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Related Concept Videos

Birth Control Methods01:22

Birth Control Methods

Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...
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Intrauterine Drug Delivery Systems

Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
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Infertility in Females

Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
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Related Experiment Video

Updated: Jun 17, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
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Published on: October 25, 2024

Three-Year Contraceptive Failure Rates During the HER Salt Lake Contraceptive Initiative.

Jessica N Sanders1, Gentry Carter1, Brooke W Bullington1

  • 1ASCENT Center for Reproductive Health, Department of Obstetrics and Gynecology, University of Utah, Salt Lake City.

JAMA Network Open
|June 16, 2026
PubMed
Summary
This summary is machine-generated.

Removing access barriers to preferred contraceptive methods resulted in low 3-year failure rates for all methods. Shorter-acting methods showed improved effectiveness compared to previous typical-use rates, suggesting better user control and access.

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Published on: September 16, 2021

Area of Science:

  • Reproductive Health
  • Contraception
  • Public Health

Background:

  • Contraceptive counseling often focuses on failure rates, but effectiveness over time and counseling impact are less studied.
  • Long-acting reversible contraception (LARC) methods like IUDs and implants are compared to shorter-acting methods (pills, rings, condoms, DMPA).

Purpose of the Study:

  • To assess 3-year continuation and typical-use contraceptive failure rates for 7 reversible methods.
  • To evaluate the impact of removing access barriers on contraceptive method choice and effectiveness.

Main Methods:

  • Prospective longitudinal cohort study (3 years) of 4275 new contraceptive users (ages 18-45).
  • Participants received person-centered counseling and same-day access to their chosen method (IUDs, implant, DMPA, pills, ring, condoms).
  • Life table analysis calculated method-specific continuation and failure rates.

Main Results:

  • Low 3-year failure rates observed across all methods.
  • Hormonal IUD (0.7/100 PY) and implant (0.8/100 PY) had the lowest failure rates.
  • Shorter-acting methods (pills, ring, DMPA, condoms) showed lower failure rates than previously reported typical-use rates.
  • 3-year continuation rates varied: hormonal IUD (72%), implant (55%), copper IUD (61%), DMPA (33%), ring (34%), pills (35%), male condom (15%).

Conclusions:

  • Removing access barriers to preferred contraceptive methods is associated with low 3-year failure rates for all methods.
  • This approach may improve the effectiveness of user-controlled, shorter-acting methods.
  • Enhanced access and counseling support the use of both LARC and shorter-acting contraceptive options.