Birth Control for Teens
Deciding What's Right for You
Birth control—without it, pregnancy can happen. That's why you need birth control you can count on.
There are lots of good options for birth control. Your best choices are those that you find easy to use—so you never go without it.
And of course, no matter what kind of birth control you use, you always need a plan for protecting yourself against sexually transmitted infections (STIs).
Some birth control methods work around the clock. Others work only when you use them, which means it's so very important to use them every time you have sex.
Birth control methods
- Abstinence. Not having sex (abstinence) is the most effective method of birth control and sexually transmitted infection (STI) protection.
- Barrier methods. The diaphragm, the cap, and male or female condoms are examples of barrier methods. They block the sperm from fertilizing an egg. You use one each time you have sex. And condoms also protect you from STIs.
- The pill, patch, or vaginal ring. These methods have hormones that stop you from releasing an egg each month (ovulation). You can choose to take a pill at the same time every day, change a patch every week, or change a ring every 3 weeks.
- Birth control shots. The shot contains hormones that prevent pregnancy for 3 months. You see your doctor every 3 months for the shot.
- Hormone implants. The implant, which is about the size of a matchstick, is put under the skin on the inside of your upper arm. It releases hormones that prevent pregnancy for about 3 years.
- Intrauterine device (IUD). The IUD is a small device that is inserted into the uterus by your doctor. There are two hormone IUDs—one works for 5 years, and the other works for 3 years. A copper IUD works for 10 years.
If you want to stop using the hormone implant or the IUD, you can have your doctor remove it. You can become pregnant after it's removed.
Emergency contraception (EC) is what you use if you've had sex without birth control you can count on. You may know it as "the morning-after pill." In the first 5 days after sex, you can take a special type and dose of hormone pills. Or you could have an IUD put in right away to prevent pregnancy.
EC is most likely to prevent pregnancy during the first 3 days after sex. If you have unprotected sex, use EC as soon as possible—if you ovulate after sex, but before using EC, the EC will not stop a pregnancy.
How to Decide
Choosing birth control is a very personal thing. First, think through some basic facts about your birth control options. Then, focus in on what's important to you. And then, think about who you are and what your style is.
How well does each birth control method protect me?
- Some methods depend on you and how well you use them—every time. These include hormone pills or the hormone patch or ring. The same is true for the condom, sponge, diaphragm, or cap.
- Some methods work very well for long periods of time without you having to do anything. These include the hormone implant or shot, and the IUD.
- Only a condom protects you from STIs.
- Abstinence depends on your commitment to not have sex. Not having vaginal intercourse prevents pregnancy. And not having oral sex, anal sex, or vaginal sex prevents STIs.
Is it easy to keep with me?
- Some methods easily fit in your bag. These include hormone pills or a condom, sponge, diaphragm, or cap.
- Some methods don't have to be carried around at all. These include the hormone shot or implant, the IUD, or the ring.
What do I think of as "easy to use"?
"Easy to use" birth control means different things to different people. What are you more comfortable with? You may want to try a method a few times. And then you may want to try some others.
- You may have no trouble making sure you have a method with you whenever you need it. Or that may be too hard to keep track of.
- It might be easy for you to put a sponge, cap, or ring into your vagina. Or that could be something you just won't do.
- Using a method every time you have sex, without error, might be easy for you. Or it may be hard to get it right. If you ever use drugs or alcohol before having sex, this is important to think about.
- "Easy" could mean you don't have to think about it, like the IUD or the implant. Or maybe you're looking for something you can easily switch off of so you can change to another method.
Can I stay on a schedule?
Are you good at remembering things? Or do you tend to lose track of things like your keys or what's on your calendar?
- Can you take a daily pill or change a weekly patch? How about going to your doctor's office every 3 months for a shot?
- Or do you need something that you hardly ever have to think about, like an IUD or a hormone implant?
How to Get Birth Control
From a store
You can buy birth control without going to a doctor. You can get male condoms in grocery stores, convenience stores, or drugstores. And you can get female condoms or a sponge and spermicide from a drugstore.
You can get emergency contraception without a prescription at most drugstores.
From a doctor
At a doctor's office, you can get:
- A hormone shot.
- A hormone implant.
- An IUD.
- A fitted diaphragm or cervical cap.
- A prescription for hormone pills, patches, or rings.
- A prescription for certain kinds of emergency contraception.
When you use abstinence for preventing pregnancy:
- Know what you want and how you feel before things get sexual.
- Remember why you chose abstinence. Think about your reasons and why they are important to you. How you feel and what you believe matter.
- Think ahead. Try to avoid getting into situations where staying abstinent could be hard.
- Don't abuse alcohol or drugs. Alcohol and drugs can affect your decisions. They can make you let down your guard and forget why you decided to be abstinent.
- Get support from someone you trust. It really helps. Share your decision, and talk about any challenges you're having staying abstinent.
Your local Planned Parenthood clinic or women's health center may have a teen support group where you can talk with other teens about abstinence.
Myth or Truth?
"A friend told me that you can't get pregnant if you haven't had a period at all, or even lately."
Don't believe it! You make an egg, or ovulate, and then have a period. And ovulation can happen at any time. There's no day of the month when it's safe to have sex without birth control.
"I heard a guy say that having birth control means you'll say yes to sex at any time."
Having protection against pregnancy and STIs means that it's there when you need it. But being prepared doesn't mean having to say yes unless you're comfortable with it.
"My sister told me you don't need birth control if you just douche after having sex."
Flushing water into the vagina, or douching, after sex does not prevent pregnancy.
"I need to feel safe with my sex partner and with what we're doing together. It's got to be okay to say 'no' or 'stop' at any time."
This should always be true. It's important that you be able to say "no" or "stop" at any time.
"I should be able to count on my partner to have a condom."
Every time? Anyone can be forgetful. It's best that you count on yourself. But for a built-in backup plan, you and your partner can agree to both keep protection with you.
"I worry that when I first go to a doctor for birth control, I'll need to have a pelvic exam."
Most teens don't have a pelvic exam when they first go for birth control. But if you already have a health problem that needs to be checked, you might. If you do need a pelvic exam and you're nervous about it, talk to your doctor about it ahead of time.
"Not having sex is the best way to prevent pregnancy and any STI."
That's right. Abstinence prevents pregnancy and STIs.
Other Works Consulted
- Food and Drug Administration (FDA) (2013). FDA approves Plan B One-Step emergency contraceptive for use without a prescription for all women of child-bearing potential. FDA News Release, June 20, 2013. Available online: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm358082.htm.
|Sarah Marshall, MD - Family Medicine|
|Kirtly Jones, MD - Obstetrics and Gynecology|
|Last Revised||August 7, 2013|
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