Condom, pills, nuva ring
(C) Love Matters | Rita Lino

Birth control: how well does it work?

There are two ways to rate how well birth control methods work. You can say how good they are if people use them perfectly. Or you can look at what happens in real life – because people aren’t usually perfect!

Why is it ‘typical’ not ‘perfect’?

If you need to remember to do something regularly, like take a pill or stick on a patch, the score for ‘typical use’ is a lot lower than for ‘perfect use’. Typically, people sometimes forget!

And with things like condoms or diaphragms, people sometimes make mistakes putting them on or inserting them.

What does ‘failure rate’ mean?

If 100 women use a birth control method for a year, the number of them who get pregnant anyway is the ‘failure rate’.

For example, if a hundred women use condoms for a year each time they have sex, typically 14 of them will get pregnant. So the failure rate is 14 per cent.

(That’s including all the mistakes – if they used the condoms perfectly, only three of them would probably get pregnant by accident.)

By way of comparison, if 100 women have sex for a year without using birth control, on average 85 of them will get pregnant. So you could say using no birth control has a ‘failure rate’ of 85 per cent.

100 per cent certainty

The only way to be 100 per cent sure to not get you or your partner pregnant is to not have sex and abstain.

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Recent Comments (32)

  1. I feel my breast have…
    I feel my breast have enlarge and my daughter is 8yrs can i be pregnant

    1. A test can help you…
      A test can help you determine whether you are indeed pregnant Yvonne.

  2. Hello, I enjoy reading aall…
    Hello, I enjoy reading aall of your article. I like to write a little comment to spport you.

    1. Thank you for your feedback…
      Thank you for your feedback Wilda.

  3. I needan advice on what i…
    I needan advice on what i should take cmcoz implant isnt working and i get pregnant in ussing the injection

  4. Hi…
    Hi
    is it advicable to use birth control before have a child eg the injections and coils.

    1. Hi Moh, Yes you can use…
      Hi Moh, Yes you can use birth control at any time before or even after you have children. When you want to have children you simply stop using the birth control method you are on and you should be able to get pregnant.

  5. I haven’t see my monthly…
    I haven’t see my monthly period this month and down their I fil lyk fil long sex what’s rong dia and I have abdominal pain

    1. Hi Emma, There are number of…
      Hi Emma, There are number of reasons that may lead your periods to delay including sports, change in diet and environment, use of contraceptive or even hormonal imbalances. A missed period could also be an indicator of pregnancy if you had unprotected sex. Give it time to see if they will come. With regard to the abdominal pain, it maybe important to seek medical attention for check up and treatment. Lastly, there is nothing wrong with feeling like having sex as long as it is safe. Check out this article;- https://lovematters.co.ke/our-bodies/female-body/menstruation

  6. hi..I used injection method…
    hi..I used injection method that was supposed to last for three months bt since it expired almost two months ago I have been having my periods every day for almost two months now….. what could be the problem.???

    1. Hi, One of the common side…
      Hi, One of the common side effects expected with the shot is change in the menstrual cycle. While one may have irregular bleeding or spotting, bleeding consistently for two months is no normal. You need to visit a health centre as soon as possible.

    1. Hi Olivia, What can we do…
      Hi Olivia, What can we do for you?

  7. No feelings for my hubby I…
    No feelings for my hubby I have coil as way of family planning can it be the cause

    1. Hey Liz, One of the side…

      Hey Liz, One of the side effects of the Coil or the Intrauterine Device (IUD) is mood changes. But this should resolve after a while. It may also be important to think about your relationship and if there is anything else going on that could be affecting your relationship and sex life. Check out this article for more information about the IUD;-  https://lovematters.co.ke/birth-control/types-of-birth-control/iud

  8. Hi, I am three months…
    Hi, I am three months pregnant and I have had a light bleed twice with no pains. What could be the problem

  9. Hello love matters I love…
    Hello love matters I love this page coz I have learnt alot on how to coupe up in love. But I am single and I need a lady to grow my love life

    1. Hello Harun, We are glad…

      Hello Harun, We are glad that this page has been useful to you, unfortunately we are not a dating service and for this reason we are not able to help you meet someone. We wish you well.

  10. Hi Lucy, I am not able to…

    Hi Lucy, I am not able to tell what could be happening but I suggest you visit your health care provider as soon as possible for a closer look and advice.  

  11. Hello I used deposit form of…
    Hello I used deposit form of injection in January and since then have not received my monthly period even after stopping on 28th April what could be the problem

    1. Hey Maiyo, do you mean you…

      Hey Maiyo, do you mean you have been using the Depo-Provera injection for birth control… Many women experience spotting and irregular periods during the first three months of being on Depo. This is therefore oe of the expected side effects of the Depp-Provera. Have a look at the following article for more information;- https://lovemattersafrica.com/birth-control/types-of-birth-control/shot

  12. Hi…I need advice on the…
    Hi…I need advice on the kind of protection to use….Do I need a test to determine the most suitable for me.

    1. Hi Cynthia, there is no test…

      Hi Cynthia, there is no test to take before deciding which method to use. Choosing a birth control method maybe an issue of preference for you or for you and your partner. Additionally, there are a few other things you may want to consider before deciding which method to use as follows;-

      • How important is it that you don’t get pregnant? Would it be a total disaster if you were pregnant? Or would it be okay, but just not quite the right moment?
      • How well does the birth control method work? What’s its failure rate?
      • Could the birth control method have side effects for you or your partner?
      • How soon would you like to have children?

      Think about these issues and the discuss your options with your health provider. Check out the following articles for further guidance;-

      https://lovemattersafrica.com/birth-control/choosing-the-right-birth-control/how-to-choose

      https://lovemattersafrica.com/birth-control/types-of-birth-control

       

  13. I plan to start using depo,…
    I plan to start using depo, how effective is it in preventing pregnancy if I have sex regularly?

  14. Six months after I stopped…
    Six months after I stopped using Depo I am stillnot pregnant. Did it affect me negatively? Can I ever become pregnant?

    1. Hi Joy, one of the…

      Hi Joy, one of the disadvantage of using the Shot (Depo-Provera), is that one won’t be able to immediately get pregnant once they stop using; it may take around ten months to get back to ones normal fertility. It may take sometime before you get pregnant, if it however takes longer than one year it will be important to seek the services of a Specialist. Have a look at the following articles for more information;- 

      https://lovemattersafrica.com/birth-control/types-of-birth-control/shot

      https://lovemattersafrica.com/pregnancy/before-pregnancy/getting-pregnant-dos-and-donts

  15. Hello, I used Postinor 2 but…
    Hello, I used Postinor 2 but I still became pregnant. It was very shocking to me.

    1. Hi Joy, first, all birth…

      Hi Joy, first, all birth control methods other than abstinence have a failure rate. Emergency contraception should be taken within the first 72 hours after having unprotected sex. The longer one waits the less effective it is likely to be. It is most effective, when taken within the first twenty four hours it is 95 per cent. Have a look at the following article for more information;- https://lovemattersafrica.com/birth-control/types-of-birth-control/emergency-contraception 

  16. Hi Joy I had unprotected sex…
    Hi Joy I had unprotected sex 4days after my period please can I get pregnant.
    Period started on 4th April and ended finally on 9 April
    Thanks.

    1. Hi Cynthia, When your…

      Hi Cynthia, When your fertile days are really depends on the length of your cycle. Technically speaking, the first seven days before and after your period, as well as the time of your period, are infertile. But, if you have a shorter cycle (25 days or shorter), or an irregular one, this will vary. Also keep in mind that sperm can survive for up to five days and longer inside the body- so even if you have sex on a ‘safe’ day, you can still get pregnant, because the sperm survived until your ovulation date.

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