Some methods are practically foolproof, others take some effort, and a few rely on sheer luck. Hormones, no hormones, daily routines, long-term fixes—there’s something for everyone. The tricky part? Figuring out what actually works for you and not just going with whatever your best friend or TikTok recommends.
So, let’s break it down. What actually works? What’s just meh? And what should you absolutely not rely on unless you love living on the edge?
The most effective methods (99%+ success rate)
If you want something nearly foolproof, these are your best bets.
Birth control implants (99.95% effective)
This tiny rod, placed under the skin of your arm, slowly releases hormones to prevent ovulation. It lasts for about three years, meaning zero daily effort. It’s one of the most effective options out there, and once it’s in, you don’t have to think about it. The downside? Some people experience side effects like irregular periods or mood swings. But if convenience is the goal, this one’s a winner.
IUDs (99%+ effective)
There are two types: hormonal and copper. The hormonal ones release a small amount of progestin to prevent pregnancy, while the copper IUD creates an environment that sperm really don’t like. Both last for years (3-10, depending on the type), making them one of the best long-term options. Some people love them, others hate them—cramping and irregular periods can be issues, especially in the first few months.
Permanent birth control (99% effective)
For those who are absolutely sure they don’t want more (or any) kids, sterilization is an option. Tubal ligation (getting your tubes tied) is a surgical procedure for women, while a vasectomy is a simpler outpatient procedure for men. Both are highly effective, though reversal isn’t always an option, so it’s a serious decision.
High-effectiveness methods (91-99% success rate)
These methods work well but need consistency or a little more effort.
Birth control pills (91-99% effective)
The classic option. When taken correctly every day, the pill is very effective. The problem? Life happens. Miss a pill, and effectiveness drops. Some people also deal with side effects like nausea, headaches, or mood changes. On the plus side, some pills help with acne or make periods lighter.
Patches, rings, and shots (94-99% effective)
- The patch: A small sticker that releases hormones and gets changed weekly.
- The ring: A flexible ring inserted into the vagina and changed monthly.
- The shot: An injection every three months.
All three work like the pill but don’t require daily effort. Some love the convenience, while others don’t like the idea of adding hormones to their body. The shot, in particular, can take longer to wear off if you decide to stop using it.
Condoms (85-98% effective)
One of the few methods that also protect against STDs. When used correctly, condoms are about 98% effective, but real-world use drops that number to about 85%. Mistakes—like not putting it on properly or using oil-based lubricants—can lead to failure. Still, they’re easy to find, affordable, and have no hormonal side effects.
Less effective methods (70-88% success rate)
These methods can work, but they require careful timing or perfect usage.
Withdrawal (78% effective)
Also known as the “pull-out method.” In theory, it works if done perfectly. In reality, it’s not foolproof because pre-ejaculation fluid can contain sperm. It’s better than nothing but risky if you really don’t want a pregnancy.
Fertility awareness methods (76-88% effective)
Tracking ovulation and avoiding sex (or using protection) on fertile days can work. But cycles aren’t always predictable, and stress, illness, or travel can throw things off. There are apps and thermometers to help, but it requires dedication.
Spermicides and sponges (70-88% effective)
Spermicides kill sperm, and sponges act as a barrier. These methods are easy to use but not as effective on their own. They work better when combined with another method, like condoms.
What’s the best option?
That depends on personal preference, lifestyle, and health. If remembering a pill every day sounds annoying, long-term methods like an IUD or implant are great. If hormones aren’t an option, condoms or a copper IUD might be better. And if kids aren’t in the picture at all, permanent options exist.There’s no single right answer—just what works best for you and your life.