When it comes to highly performing and recommended birth control methods, it’s essential to stay informed about the best options available in 2021. With numerous contraceptive choices on the market, finding the top-rated birth control that suits your needs can be overwhelming. Fortunately, we’ve done the research for you and compiled a list of the best and most effective birth control methods.
From hormonal contraceptives, such as the pill and the patch, to long-acting reversible contraceptives (LARCs) like intrauterine devices (IUDs) and implants, there are various birth control options to consider. Each method has its advantages and disadvantages, making it important to understand their effectiveness, side effects, and suitability for your lifestyle.
Our top-rated birth control options for 2021 include both hormonal and non-hormonal methods. Hormonal contraceptives, like the pill and the patch, utilize hormones to prevent pregnancy and are highly effective when used consistently and correctly. On the other hand, non-hormonal methods, such as copper IUDs and condoms, provide reliable protection without the potential side effects associated with hormones.
Understanding Birth Control
When it comes to recommended methods of birth control, it’s important to understand how they work and what options are available. Birth control methods are highly effective in preventing unwanted pregnancies, allowing individuals to take control of their reproductive choices.
There is a wide range of birth control methods to choose from, each offering different levels of effectiveness and convenience. Some of the highly rated and best performing options include hormonal methods such as birth control pills, patches, and injections. These methods work by introducing hormones into the body to prevent ovulation, making it difficult for fertilization to occur.
Barrier methods, such as condoms and diaphragms, provide a physical barrier between sperm and the uterus, preventing pregnancy. These methods are widely available, easy to use, and offer protection against sexually transmitted infections (STIs) as well.
Long-acting reversible contraception (LARC) methods, such as intrauterine devices (IUDs) and contraceptive implants, are also highly effective and convenient. These methods require less maintenance and provide long-term protection against pregnancy.
Before choosing a birth control method, it is important to consult with a healthcare professional who can provide personalized recommendations based on individual needs and medical history. They can help determine the best option for effective birth control based on factors such as lifestyle, preferences, and any underlying health conditions.
Importance of Birth Control
Birth control is highly recommended for individuals who want to have control over their reproductive choices. With so many birth control options available, it is essential to understand the importance of using contraception to avoid unintended pregnancies and protect against sexually transmitted infections (STIs).
The Top-rated Birth Control Methods
The top-rated birth control methods are those that have been proven to be highly effective in preventing pregnancy when used correctly. These methods include hormonal options such as birth control pills, patches, injections, and implants. Additionally, intrauterine devices (IUDs) are considered to be one of the best performing birth control methods.
Best Performing Birth Control Options
The best performing birth control options are those that have a high effectiveness rate in preventing unplanned pregnancies. These options include long-acting reversible contraceptives (LARCs) such as IUDs and implants, which have an effectiveness rate of over 99%. Other highly effective methods include hormonal contraceptives like birth control pills and injectables, as well as barrier methods such as condoms.
It is important to note that the effectiveness of birth control methods can vary depending on factors such as individual usage, adherence to instructions, and the specific type of birth control chosen. Therefore, it is crucial to consult with a healthcare provider and choose the best birth control method that suits your needs and lifestyle.
Preventing Unintended Pregnancies and STIs
The primary goal of using birth control is to prevent unintended pregnancies. By choosing and using a reliable method of birth control, individuals can take control of their reproductive health and make informed decisions about when and if they want to become parents.
In addition to preventing pregnancies, some forms of birth control, such as condoms, can also help protect against sexually transmitted infections (STIs). Using condoms consistently and correctly can reduce the risk of contracting or spreading STIs, including HIV.
Conclusion
Birth control is an essential tool that allows individuals to have control over their reproductive choices. By understanding the different options available and choosing the best-rated and best-performing birth control methods, individuals can prevent unintended pregnancies and protect themselves against STIs. It is always recommended to consult with a healthcare provider to determine the most suitable birth control option based on individual circumstances and needs.
Top Rated Contraceptives
When it comes to birth control, it’s important to find the best option that suits your needs. There are several highly effective contraceptives available on the market today that offer reliable protection against pregnancy. These top-rated methods have been recommended by healthcare professionals and are trusted by women worldwide.
One of the most popular and highly recommended forms of birth control is the hormonal contraceptive pill. This method works by releasing hormones that prevent ovulation and thicken the cervical mucus, making it difficult for sperm to reach the egg. The pill is taken daily and has a high success rate when used correctly.
Another highly effective contraceptive option is the intrauterine device (IUD). This small, T-shaped device is inserted into the uterus by a healthcare professional. There are two types of IUDs available: hormonal and non-hormonal. Hormonal IUDs release progestin, which prevents pregnancy by thinning the uterine lining and thickening the cervical mucus. Non-hormonal IUDs, on the other hand, work by creating an environment that is toxic to sperm, preventing fertilization.
For those who prefer a non-hormonal option, the contraceptive implant is a top-rated choice. This small rod is inserted beneath the skin of the upper arm and releases a steady dose of progestin. It works similarly to the hormonal IUD by preventing ovulation and thickening the cervical mucus. The contraceptive implant is highly effective and can provide protection against pregnancy for up to three years.
Lastly, another highly recommended contraceptive method is the contraceptive patch. This small patch is placed on the skin and releases hormones that prevent ovulation and thicken the cervical mucus. It is changed weekly and provides reliable protection against pregnancy.
In conclusion, when it comes to birth control, it is essential to choose a method that is best suited for your individual needs. These top-rated contraceptives, including the contraceptive pill, IUD, contraceptive implant, and contraceptive patch, are highly recommended and trusted by healthcare professionals for their effectiveness in preventing pregnancy.
Combined Oral Contraceptives
Combined oral contraceptives, also known as birth control pills, are one of the best and most highly rated methods of birth control available. They are recommended by healthcare professionals due to their high effectiveness in preventing pregnancy when used correctly.
Combined oral contraceptives contain a combination of synthetic hormones, usually estrogen and progestin, that work together to prevent ovulation and thicken the cervical mucus, making it difficult for sperm to reach the egg. This double-action mechanism makes combined oral contraceptives one of the top performing birth control options.
There are various brands and formulations of combined oral contraceptives available. Some contain a fixed dose of hormones, while others follow a multiphasic dosage regimen. It is important to consult with a healthcare provider to determine the most suitable option based on individual needs and medical history.
Combined oral contraceptives have additional benefits aside from pregnancy prevention. They can help regulate menstrual cycles, reduce the severity of menstrual cramps, and improve acne in some cases. However, they may not be suitable for everyone, particularly those with certain medical conditions or a history of blood clots.
It is crucial to take combined oral contraceptives as prescribed, at the same time each day, to ensure their effectiveness. Missing pills or taking them inconsistently may reduce their efficacy. It is also important to note that combined oral contraceptives do not protect against sexually transmitted infections, so additional protection, such as condoms, may be necessary.
- Recommended by healthcare professionals
- Highly effective in preventing pregnancy
- Contain synthetic hormones to prevent ovulation and thicken cervical mucus
- Various brands and formulations available
- Can help regulate menstrual cycles and reduce menstrual cramps
- Must be taken consistently and as prescribed
- Do not protect against sexually transmitted infections
Combined oral contraceptives are a top rated and highly recommended birth control option due to their effectiveness, ease of use, and additional benefits. However, it is important to consult with a healthcare provider to determine the most suitable option based on individual needs and medical history.
Contraceptive Patch
The contraceptive patch is one of the best-rated birth control options available in 2021. It is highly recommended by healthcare professionals and is considered a top choice for many women.
The contraceptive patch is a small adhesive patch that you apply to your skin once a week. It releases hormones into your body to prevent ovulation and thicken cervical mucus, making it difficult for sperm to reach the egg.
One of the reasons why the contraceptive patch is highly recommended is because it is easy to use and provides effective birth control. It has a high success rate when used correctly, with only a small number of women experiencing unintended pregnancies while using it.
Another advantage of the contraceptive patch is that it does not require daily attention like some other methods such as birth control pills. Once applied, you can forget about it for a week and still be protected against pregnancy.
However, it’s important to note that the contraceptive patch does not protect against sexually transmitted infections (STIs). If you are at risk of STIs, it is recommended to use additional protection, such as condoms, alongside the patch.
If you are considering birth control options, the contraceptive patch is definitely one to consider. It is a highly effective and convenient method that many women choose for its ease of use. Talk to your healthcare provider to determine if the contraceptive patch is the right choice for you.
Contraceptive Implant
The contraceptive implant is a highly rated birth control method that is known for its effectiveness and ease of use. It is a small, flexible rod that is inserted under the skin of the upper arm. The implant releases a hormone called progestin, which prevents pregnancy by thickening the cervical mucus and thinning the lining of the uterus, making it difficult for sperm to reach and fertilize an egg.
The contraceptive implant is one of the best performing birth control options available. It is more than 99% effective at preventing pregnancy, making it one of the most reliable methods. Once the implant is inserted, it can provide protection against pregnancy for up to three years, without the need for daily or monthly maintenance.
Benefits of the contraceptive implant:
- Highly effective at preventing pregnancy
- Long-lasting protection for up to three years
- Convenient and easy to use
- Does not require daily or monthly maintenance
- Reversible and can be removed at any time
Recommended for:
The contraceptive implant is recommended for women who want a highly effective and long-lasting birth control option. It is suitable for women of any age and can be used by those who have never been pregnant, as well as those who have already had children. However, it is important to consult with a healthcare professional to determine if the contraceptive implant is the right choice for you, as it may not be suitable for everyone.
IUD – Intrauterine Device
An IUD, or Intrauterine Device, is a highly effective and reversible form of birth control. It is a small, T-shaped device that is inserted into the uterus by a healthcare provider. IUDs are one of the best-rated birth control options and are recommended by healthcare professionals for their reliability and long-term effectiveness.
IUDs work by preventing pregnancy in multiple ways. Some IUDs release hormones, such as progestin, that thicken the cervical mucus, making it difficult for sperm to reach the egg. Other IUDs contain copper, which creates an environment that is toxic to sperm and prevents fertilization.
One of the key advantages of IUDs is their long-lasting protection. Depending on the type of IUD, they can provide birth control for up to 3 to 10 years. This makes them a convenient option for individuals who do not want to worry about daily or monthly birth control methods.
IUDs are highly performing contraceptives with a failure rate of less than 1%. They are considered one of the most effective forms of birth control available. Additionally, IUDs do not interfere with sexual activity and have no impact on future fertility once they are removed.
Types of IUDs
There are two main types of IUDs: hormonal and copper.
| Hormonal IUDs | Copper IUDs |
|---|---|
| Hormonal IUDs release progestin, which prevents pregnancy by thickening cervical mucus and inhibiting sperm movement. | Copper IUDs create an inflammatory reaction in the uterus, which is toxic to sperm and prevents fertilization. |
| Some examples of hormonal IUDs include Mirena, Skyla, Liletta, and Kyleena. | Examples of copper IUDs include Paragard. |
Considering an IUD?
If you are considering an IUD as your birth control method, it is important to consult with a healthcare provider. They can provide personalized recommendations based on your specific needs and medical history.
IUDs are one of the best and highly-rated birth control options available. Talk to your healthcare provider to see if an IUD is the right choice for you.
Depo-Provera Birth Control Shot
The Depo-Provera birth control shot is a highly recommended and highly rated method of birth control. It is a hormonal contraceptive that is injected into the body once every three months to prevent pregnancy.
The Depo-Provera shot is considered to be one of the best performing birth control methods available. It is more than 99% effective when used correctly and consistently. This means that less than 1 out of 100 women who use the shot as their birth control method will get pregnant each year.
One of the key advantages of the Depo-Provera shot is its convenience. Unlike other birth control methods that require daily or monthly maintenance, the shot only needs to be administered four times a year. This makes it a great option for women who may have difficulty remembering to take a daily pill or use other forms of birth control consistently.
The Depo-Provera shot works by releasing the hormone progestin into the body. Progestin prevents the release of eggs from the ovaries, thickens the cervical mucus to block sperm, and thins the lining of the uterus to prevent implantation of a fertilized egg. These actions combine to create a highly effective barrier to pregnancy.
It’s important to note that the Depo-Provera shot does not protect against sexually transmitted infections (STIs). If protection against STIs is a concern, it’s recommended to use condoms in addition to the birth control shot.
Overall, the Depo-Provera birth control shot is a highly rated and effective method of birth control. It offers convenience and peace of mind, making it an excellent choice for those looking for a reliable form of contraception.
Highly Recommended Birth Control
When it comes to choosing the best birth control option, it can be overwhelming to navigate through the numerous choices available. To make your decision easier, we have compiled a list of highly recommended and top-rated birth control methods that have been proven to be safe and effective.
1. Oral Contraceptives
Oral contraceptives, also known as birth control pills, are one of the most popular and widely used methods of contraception. They contain hormones that prevent ovulation and thicken the cervical mucus, making it difficult for sperm to reach the egg. Oral contraceptives are highly effective when taken correctly and consistently.
2. Intrauterine Devices (IUDs)
IUDs are small, T-shaped devices that are inserted into the uterus by a healthcare provider. There are two types of IUDs: hormonal and non-hormonal. Hormonal IUDs release progestin, which thickens the cervical mucus and thins the lining of the uterus, preventing fertilization. Non-hormonal IUDs release copper, which creates an inhospitable environment for sperm and eggs. IUDs are highly effective and can provide protection for several years.
3. Implants
Implants are small rods that are inserted under the skin of the upper arm. They release the hormone progestin, which prevents ovulation and thickens the cervical mucus. Implants are highly effective and can provide protection for up to three years.
4. Condoms
Condoms are a barrier method of birth control and are highly effective in preventing pregnancy when used correctly. They are available in both male and female versions, and provide protection against sexually transmitted infections (STIs) as well.
5. Sterilization
Sterilization is a permanent form of birth control that involves blocking or sealing the fallopian tubes in women or the vas deferens in men. It is a highly effective method and is not easily reversible, so it is important to carefully consider this option.
When choosing a birth control method, it is important to consult with your healthcare provider to determine the best option for your individual needs and preferences. Remember that the best birth control method is the one that suits you the most and that you are comfortable using consistently.
Barrier Methods
Barrier methods are recommended forms of birth control that work by creating a physical barrier between the sperm and the egg, preventing fertilization from taking place. These methods are highly effective when used correctly and consistently.
Condoms
Condoms are one of the most widely recognized and highly rated forms of barrier contraception. They are easy to use and readily available, making them a popular choice for many individuals. Condoms are designed to be worn over the penis or inserted into the vagina before sexual intercourse. They are made from latex or polyurethane, and some options are also available for people with allergies to latex. Condoms not only provide a barrier effect but also offer protection against sexually transmitted infections (STIs).
Dental Dams
Dental dams are thin sheets of latex or polyurethane that can be used during oral sex to prevent the spread of STIs. They are placed over the genital area or anus to create a barrier between the mouth and the genitals. Dental dams are an effective method for reducing the risk of STIs, especially when performing oral sex on someone with unknown STI status.
When choosing a barrier method, it is important to consider personal preferences, health factors, and the level of protection desired. Talking to a healthcare provider can help determine the best barrier method for individual needs and circumstances.
Hormonal Birth Control
Hormonal birth control is one of the top-rated and highly recommended methods of birth control. It works by using hormones to prevent pregnancy. There are various forms of hormonal birth control, including:
- Birth control pills: This is a common and highly effective method of birth control. The pills contain hormones that prevent ovulation and thicken the cervical mucus, making it difficult for sperm to reach the egg.
- Birth control patch: This is a small patch that is worn on the skin and releases hormones into the body. It works in a similar way to birth control pills.
- Birth control ring: This is a small, flexible ring that is inserted into the vagina. It releases hormones that prevent ovulation and thickens the cervical mucus.
- Birth control shot: This is an injection that is given every few months. It contains hormones that prevent ovulation.
- Birth control implant: This is a small rod that is inserted into the arm. It releases hormones that prevent ovulation.
Hormonal birth control is highly effective when used correctly and consistently. It is important to note that hormonal birth control does not protect against sexually transmitted infections (STIs). Therefore, it is recommended to use a barrier method of birth control, such as condoms, in addition to hormonal methods for added protection.
Permanent Methods
If you are looking for a highly effective and long-term solution for birth control, permanent methods may be your best option. These methods involve performing a procedure to block or remove the fallopian tubes or vas deferens, preventing pregnancy permanently.
One of the top-rated and recommended permanent methods for women is tubal ligation. This procedure involves closing or blocking the fallopian tubes to prevent the sperm from reaching the egg. It is a safe and effective method that has a high success rate in preventing pregnancy.
For men, vasectomy is the recommended permanent method. This procedure involves cutting or blocking the vas deferens, which carries sperm from the testicles to the urethra. It is a quick and relatively simple procedure that is highly effective in preventing pregnancy.
Both tubal ligation and vasectomy are considered to be permanent birth control options as they are not easily reversible. Therefore, it is important to carefully consider these methods before making a decision.
| Method | Description |
|---|---|
| Tubal Ligation | A procedure to block or close the fallopian tubes. |
| Vasectomy | A procedure to cut or block the vas deferens. |
If you are certain that you do not want to have any more children or if you have completed your family, permanent methods can provide you with the peace of mind and long-term birth control you are seeking. However, it is important to consult with a healthcare provider to determine if these methods are the best fit for your individual needs and circumstances.
Top Performing Birth Control
When it comes to choosing the best birth control method, it’s important to consider the performance and effectiveness. Here are some highly recommended birth control options that have been rated as the best:
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Intrauterine Device (IUD)
An IUD is a small, T-shaped device that is inserted into the uterus to prevent pregnancy. It is highly effective and can last for several years. There are two main types of IUDs: hormonal and non-hormonal. Both types are rated as top performers in terms of birth control.
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Birth Control Pills
Birth control pills are a popular choice for many women. They contain hormones that prevent ovulation and thicken the cervical mucus, making it difficult for sperm to reach the egg. When taken correctly, birth control pills are highly effective and recommended by healthcare professionals.
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Implant
An implant is a small rod that is inserted under the skin of the upper arm. It releases hormones into the body to prevent pregnancy. The implant is a long-acting and highly effective form of birth control, lasting for up to three years.
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Condoms
Condoms are a widely available and inexpensive form of birth control. They provide a barrier that stops sperm from reaching the egg and can also help prevent the spread of sexually transmitted infections. While they may have a lower effectiveness rate compared to other methods, when used consistently and correctly, condoms can still be highly effective.
Remember, the best birth control option for you may depend on your individual needs and preferences. It’s recommended to consult with a healthcare professional to find the right method for you.
Emergency Contraceptive Pills
Emergency contraceptive pills, also known as morning-after pills, are a form of birth control that can be used to prevent pregnancy after unprotected sex or contraceptive failure. These pills are highly recommended and widely available as a safe and effective option for emergency contraception.
Emergency contraceptive pills are best taken as soon as possible after intercourse, preferably within 72 hours but can be effective up to 120 hours (5 days) after unprotected sex. There are two types of emergency contraceptive pills available:
- Levonorgestrel: This type of emergency contraceptive pill contains the hormone levonorgestrel. It is considered highly effective and can be purchased over the counter without a prescription. It works by preventing ovulation or fertilization, and may also interfere with implantation.
- Ulipristal acetate: This type of emergency contraceptive pill contains the hormone ulipristal acetate. It is available by prescription only and is effective in preventing pregnancy up to 120 hours (5 days) after unprotected sex. It works by inhibiting or delaying ovulation.
Emergency contraceptive pills are a top performing birth control option for preventing unintended pregnancies. They are safe, easy to use, and have minimal side effects. However, it’s important to note that emergency contraceptive pills are not intended to be used as a regular method of birth control. They should be reserved for emergency situations only.
Sterilization
Sterilization is a highly effective method of birth control that is recommended for individuals who do not wish to have any more children. It involves performing a surgical procedure to permanently prevent pregnancy.
One of the best-rated forms of sterilization is tubal ligation for women. This procedure involves blocking or sealing the fallopian tubes to prevent sperm from reaching the eggs. It is considered to be a top choice for individuals who are sure that they do not want to have any more children.
For men, vasectomy is a highly recommended form of sterilization. This procedure involves cutting or blocking the vas deferens, which is the tube that carries sperm from the testicles to the urethra. It is a safe and effective method with a high success rate.
Both tubal ligation and vasectomy are permanent forms of birth control and are considered to be some of the best options available. They have high success rates and are highly recommended by healthcare professionals for individuals who are certain about their decision to not have any more children.
Fertility Awareness-Based Methods
Fertility Awareness-Based Methods (FABMs) are a highly rated category of birth control options that rely on tracking and predicting a woman’s fertility. These methods are considered one of the best performing forms of contraception and are recommended by experts in the field.
FABMs involve monitoring changes in a woman’s body to determine when she is most fertile and likely to conceive. This can include tracking menstrual cycles, monitoring basal body temperature, and observing cervical mucus consistency.
By understanding these fertility signs, women can identify both infertile and fertile periods of their cycle and make informed decisions about when to engage in sexual activity. FABMs do not involve the use of hormones, drugs, or devices, making them a natural and non-invasive option for birth control.
Although FABMs can be highly effective when used correctly, they require a high level of commitment, knowledge, and self-discipline. In order to achieve optimal results, women must be diligent in tracking their fertility signs and following the recommended guidelines.
It is important to note that FABMs are not foolproof and may have a higher failure rate compared to other birth control methods. Therefore, they are often recommended for women who are highly motivated to avoid pregnancy and are willing to invest the necessary time and effort in monitoring their fertility.
For those who are interested in FABMs, it is advised to consult with a healthcare provider or a fertility specialist to receive comprehensive guidance and support. They can provide detailed instructions on how to accurately track fertility signs and offer personalized recommendations based on individual circumstances.
| Advantages of Fertility Awareness-Based Methods | Disadvantages of Fertility Awareness-Based Methods |
|---|---|
| – Does not involve hormones or devices | – Requires a high level of commitment and discipline |
| – Can be used to achieve or avoid pregnancy | – May have a higher failure rate compared to other methods |
| – Provides a natural and non-invasive option | – Requires accurate tracking and interpretation of fertility signs |
| – Can increase awareness of one’s menstrual cycle | – Effectiveness may vary depending on individual circumstances |
Fertility Awareness-Based Methods offer women a highly rated and recommended form of birth control that puts them in control of their reproductive health. With the right knowledge and commitment, these methods can be a reliable option for those seeking a hormone-free contraception choice.
Intrauterine System
The Intrauterine System (IUS) is a highly effective and long-lasting form of birth control. It is a small, T-shaped device that is inserted into the uterus by a healthcare provider. The IUS releases a hormone called progestin, which helps prevent pregnancy by thinning the lining of the uterus and thickening the cervical mucus, making it difficult for sperm to reach the egg.
The IUS is one of the top rated birth control options and is recommended by healthcare professionals as one of the best forms of contraception. It is more than 99% effective in preventing pregnancy, making it one of the most performing birth control methods available.
One of the advantages of the IUS is its long-lasting nature. Depending on the specific type of IUS, it can provide effective contraception for up to 3 to 5 years. This means that once it is inserted, there is no need to worry about birth control on a daily basis.
Another benefit of the IUS is its convenience. Once inserted, it is virtually invisible and does not interfere with daily activities or sexual intercourse. It also does not require any user action, such as taking a pill at the same time every day. This makes it a suitable option for women who may have trouble remembering to take a daily pill.
The IUS is a reversible form of contraception, meaning that fertility can return quickly after removal. This makes it a good option for women who may want to become pregnant in the future.
In conclusion, the Intrauterine System (IUS) is a highly recommended and top rated form of birth control. Its high effectiveness and long-lasting nature make it one of the best options available. If you are considering birth control, be sure to discuss the IUS with your healthcare provider to see if it is the right choice for you.
Male Condoms
Male condoms are one of the most highly recommended and top-rated methods of birth control. They are considered one of the best options for preventing unwanted pregnancies and protecting against sexually transmitted infections (STIs).
Male condoms are a type of barrier contraception made from latex or other materials. They are worn over the penis during sexual intercourse to prevent pregnancy by blocking sperm from reaching the egg. Condoms also provide a protective barrier that reduces the risk of STIs.
Male condoms are easily accessible, affordable, and widely available without a prescription. They are easy to use, with a high success rate if used correctly and consistently. Condoms have a high efficacy rate in preventing pregnancy, with a recommended effectiveness of around 85-98% when used perfectly.
In addition to being an effective method of birth control, male condoms are also reversible, meaning their effects are not permanent. This makes them a suitable choice for individuals who want temporary protection while still maintaining the option of conceiving in the future.
It is important to note that male condoms should be used with water-based or silicone-based lubricants to prevent the condom from tearing or breaking during intercourse. Oil-based lubricants, such as petroleum jelly or baby oil, should be avoided as they can weaken the condom material.
In conclusion, male condoms are highly recommended and top-rated as a birth control method. They are easily accessible, affordable, and provide both pregnancy and STI protection. When used correctly and consistently, condoms are considered one of the most reliable and effective forms of contraception available.