Today the birth control methods available are safe and more reliable than ever. However, they are only as good as your ability to use them according to directions. So, choose a method that matches your lifestyle.

The tubal ligation is the most reliable but most permanent form of birth control. Fallopian tubes are cut or tied off, so that eggs can no longer be fertilized. Minor surgery is needed for this.

The birth control pill is very effective and can be used by most women. You need an exam and a prescription to use this form of birth control. It is your job to take it once a day, every day, the same time everyday. Most people have no side effects from this, except lighter and less painful periods. If other effects occur, there are many pills to choose from that will match your needs.

Progesterone based methods using implants or shots require less thought on your part and are even more effective than the pill. These methods also require an exam and with the shots, repeated visits every three months. Side effects can be more confusing with progesterone methods, so careful review with your health care provider is needed before you use this method.

IUD's, or intra-uterine devices, are safe and available to women today. They are placed by health providers, and once in, can be forgotten for a period of years. They are safe only in women with low risk sex, such as married women with only one partner. Infection and the inability to have babies because of the IUD are the reasons for this concern.

Barrier methods include diaphragms, cervical caps, and latex or plastic condoms, for men or women. These have the least side effects, but are also the least reliable. The diaphragm and cap need to be fitted to you by a healthcare provider who will help you understand how to place and use them. Sexually transmitted diseases are less in users of these forms, especially the condom. So, use latex or plastic condoms with other birth control methods for increased protection against such diseases as AIDS and gonorrhea.

Natural birth control methods are also reliable when used together and regularly. Your faith community may have information to share about these methods. Your local library or bookstore will have information as well. Planned Parenthood at (800) 472-4884 can help you with any questions you may have.

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