2024-01-06 10:00:00
Although the rate of contraception is increasing due to changes in sexual awareness, the rate of using contraceptive methods with a high failure rate is also high. A healthy sex life is possible only if you know the failure rate and pros and cons of each contraceptive method.
◇Extravaginal ejaculation is reported to have an actual contraceptive failure rate of 27%.
‘Contraception’ is also increasing due to changes in awareness about sex. According to the ‘Status of Contraception Practices among Women’ report published last year by the Korea Institute for Health and Social Affairs, 54.6% of adolescents and 52.2% of early adults aged 19 to 39 have had sexual intercourse in the past year. responded, ‘I always use contraception during sexual intercourse.’
However, the rate of use of contraceptive methods with high failure rates is still high. When women who had sexual intercourse in the past year, did not become pregnant or gave birth, and were not in menopause were asked about their contraceptive methods, 85.3% of adolescents answered that they used condoms, 64.0% used external vaginal ejaculation, 42.7% used menstrual cycle method, etc. Oral contraceptives were 13.3% and emergency contraceptives were 13.3%.
The ‘Pearl Index’ is used as an indicator of contraceptive failure rate. It represents the pregnancy rate per 100 women per year. Contraceptive failure rates vary depending on the contraceptive method. Subcutaneous implants were the lowest at 0.05%, followed by oral hormonal contraceptives at 0.3%, copper intrauterine devices at 0.6%, condoms at 2%, and external vaginal ejaculation at 4%.
However, the above figure is the failure rate when the contraceptive method is used correctly. There is a difference from the failure rate reported after actual use. It is reported that subcutaneous implants are 0.05%, oral hormonal contraceptives 8%, copper intrauterine devices 0.8%, condoms 15%, and external vaginal ejaculation 27%.
There is no difference in the failure rate of contraceptive methods such as hypodermic implants and intrauterine devices, which are administered through procedures, but the failure rate of contraceptive methods that must be practiced by individuals varies depending on ‘how accurately they are used.’ For example, there is a problem with extravaginal ejaculation that a man cannot accurately know whether he has ejaculated or not. For effective contraception, it is recommended to use condoms in combination with a contraceptive method with a low failure rate.
◇You need to understand the pros and cons of each contraceptive method…
There are pros and cons depending on the contraceptive method. Contraceptive methods include ▲combined oral contraceptives ▲male condoms ▲intrauterine devices ▲subcutaneous hormonal contraception ▲sterilization surgery ▲natural methods ▲emergency contraception (morning-after contraception). The most commonly used ‘male condom’ is the only contraceptive method that prevents HIV infection. The preventive effect is about 87%. Reduces sexually transmitted diseases and pelvic inflammatory disease. It is known to have a high possibility of being used incorrectly, resulting in a high rate of contraceptive failure.
‘Combined oral contraceptive pill’ is a medicine that combines the female hormones estrogen and progestin. It suppresses ovulation and prevents implantation of a fertilized egg. You must take it at a certain time every day to see the contraceptive effect. An ‘intrauterine device’ is a device placed inside the uterus that artificially prevents implantation using hormones and copper. Typically, replacement is required every 5 years. Side effects may include abnormal uterine bleeding, abdominal pain, and pelvic inflammatory disease. For this reason, regular checkups are required approximately every six months.
‘Subcutaneous hormonal contraception’ is a contraceptive method that implants a contraceptive into the subcutaneous tissue, and the contraceptive effect appears quickly after insertion. It has a contraceptive effect for 3 years. Unlike oral contraceptives, it is convenient because you do not have to take it every day, so it is preferred when long-term contraception is desired. ‘Sterilization surgery’ is a method known as belly button surgery, in which a 1cm incision is made around the belly button and the fallopian tubes on both sides are tied off using a laparoscope. Although it is a reliable method of contraception, it has the disadvantage of requiring tubal restoration surgery if you want to become pregnant again.
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