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Criteria for appropriate birth control

C Westhoff1

  • 1Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, School of Public Health, Columbia University, 630 West 168th Street, New York, NY 10032, USA.

Women seeking protection from pregnancy require adequate information about the relative merits and risks of current contraceptive options in order to make an informed choice. A basic understanding of mechanisms of action, the projected rates of efficacy, the demands on compliance, and the risks of side-effects permits women to weigh options appropriately and attain confidence in their chosen method. An informed woman is also in a better position to switch to alternative methods in the event of dissatisfaction or changing needs. Within the category of highly effective methods of birth control, to which a monthly combination injectable contraceptive has recently been added in several countries, there are important distinctions in relative reversibility, effect on menstrual cycle and confidentiality.

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