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The failure rate of a copper IUD is approximately 0.8% and can prevent pregnancy for up to 10 years. The hormonal IUD (also known as levonorgestrel intrauterine system or LNg IUD) releases a small amount of the hormone called progestin that can prevent pregnancy for 3–8 years with a failure rate of 0.1-0.4%. [ 1 ]
A woman whose menstrual cycles ranged in length from 30 to 36 days would be estimated to be infertile for the first 11 days of her cycle (30-19=11), to be fertile on days 12–25, and to resume infertility on day 26 (36-10=26). When used to avoid pregnancy, such fertility awareness-based methods have a typical-use failure rate of 25% per year. [18]
This was a “typical use” failure rate, including user failure to use the method correctly. [12] In comparison, the combined oral contraceptive pill has an actual use failure rate of 2–8%, [13] while intrauterine devices (IUDs) have an actual use failure rate of 0.1–0.8%. [14] Condoms have an actual use failure rate of 10–18%. [9]
Levonorgestrel pills, when used within 3 days, decrease the chance of pregnancy after a single episode of unprotected sex or condom failure by 70% (resulting in a pregnancy rate of 2.2%). [11] Ulipristal , when used within 5 days, decreases the chance of pregnancy by about 85% (pregnancy rate 1.4%) and is more effective than levonorgestrel.
The actual pregnancy rates among diaphragm users vary depending on the population being studied, with yearly rates of 10% [16] to 39% [17] being reported. Unlike some other cervical barriers, the effectiveness of the diaphragm is the same for women who have given birth as for those who have not.
Emergency contraception (EC) is a birth control measure, used after sexual intercourse to prevent pregnancy.. There are different forms of EC. Emergency contraceptive pills (ECPs), sometimes simply referred to as emergency contraceptives (ECs), or the morning-after pill, are medications intended to disrupt or delay ovulation or fertilization, which are necessary for pregnancy.
Rates are generally presented for the first year of use. [41] Most commonly, the Pearl Index is used to calculate effectiveness rates, but some studies use decrement tables. [42] The failure rate of fertility awareness varies widely depending on the system used to identify fertile days, the instructional method, and the population being studied.
The Pearl Index, also called the Pearl rate, is the most common technique used in clinical trials for reporting the effectiveness of a birth control method. It is a very approximate measure of the number of unintended pregnancies in 100 woman-years of exposure that is simple to calculate, but has a number of methodological deficiencies.
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