. It is important not to rely on these methods if you really want to seek contraception. Here are the reasons:
   • If you are a man and accidentally make a woman pregnant, in most places she has the absolute right to choose whether or not to continue the pregnancy (or to have an abortion).
   • This may mean that, if your partner chooses to keep the baby, you will have an obligation to support, and possibly a shared responsibility of parenthood.
   • Both man and woman suffer the effects of pregnancy. Your child's responsibilities and responsibilities before you are really ready will greatly affect (and can hinder) your other plans for career, relationships, or other areas of life.
   • If you are a woman and have an unwanted pregnancy, you may face a difficult decision to keep the baby or terminate the pregnancy, if this is legal in the country you live in.

Method 3 of 3: Understand other benefits of a condom

1. 

   Using condoms as a way to reduce the risk of getting a sexually transmitted infection (STI). Before deciding to use a condom, you need to understand the role of condoms in reducing the risk of STIs transmission and preventing pregnancy. Even if you are using other methods of birth control such as the hormonal oral contraceptive pill, other methods of contraception cannot prevent STIs. Therefore, condoms have a very important benefit in safe sex during sex.
   • Condoms protect you from getting STIs by reducing your genital contact and preventing the flow of semen from your penis into your vagina. Both types of exposure above are ways of transmitting disease from person to person.

2. 

   Use a condom if you do not completely trust your partner. If you are in a long-term monogamous relationship, you will know if your spouse is using other methods of contraception, such as the oral contraceptive pill or the IUD, because you have gained trust. At the same time, previously discussed the best contraceptive methods for both. However, if you have a new partner that you don't understand enough to fully trust, then condoms are one of the most reliable methods of contraception.
   • If you are a man, you can never know for sure if your partner is really taking birth control pills (or using other methods of contraception), and taking it regularly.
   • Chances are she's being dishonest about her contraceptive use while intentionally pregnant.
   • Similarly, a man may be dishonest with his partner about having a vasectomy, but in fact, he is not. Or he says he will ejaculate out of the vagina, but in the end he does not.
   • Using a condom is a clear and straightforward method of contraception that does not require trust in others.

3. 

   Seek emergency contraception if a condom is torn or used incorrectly. The contraceptive effectiveness of a condom is 82%. However, if a condom breaks during intercourse, it is important to seek emergency contraception.
   • You can buy EC pills at pharmacies, which are also sometimes sold in supermarkets.
   • The options for this are oral pills (Plan B) or the Copper IUD. Plan B medications should be taken as soon as possible after having unprotected sex (ideally within a day, as the effect is reduced the longer the wait). However, Plan B can be used within 72 hours of unprotected sex. The Copper IUD is effective for emergency contraception up to 5 days after sexual intercourse.
   • Other options include ulipristal acetate and the estrogen-progesterone combined oral contraceptive pill. Both these emergency contraceptive pills require a doctor's prescription.

4. 

   Use a condom as a protective measure to help if pregnancy is something you never thought about. Every method has a failure rate, so it would be wise to combine several measures - such as using both condoms and oral contraceptive pills - in case you absolutely don't want to get pregnant. Using precautions is always better than risky to have to deal with the consequences later.