For many women, hormonal contraception is the most common method used for birth control. However, some women may prefer to avoid hormonal methods for various reasons. Fortunately, there are non-hormonal options available that provide effective birth control without the use of hormones.
Non-hormonal birth control methods rely on different mechanisms to prevent pregnancy. These methods can include barrier methods such as condoms or diaphragms, fertility awareness-based methods, and copper intrauterine devices (IUDs). These options provide women with a range of choices for contraception that do not involve hormonal interventions.
One of the main advantages of non-hormonal birth control is the absence of hormonal side effects. Hormonal methods can sometimes cause unwanted effects such as mood changes, weight gain, or decreased libido. By choosing non-hormonal options, women can avoid these potential side effects while still effectively preventing pregnancy.
It is important for women to be aware of the available non-hormonal birth control options and to choose the method that best suits their individual needs and preferences. Talking to a healthcare provider can help in making an informed decision about the most suitable non-hormonal birth control method, taking into consideration factors such as effectiveness, ease of use, and personal circumstances.
Female Birth Control Options: Non-Hormonal Methods
When it comes to birth control and contraception, there are non-hormonal options available for women. These methods provide an alternative to hormonal contraceptives and can be a suitable choice for those who wish to avoid the potential side effects of hormonal birth control.
Non-hormonal birth control methods work by preventing fertilization or implantation, without the use of hormones. They are generally safe and effective when used correctly. Here are some of the non-hormonal options:
1. Barrier methods: Barrier methods, such as condoms and diaphragms, create a physical barrier to prevent sperm from reaching the egg. These methods are readily available and provide protection against sexually transmitted infections (STIs) as well.
2. Copper IUD: The copper intrauterine device (IUD) is a small T-shaped device that is inserted into the uterus. It works by releasing copper ions, which are toxic to sperm, thus preventing fertilization. Copper IUDs are highly effective and can provide long-term contraception for up to 10 years.
3. Natural family planning: Natural family planning methods involve tracking your menstrual cycle and avoiding intercourse during the fertile days. This method requires careful tracking and monitoring of your menstrual cycle and may not be as effective as other methods if not followed correctly.
4. Permanent sterilization: For women who do not wish to have any more children, permanent sterilization options, such as tubal ligation or tubal implants, can be considered. These procedures block or seal the fallopian tubes to prevent the egg from reaching the uterus.
5. Withdrawal method: The withdrawal method, also known as “pulling out,” involves the man withdrawing his penis before ejaculation to prevent sperm from entering the vagina. While this method is widely used, it is not as effective as other methods and does not provide protection against STIs.
It is important to discuss with your healthcare provider to determine the most appropriate and effective non-hormonal birth control method for you. They can guide you through the different options and help you make an informed decision based on your individual needs and preferences.
Barrier Methods of Contraception
Barrier methods of contraception are a type of birth control that work by physically blocking sperm from reaching the egg. Unlike hormonal methods, which use synthetic hormones to prevent pregnancy, barrier methods provide a non-hormonal option for women who prefer a more natural approach to birth control.
There are several types of barrier methods available for female contraception, including:
- Condoms: Condoms are the most well-known and widely used barrier method. They are typically made of latex or polyurethane and can be used for both contraception and protection against sexually transmitted infections.
- Cervical cap: This is a small, silicone or latex cup that is inserted into the vagina and covers the cervix to prevent sperm from entering the uterus. It must be used with spermicide to increase effectiveness.
- Diaphragm: Similar to the cervical cap, the diaphragm is a larger silicone or latex dome-shaped device that fits over the cervix. It also requires the use of spermicide and must be fitted by a healthcare professional.
- Sponge: The contraceptive sponge is a small, round device made of soft foam that is inserted into the vagina to cover the cervix. It contains spermicide and provides protection for multiple acts of intercourse within a 24-hour period.
Barrier methods of contraception are convenient, easily accessible, and have a low risk of side effects. They give women the ability to take control of their reproductive health without the use of hormonal methods. It’s important to note that while barrier methods can be highly effective when used correctly, they do not protect against sexually transmitted infections. Therefore, it’s recommended to use barrier methods in combination with other methods of protection, such as regular testing and mutual monogamy.
Overall, barrier methods offer a safe and reliable option for women who prefer a non-hormonal approach to birth control. With their easy availability and low risk of side effects, they are a popular choice for many women worldwide.
Copper Intrauterine Device (IUD)
The Copper Intrauterine Device (IUD) is a popular non-hormonal method of birth control for women. It is a small T-shaped device that is inserted into the uterus by a healthcare professional.
Unlike hormonal birth control methods, such as the pill or the patch, the Copper IUD works by creating an environment in the uterus that is hostile to sperm. The copper ions released by the device prevent fertilization by immobilizing the sperm and disrupting their ability to reach the egg.
The Copper IUD is a long-lasting form of contraception that can provide up to 10 years of protection against pregnancy. It is a suitable option for women who want a natural and hormone-free method of birth control. Additionally, it is highly effective, with a failure rate of less than 1%.
Before getting a Copper IUD, it is important to consult with a healthcare provider to ensure that it is the right choice for you. The insertion process can cause some discomfort, and there is a small risk of complications, such as perforation or expulsion of the device.
Benefits of the Copper IUD:
- Non-hormonal option
- Long-lasting contraception
- Highly effective
- No daily maintenance or remembering to take a pill
- No interruption during intercourse
- Reversible form of contraception
Considerations for the Copper IUD:
Pros | Cons |
---|---|
Non-hormonal | Requires insertion by a healthcare provider |
Long-lasting | Possible discomfort during insertion |
Highly effective | Possible risk of complications |
No daily maintenance | |
No interruption during intercourse | |
Reversible |
In conclusion, the Copper IUD is a non-hormonal birth control method that provides long-lasting and effective contraception for women. It is a popular choice for those who want a natural and hormone-free option. However, it is important to weigh the benefits against the potential risks and discomfort associated with insertion.
Diaphragm and Cervical Cap
Diaphragms and cervical caps are non-hormonal methods of contraception for women. They are barrier methods that prevent sperm from reaching the uterus and fertilizing an egg. These methods are considered natural and do not involve the use of hormones.
A diaphragm is a shallow, dome-shaped device made of silicone or latex that is inserted into the vagina and covers the cervix, blocking the sperm’s entry into the uterus. It needs to be fitted by a healthcare provider to ensure the correct size and placement.
A cervical cap is a smaller, thimble-shaped device that also covers the cervix to prevent sperm from entering the uterus. It is made of silicone and comes in different sizes. Like the diaphragm, it needs to be fitted by a healthcare provider.
Both the diaphragm and cervical cap must be used in combination with a spermicide to increase their effectiveness. Spermicides are substances that immobilize or kill sperm, further reducing the chances of pregnancy.
These non-hormonal birth control options give women more control over their reproductive choices without interfering with their hormonal balance. They can be a good alternative for those who cannot or choose not to use hormonal contraceptives.
It is important to note that diaphragms and cervical caps do not protect against sexually transmitted infections (STIs). Women who are at risk of STIs should use additional barrier methods, such as condoms, to prevent infection.
Overall, the diaphragm and cervical cap are effective, non-hormonal options for women who prefer natural birth control methods. They provide women with control over their reproductive choices while avoiding the use of hormones. However, they require a fitting by a healthcare provider and need to be used correctly and consistently to achieve maximum effectiveness.
Sponge and Spermicide
When it comes to non-hormonal female birth control options, there are several natural methods to consider. One of these options is the use of a contraceptive sponge combined with a spermicide.
A contraceptive sponge is a small, round device made of soft foam that is inserted into the vagina before intercourse. It acts as a physical barrier, preventing sperm from entering the uterus and fertilizing an egg. Additionally, the sponge contains spermicide, which is a chemical substance that kills sperm.
Using a sponge and spermicide as a method of birth control is relatively simple. The sponge is moistened with water and inserted into the vagina, where it forms a barrier to prevent sperm from reaching the cervix. The spermicidal chemical in the sponge further enhances its effectiveness by killing any sperm that may come in contact with it.
One of the advantages of using a sponge and spermicide is that they are readily available over the counter at most pharmacies and do not require a prescription. This makes them easily accessible for women who are looking for a non-hormonal contraceptive option.
It is important to note that the sponge and spermicide method should be used correctly and consistently to maximize its effectiveness. The sponge should be inserted at least 10 minutes before having intercourse, and it should be left in place for at least 6 hours after intercourse. After each use, the sponge should be rinsed and stored in a clean, dry place.
While the sponge and spermicide method can be an effective non-hormonal option for birth control, it is important to understand that it does not protect against sexually transmitted infections (STIs). Therefore, it is recommended to use additional barrier methods, such as condoms, to reduce the risk of STIs.
In conclusion, the use of a contraceptive sponge and spermicide is a non-hormonal birth control option that provides women with a natural and accessible method of contraception. By using these methods correctly and consistently, women can have control over their reproductive health while avoiding the use of hormonal contraceptives.
Female Condom
A female condom is a type of barrier contraceptive method that provides protection against unwanted pregnancy and sexually transmitted infections (STIs). Unlike hormonal contraceptives, female condoms do not contain hormones and are considered a non-hormonal birth control option for women.
How does it work?
A female condom is a soft, loose-fitting pouch that is inserted into the vagina. It creates a barrier that prevents sperm from entering the uterus and reaching the egg, thus preventing fertilization. Female condoms are designed to fit snugly over the cervix and cover the vulva, providing protection during vaginal intercourse.
Advantages of using female condoms:
- Non-hormonal: Female condoms do not contain hormones, making them suitable for women who cannot or do not want to use hormonal contraception.
- Protects against STIs: Female condoms provide a barrier that helps reduce the risk of sexually transmitted infections, including HIV.
- Easy to use: Female condoms are simple to use and can be inserted up to eight hours before intercourse, allowing for spontaneity.
- No side effects: Since female condoms do not contain hormones, they do not cause the hormonal side effects often associated with other birth control methods.
- Woman-controlled: Female condoms offer women the opportunity to take control of their own contraception and protect themselves.
- One-time use: Female condoms are disposable, which means that a new one needs to be used each time you have sex.
It’s important to note that female condoms may not be as effective as hormonal methods or other forms of barrier contraception, such as male condoms. However, they still provide a reliable option for women who are looking for non-hormonal birth control methods.
Sterilization
Sterilization is a natural method of birth control for women that provides a permanent solution to preventing pregnancy. Unlike other options, sterilization works by surgically blocking or sealing the fallopian tubes, preventing the eggs from reaching the uterus for fertilization.
There are two common methods of female sterilization: tubal ligation and hysteroscopic sterilization. Tubal ligation involves cutting, tying, or blocking the fallopian tubes, while hysteroscopic sterilization uses small implants to block the fallopian tubes.
Sterilization is a non-hormonal form of birth control, which means it does not rely on hormones to prevent pregnancy. This makes it a suitable option for women who cannot or prefer not to use hormonal methods of birth control.
Sterilization is a highly effective method of birth control, with a success rate of over 99%. It provides permanent contraception, so women should be certain they do not want to have any more children before considering this option.
It is important to note that sterilization is a permanent method of birth control and should only be considered by women who are confident in their decision. It is recommended to discuss the benefits, risks, and implications of sterilization with a healthcare provider before making a final decision.
Natural Family Planning
Natural family planning (NFP), also known as fertility awareness-based methods, is a non-hormonal and natural way to practice birth control. It involves tracking and understanding a woman’s fertility cycle to determine the most fertile and infertile days. By avoiding intercourse during the fertile period, pregnancy can be prevented without the use of any hormonal contraception. NFP can be used both to achieve pregnancy and to prevent it.
Methods of Natural Family Planning
There are several methods of natural family planning, each relying on different signs and symptoms of fertility:
- Calendar method: This method involves tracking the menstrual cycle and using the calendar to identify the fertile and infertile days.
- Cervical mucus method: This method involves observing changes in the cervical mucus to determine fertility. As ovulation approaches, the mucus becomes clear, slippery, and stretchy.
- Basal body temperature method: This method involves taking a daily temperature reading to track changes in basal body temperature. A slight increase in temperature indicates ovulation has occurred.
- Symptothermal method: This method involves combining the calendar method, cervical mucus method, and basal body temperature method to identify the fertile and infertile days more accurately.
Natural Family Planning requires accurate and consistent tracking of fertility signs, and it may not be suitable for everyone. It requires commitment, patience, and a good understanding of the menstrual cycle. It is important to receive proper education and guidance from a qualified healthcare provider to effectively use natural family planning as contraception.
While natural family planning is non-hormonal and does not have the side effects associated with hormonal contraception, it is not as reliable as some other methods. The effectiveness of natural family planning depends on the individual’s ability to accurately track and interpret fertility signs. It is important to weigh the pros and cons and choose a birth control method that best suits your individual needs and preferences.
Withdrawal Method
The withdrawal method, also known as “pulling out” or “coitus interruptus,” is a natural method of birth control that does not involve the use of hormones or any external contraceptive devices. This method relies on the man withdrawing his penis from the vagina before ejaculation, in order to prevent sperm from entering the birth canal and fertilizing an egg. It is important to note that this method does not provide protection against sexually transmitted infections (STIs).
How it Works
The withdrawal method works by ensuring that sperm does not come into contact with the egg during sexual intercourse. When a man feels that he is about to ejaculate, he withdraws his penis from the vagina and ejaculates outside the body. This method requires a high level of self-control and communication between sexual partners. It is important to note that pre-ejaculate fluid can still contain sperm, so the withdrawal method is not always 100% effective.
Effectiveness
The effectiveness of the withdrawal method as a form of birth control depends largely on the consistency and reliability of its use. When used correctly and consistently, the withdrawal method has a failure rate of about 4% to 27%, meaning that approximately 4 to 27 out of every 100 women using this method will become pregnant within one year. However, with typical use, the failure rate can be as high as 22% to 37%.
It is important to note that the withdrawal method does not protect against STIs. If you are concerned about both preventing pregnancy and protecting against STIs, it is recommended to use a barrier method, such as condoms, in addition to the withdrawal method.
While the withdrawal method may be a non-hormonal option for female contraception, it is not the most reliable method. If you are considering using the withdrawal method, it is important to fully understand its limitations and discuss it with your healthcare provider to determine if it is the right choice for you.
Breastfeeding as a Contraceptive
For women who are looking for natural, non-hormonal birth control options, breastfeeding can be an effective method. Breastfeeding can act as a temporary form of contraception, known as the lactational amenorrhea method, or LAM.
LAM works by taking advantage of the natural hormonal changes that occur in a woman’s body during breastfeeding. When a woman is exclusively breastfeeding her baby, meaning that the baby is receiving all of its nutrition from breastfeeding and not from any other sources, it can suppress ovulation and delay the return of her menstrual period.
How does it work?
During breastfeeding, the hormone prolactin is produced, which stimulates milk production and inhibits ovulation. When a baby breastfeeds frequently and for extended periods of time, it signals the body to produce more prolactin, thereby reducing the likelihood of ovulation.
It is important to note that breastfeeding as a contraceptive method is only effective under certain conditions:
- The baby must be less than 6 months old.
- The mother must be exclusively breastfeeding, meaning that the baby is not receiving any supplemental feedings or solid foods.
- The mother must be amenorrheic, meaning that she has not yet resumed her menstrual periods.
Limitations and considerations
While breastfeeding can be an effective natural birth control method, it is not foolproof and should not be relied upon as the sole method of contraception. There are a few factors to consider:
- Exclusive breastfeeding must be practiced consistently and on-demand, both day and night, to suppress ovulation.
- If any supplemental feedings or solid foods are introduced, the effectiveness of LAM may be reduced.
- The return of a woman’s menstrual cycle can vary and is not always predictable, even while breastfeeding.
It is always important to consult with a healthcare provider to discuss the best birth control options for an individual’s specific needs and circumstances. While breastfeeding can provide temporary contraception, it is important to have a long-term plan for birth control once breastfeeding is no longer an effective means of contraception.
Emergency Contraception
Emergency contraception is a form of birth control that is used to prevent pregnancy after unprotected or inadequately protected sexual intercourse. It is an important option for women who are looking for non-hormonal alternatives to traditional birth control methods.
Unlike many other forms of birth control, emergency contraception does not contain hormones. This makes it a suitable choice for women who are unable to or prefer not to use hormonal options. Non-hormonal emergency contraception can be used in combination with other natural methods of birth control to provide an additional level of protection against unintended pregnancies.
There are two main types of non-hormonal emergency contraception available for women: emergency contraceptive pills (ECPs) and the copper intrauterine device (IUD). ECPs are commonly referred to as the “morning-after pill” and can be taken up to 72 hours after unprotected sex, although effectiveness decreases over time. The copper IUD can be inserted up to 5 days after unprotected sex and provides ongoing contraceptive protection for up to 10 years.
Emergency Contraceptive Pills (ECPs)
ECPs are available over-the-counter in many countries and can be obtained without a prescription. They contain either levonorgestrel or ulipristal acetate, which work by preventing or delaying ovulation, interfering with fertilization, or inhibiting implantation of a fertilized egg. The effectiveness of ECPs varies depending on the specific pill and when it is taken, with higher effectiveness seen when taken as soon as possible after unprotected sex.
Copper Intrauterine Device (IUD)
The copper IUD is a non-hormonal birth control method that can also be used as emergency contraception. It is a small, T-shaped device that is inserted into the uterus by a healthcare professional. The copper IUD works by creating a toxic environment for sperm, preventing fertilization. It can also affect the uterine lining to prevent implantation. The copper IUD is highly effective at preventing pregnancy, with a success rate of over 99%.
It is important to remember that emergency contraception is not intended to be used as a regular form of birth control. It should only be used in emergency situations when other contraceptive methods have failed or were not used. Women who are interested in non-hormonal options for regular birth control should consult with their healthcare provider to explore the range of methods available.
Cervical Mucus Method
The cervical mucus method is a natural and non-hormonal birth control option for women who prefer to avoid the use of hormonal contraceptives. It involves tracking changes in the cervical mucus to determine fertility and avoiding sexual intercourse during fertile periods.
How it works
During the menstrual cycle, the cervix produces different types of mucus, which can indicate when a woman is fertile. By observing the changes in the appearance and texture of the cervical mucus, women can identify the days when they are most likely to conceive.
Typically, just after menstruation, the cervical mucus is dry and sticky, making it difficult for sperm to survive. As a woman approaches ovulation, the mucus becomes more abundant, slippery, and stretchy, providing a fertile environment for sperm. After ovulation, the mucus returns to a drier and stickier consistency.
Methods to track cervical mucus
There are different methods to track cervical mucus, including:
- Observation method: This involves checking the cervix daily for changes in mucus consistency and recording the observations in a fertility chart.
- Creighton Model: This method uses a standardized system to assess the quality and quantity of cervical mucus.
- Billings Ovulation Method: This method teaches women to track cervical mucus changes by observing sensations in the vulva area.
It is important to note that the cervical mucus method requires careful observation and consistency to be effective. It may not be suitable for all women, especially those with irregular menstrual cycles.
This method can be used for both birth control and contraception purposes. Couples who are trying to conceive can use the cervical mucus method to identify the most fertile days and increase their chances of getting pregnant.
Basal Body Temperature Method
The basal body temperature (BBT) method is a natural form of contraception that does not involve the use of hormones. It is based on monitoring a woman’s body temperature to determine when she is most fertile and when to avoid intercourse to prevent pregnancy.
Many women use hormonal methods of birth control, but for those who prefer a non-hormonal option, the basal body temperature method can be an effective choice. This method relies on tracking changes in a woman’s body temperature throughout her menstrual cycle.
How does it work?
Before ovulation, a woman’s body temperature is slightly lower. After ovulation, it rises by about half a degree, due to increased progesterone levels. By recording the daily temperature, women can track when this temperature increase occurs and therefore determine their fertile window. To prevent pregnancy, couples can avoid having intercourse during this period.
Tracking and interpretation
To use the basal body temperature method effectively, a woman needs to track her temperature every morning before getting out of bed. This can be done using a specific BBT thermometer, which is more sensitive than regular thermometers. The temperature should be recorded and tracked on a chart or in an app that allows easy interpretation.
It’s important to note that the basal body temperature method requires at least a few cycles of consistent tracking to be reliable. Additionally, there can be other factors that influence a woman’s temperature, such as illness or lack of sleep, so it’s important to consider these when interpreting the data.
Advantages | Disadvantages |
---|---|
– Non-hormonal method of contraception | – Requires consistent tracking and interpretation |
– Natural and without side effects | – Can be less effective for women with irregular cycles |
– No need for chemicals or devices | – Does not protect against sexually transmitted infections |
The basal body temperature method is a natural alternative to hormonal birth control options for women who prefer a non-hormonal approach. It provides a way to understand and track fertility patterns, allowing couples to make informed decisions about when to have intercourse to achieve or avoid pregnancy.
Symptothermal Method
The symptothermal method is a non-hormonal birth control option for women that relies on natural methods of contraception. This method involves tracking and monitoring various signs and symptoms of a woman’s menstrual cycle to determine when she is most fertile and when she is not.
One of the key components of the symptothermal method is tracking basal body temperature (BBT). A woman’s BBT is her body temperature at rest, and it tends to rise slightly after ovulation due to the release of progesterone. By tracking her BBT daily, a woman can identify the pattern of her menstrual cycle and determine when she is ovulating and when she is not.
Other signs and symptoms that can be monitored include:
- Cervical mucus changes: A woman’s cervical mucus changes in consistency throughout her menstrual cycle. It becomes clear, stretchy, and slippery in the days leading up to ovulation, which indicates fertility.
- Cervical position: The position of a woman’s cervix changes throughout her cycle. During ovulation, the cervix becomes higher, softer, and more open.
By tracking these various signs and symptoms, a woman can identify her fertile window and abstain from intercourse or use backup contraception during that time to prevent pregnancy. It’s important to note that the symptothermal method is most effective when correctly practiced and when a woman has received proper instruction and guidance from a healthcare provider or a qualified instructor.
Advantages of the symptothermal method:
- It is a non-hormonal birth control option, which can be appealing for women who prefer to avoid hormonal methods.
- It involves active participation and body awareness, which can help women feel more in control of their reproductive health.
- It can be used both for preventing and achieving pregnancy, making it a versatile option for couples.
Overall, the symptothermal method offers a natural and effective alternative to hormonal birth control options for women who are looking for non-hormonal and natural methods of birth control.
Standard Days Method
The Standard Days Method is a natural method of birth control for women, which does not involve the use of hormones or any other artificial means. It is based on the understanding of a woman’s menstrual cycle and her fertile and infertile days.
In this method, a woman avoids sexual intercourse during her fertile days, which are determined by counting the days of her menstrual cycle. The fertile window is considered to be from day 8 to day 19 of a woman’s menstrual cycle.
It is important for women to have a regular menstrual cycle for the Standard Days Method to be effective. This method is best suited for women with cycles that range from 26 to 32 days in length.
The Standard Days Method is a highly effective form of contraception when used correctly. However, it does not protect against sexually transmitted infections (STIs), so it is recommended to use condoms in addition to this method for protection against STIs.
This method is non-hormonal and non-invasive, making it a popular choice for women who prefer natural birth control options. It does not have any side effects associated with hormonal methods of contraception, such as weight gain or mood changes.
Women who are considering using the Standard Days Method should consult with their healthcare provider to learn more about this method and to ensure that it is the right choice for them. It is important to understand that this method requires consistent monitoring of menstrual cycles and abstaining from intercourse during the fertile days.
Overall, the Standard Days Method provides a natural, non-hormonal option for women who want to have control over their birth control options. It can be an effective and convenient method for contraception when used correctly and consistently.
Lactational Amenorrhea Method (LAM)
The Lactational Amenorrhea Method (LAM) is a natural method of contraception that can be used by women who are breastfeeding their infants. It is a non-hormonal method of birth control that relies on the natural fertility suppressing effects of breastfeeding.
How does LAM work?
When a woman breastfeeds her baby exclusively, often referred to as “full breastfeeding,” it can have a suppressive effect on her fertility. The hormones produced during breastfeeding can inhibit ovulation, preventing the release of an egg from the ovaries. Without ovulation, pregnancy cannot occur.
In order for LAM to be effective, the following criteria must be met:
- The woman’s menstrual periods have not yet returned after giving birth.
- The woman is exclusively breastfeeding, meaning the baby depends solely on breast milk and no other fluids or solid foods.
- The frequency and duration of breastfeeding are high, with feedings occurring at least every 4 hours during the day and every 6 hours at night.
Effectiveness of LAM
When used correctly, LAM has been found to be highly effective as a natural form of birth control. Studies have shown that LAM can have a failure rate of less than 2% in the first 6 months postpartum, making it as effective as some hormonal methods of contraception.
It’s important to note that LAM is only effective when all three criteria mentioned above are met. If any of these conditions change, such as the return of menstrual periods or the introduction of solid foods, the effectiveness of LAM may decrease.
While LAM can be a convenient and non-hormonal option for new mothers, it should not be relied upon as a long-term method of contraception. Once the criteria are no longer met, it is recommended to consider other methods of birth control.