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These methods may be used to achieve pregnancy by timing unprotected intercourse for days identified as fertile, or to avoid pregnancy by avoiding unprotected intercourse during fertile days. The first formalized calendar-based method was developed in 1930 by John Smulders, a Catholic physician from the Netherlands.
Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent pregnancy. [1] [2] Birth control has been used since ancient times, but effective and safe methods of birth control only became available in the 20th century. [3]
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]
Fertility awareness methods may be used to avoid pregnancy, to achieve pregnancy, or as a way to monitor gynecological health. Methods of identifying infertile days have been known since antiquity, but scientific knowledge gained during the past century has increased the number, variety, and especially accuracy of methods.
IUDs are safe and effective in adolescents as well as those who have not previously had children. [6] [7] Once an IUD is removed, even after long-term use, fertility returns to normal rapidly. [8] Copper devices have a failure rate of about 0.8%, while hormonal (levonorgestrel) devices fail about 0.2% of the time within the first year of use. [9]
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Hormonal contraception is highly effective: when taken on the prescribed schedule, users of steroid hormone methods experience pregnancy rates of less than 1% per year. Perfect-use pregnancy rates for most hormonal contraceptives are usually around the 0.3% rate or less. [2]
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