Methods of Contraception
What It Is
Methods of contraception are techniques, devices, medications, or procedures that prevent pregnancy by either preventing sperm from reaching and fertilizing an egg or preventing a fertilized egg from implanting in the uterus. Contraceptive methods vary widely in their effectiveness, side effects, convenience, accessibility, and appropriateness for different individuals and situations. They include barrier methods (condoms, diaphragms), hormonal methods (pills, patches, rings), long-acting reversible contraceptives (IUDs, implants), emergency contraception, and permanent methods (sterilization). Some methods, like condoms, also provide protection against sexually transmitted infections (STIs).
Why It Matters
Understanding contraceptive methods is essential for several important reasons:
- It empowers young people to make informed decisions about their reproductive health
- It helps prevent unintended pregnancies, which can have significant impacts on educational and career opportunities
- It allows individuals to plan pregnancies when they are physically, emotionally, and financially ready
- It provides options for managing certain health conditions like endometriosis or heavy menstrual bleeding
- It contributes to overall sexual health knowledge, including STI prevention
- It supports communication and shared responsibility between partners
Comprehensive knowledge about contraception doesn't encourage sexual activity but ensures that when young people do become sexually active, they have the information they need to protect their health and future. Research consistently shows that adolescents who receive accurate information about contraception are more likely to delay sexual activity and use protection when they do become sexually active.
Statistics to Know
- Nearly half (45%) of all pregnancies in the United States are unintended, with higher rates among adolescents. Effective contraception education can significantly reduce this rate. (Source: Guttmacher Institute, 2023)
- Teens who receive comprehensive sex education, including information about contraception, are 50% less likely to experience pregnancy than those who receive abstinence-only education. (Source: Journal of Adolescent Health, 2022)
- The most effective reversible contraceptive methods (IUDs and implants) are 20 times more effective than pills, patches, and rings, yet only 5% of teens use these methods. (Source: American Academy of Pediatrics, 2023)
- Approximately 40% of sexually active teens report not using contraception consistently, often due to misconceptions or lack of accurate information. (Source: CDC Youth Risk Behavior Survey, 2022)
- When parents discuss contraception with their teens, those teens are 3.5 times more likely to use contraception consistently when they become sexually active. (Source: Journal of Adolescent Health, 2021)
Age-Specific Guidance
Ages 13-18
Understanding at This Age
Adolescents ages 13-18 are developing abstract thinking skills and can understand complex concepts about reproductive health and contraception. They may be experiencing sexual feelings and some may be becoming sexually active. At this age, teens need comprehensive, medically accurate information about all contraceptive methods, even if they are not yet sexually active. They are capable of understanding effectiveness rates, side effects, and the proper use of various methods. They are also developing values and decision-making skills around sexuality and relationships.
Approach Tips
- Provide factual, comprehensive information about all contraceptive methods
- Frame discussions in the context of health, responsibility, and future planning
- Acknowledge that while you may hope they wait to become sexually active, you want them to have accurate information
- Discuss both the physical and emotional aspects of sexual relationships
- Address common myths and misconceptions about contraception
- Explain how different methods work and their effectiveness rates
- Discuss access to contraception, including confidentiality laws for minors
- Include information about emergency contraception
- Emphasize that contraception is a shared responsibility between partners
- Connect contraception to broader values like respect, consent, and responsible decision-making
Conversation Starters
- "I want to make sure you have accurate information about contraception, whether you need it now or in the future. What do you already know about different methods?"
- "There's a lot of misinformation about contraception online and among peers. What have you heard that you're wondering about?"
- "Different contraceptive methods have different benefits and drawbacks. Let's talk about how someone might choose the right method for them."
- "Contraception is most effective when both partners take responsibility. What do you think about how partners should communicate about this?"
- "If you ever need access to contraception, I want you to know your options for getting it safely and confidentially."
Recommended Resources
- "S.E.X.: The All-You-Need-To-Know Sexuality Guide to Get You Through Your Teens and Twenties" by Heather Corinna
- "Birth Control for Teens: The Facts" by Jane Hundley
- Planned Parenthood's Teen website (plannedparenthood.org/learn/teens)
- Scarleteen.com (comprehensive sex education website for teens)
- Bedsider.org (contraception information website)
Common Questions Parents Have
**Q: Won't talking about contraception encourage my teen to have sex?**
A: Research consistently shows the opposite. Teens who receive comprehensive information about contraception are actually more likely to delay sexual activity and more likely to use protection when they do become sexually active. Withholding information doesn't prevent sexual activity; it just increases the risk of uninformed decisions. Think of contraception education as similar to teaching about car safety—you teach your teen how to drive safely not to encourage reckless driving, but to ensure they have the skills they need when they do get behind the wheel. Providing information demonstrates trust in your teen's ability to make thoughtful decisions and opens the door for ongoing conversations about values, relationships, and health.
**Q: At what age should I start discussing contraception with my child?**
A: While detailed contraception information is most relevant during the teen years (13-18), laying the groundwork can begin earlier. By ages 10-12, children should understand the basics of reproduction as part of puberty education. This creates a foundation for more specific contraception discussions as they enter adolescence. The key is to provide information before it's immediately needed—ideally before your child becomes sexually active or before their peers begin sharing potentially inaccurate information. Remember that these conversations should evolve over time, becoming more detailed as your child matures. The goal is to normalize these discussions so your teen feels comfortable coming to you with questions as they arise.
**Q: How detailed should I be when explaining different contraceptive methods?**
A: For teens (13-18), provide comprehensive, medically accurate information about all major contraceptive methods. Include how each method works, effectiveness rates, advantages and disadvantages, and how to access them. While this level of detail might feel uncomfortable, incomplete information can lead to misconceptions and ineffective use. You don't need to cover everything in one conversation—start with an overview and add details in subsequent discussions. Balance biological information with conversations about decision-making, communication with partners, and your family's values regarding relationships. Remember that even if your teen isn't sexually active now, this knowledge is important for their future health and relationships.
**Q: How do I discuss contraception if it conflicts with our religious or cultural values?**
A: This is a common challenge for many families. Consider framing the conversation as providing health information, even if you're also communicating that your values suggest waiting for marriage or other circumstances. You might say, "Our faith teaches that sex is meant for marriage, and that's what I hope for you. At the same time, I want you to have accurate health information." Acknowledge that they will make their own decisions as they mature, and you want those decisions to be informed ones. Many religious parents find they can balance teaching their values while still providing comprehensive health information. Remember that knowledge itself isn't harmful—many teens integrate their family's values with health information to make thoughtful decisions.
**Q: How do I make sure these conversations are inclusive of LGBTQ+ teens?**
A: When discussing contraception, avoid assumptions about your teen's sexual orientation or gender identity. Use inclusive language like "partners" rather than assuming heterosexual relationships. Acknowledge that while some contraceptive information may seem irrelevant to LGBTQ+ teens, much of it remains important—many LGBTQ+ youth may have relationships where pregnancy is possible, either currently or in the future. Additionally, some contraceptive methods are used for health conditions unrelated to preventing pregnancy. Emphasize that all young people deserve comprehensive health information. For LGBTQ+ specific resources, organizations like GLSEN and Planned Parenthood offer specialized materials that address the unique health needs of LGBTQ+ youth.
Expert Insights
"When we provide adolescents with comprehensive information about contraception, we're not just preventing unintended pregnancies—we're teaching critical thinking, communication skills, and personal responsibility. These conversations should emphasize that contraception is part of overall health care and that planning pregnancies leads to better outcomes for parents and children. The most effective approach combines clear, accurate medical information with ongoing discussions about relationships, consent, and values. Remember that teens who feel they can talk openly with trusted adults about contraception are more likely to make careful, healthy decisions about their sexual health." — Dr. Sophia Yen, MD, MPH, adolescent medicine specialist and reproductive health expert