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. Author manuscript; available in PMC: 2019 Sep 1.
Published in final edited form as: Perspect Sex Reprod Health. 2018 Jul 24;50(3):129–138. doi: 10.1363/psrh.12074
Categorization Specific Methods Typical Failure Rates (one year)
Highly effective Tubal ligation, hysterectomy 0.50%
Less than 1 pregnancy per 100 women in a year Vasectomy 0.15%
Hormonal implant 0.05%
IUD, coil, or loopA 0.2–0.8% (depending on type)
Effective Emergency contraception B
612 pregnancies per 100 women in a year Birth control pills 9%
Depo-Provera (injectables) 6%
Contraceptive patch 9%
Diaphragm 9%
Vaginal contraceptive ring 9%
Least effective Condom 18%
18–28 pregnancies per 100 women in a year Female condom 21%
Withdrawal 22%
Sponge 12–22% (nulliparous & parous women, respectively)
Foam 28%
Jelly or cream 28%
Suppository or insert 28%
Calendar rhythm, Standard days, or Cycle Beads 24%
Safe period by temperature or cervical mucus test 24%
No method
85 pregnancies per 100 women in a year
A

These three methods were grouped together in the original question in the NSFG survey.

B

Emergency contraception (EC) failure rates are generally not calculated in the same manner as other methods, as they are linked to specific experiences of unprotected sex. If EC was the only form of contraception used for an entire year, the risk of getting pregnant would range from 20% to 35%44. However, for a single instance, EC lowers the risk of pregnancy by 65%–95% in the case of oral pills (depending on formulation and when the pills were taken relative to unprotected sex) and up to 99% when a copper IUD is inserted.