Contraception

The term contraception refers to all methods, means and techniques used to prevent unwanted pregnancy. In plain terms, contraception is protection from unwanted pregnancy. Modern contraception is a tool for family planning and enables people to separate their sexual lives from pregnancy. Additionally, contraception has a role in regulating and treating certain disorders of the reproductive system.

Due to lack of information about modern contraception methods, in Serbia it is quite common that women visit gynaecologists because of unwanted pregnancy and that the solution is induced abortion. Having unwanted pregnancy prevented through modern contraceptives surely would be a better solution.

In Serbia, a myriad of contraceptives are available, so deciding on the best for the particular person can be a little intimidating. For a woman, the best way to go about this is to talk to her gynaecologist. For a man, the selection of methods is more limited but that also makes the choice easier.

The following table shows the methods and their efficiency.

Ideal use means sticking strictly to the guidelines for the particular method, without missing terms, on time and in the suggested manner. This column shows the data related to women using contraceptives in this way.

Typical use describes the manner in which majority of women in the population use contraceptives, meaning with occasional missed terms, unequal time periods between doses, broken condoms etc. This column show data related to general population

Contraceptive method

Percentage of women getting pregnant within one year of using the particular method

 

Typical use

Ideal use

No contraception

85

85

Natural methods

 

 

Coitus interruptus

22

4

Rhythm method

 

5

Cervical mucus method

 

4

Cervical mucus + basal body temperature method

 

0.4

Localised chemical methods

 

 

Spermicides

28

 

Mechanical methods

 

 

Diaphragm + spermicide

12

6

Male condom

18

2

Female condom

21

5

Hormonal contraception

 

 

Oral hormonal contraception

9

0.3

Vaginal (Nuva ring)

9

0.3

Mechanical and/ or hormonal method

 

 

Intrauterine device (Spiral)

<0.8

<0.6

Voluntary sterilisation

 

 

Female

0.5

0.5

Male

0.15

0.10

 

Source: Trussell J. Contraceptive Efficacy. In Hatcher RA, Trussell J, Nelson AL, Cates W, Kowal D, Policar M. Contraceptive Techology: Twentieth Revised Edition. New York NY: Ardent Media, 2011.