Forgettable contraception

Contraception
D A Grimes

Abstract

The term "forgettable contraception" has received less attention in family planning than has "long-acting reversible contraception." Defined here as a method requiring attention no more often than every 3 years, forgettable contraception includes sterilization (female or male), intrauterine devices, and implants. Five principal factors determine contraceptive effectiveness: efficacy, compliance, continuation, fecundity, and the timing of coitus. Of these, compliance and continuation dominate; the key determinants of contraceptive effectiveness are human, not pharmacological. Human nature undermines methods with high theoretical efficacy, such as oral contraceptives and injectable contraceptives. By obviating the need to think about contraception for long intervals, forgettable contraception can help overcome our human fallibility. As a result, all forgettable contraception methods provide first-tier effectiveness (</=2 pregnancies per 100 women per year) in typical use. Stated alternatively, the only class of contraceptives today with exclusively first-tier effectiveness is the one that can be started -- and then forgotten for years.

References

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Citations

Aug 21, 2013·The Nurse Practitioner·Joyce Cappiello, Julie Bosak
Apr 29, 2014·Contraception·Andrew M KaunitzDavid A Grimes
Nov 28, 2012·Women's Health·Anita L Nelson
Feb 24, 2011·Obstetrics and Gynecology·Eve Espey, Tony Ogburn
Jan 18, 2011·Expert Opinion on Emerging Drugs·Luis BahamondesIlza Monteiro
Sep 3, 2010·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Iñaki Lete Lasa
Apr 13, 2012·Expert Opinion on Investigational Drugs·Anita L Nelson
Apr 16, 2013·Contraception·P J FeldblumM J Steiner
Oct 23, 2012·Contraception·Samantha GarbersMary Ann Chiasson
Aug 30, 2012·Journal of Pediatric and Adolescent Gynecology·Amy G BryantSubasri Narasimhan
Sep 25, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Julia E KohnMarji Gold
Mar 31, 2012·Contraception·Nádia M MarchiLuis Bahamondes
Nov 5, 2011·Journal of Pediatric and Adolescent Gynecology·Maria BarrettBliss Kaneshiro
Mar 15, 2011·Contraception·Meredith E PittmanJeffrey F Peipert
Sep 14, 2010·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Alan SchwartzMelissa Gilliam
May 18, 2010·Contraception·Mitchell D Creinin
Oct 15, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·L Cea-SorianoM-A Wallander
Jul 22, 2014·Perspectives on Sexual and Reproductive Health·Mieke C W EeckhautJessica D Gipson
Jun 20, 2015·Archives of Gynecology and Obstetrics·Waleska ModestoLuis Bahamondes
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Apr 18, 2015·Fertility and Sterility·Mieke Carine Wim Eeckhaut
Apr 7, 2015·The Medical Clinics of North America·Caitlin Allen, Christine Kolehmainen
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Nov 22, 2012·Obstetrics and Gynecology·David A Grimes
Feb 2, 2017·The New England Journal of Medicine·Kathryn M Curtis, Jeffrey F Peipert
Mar 10, 2017·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Nathalie Chabbert-BuffetChristian Fiala
Aug 11, 2018·Perspectives on Sexual and Reproductive Health·Mieke C W EeckhautLei Feng
Apr 22, 2010·The Journal of Family Planning and Reproductive Health Care·Toni Belfield
Apr 22, 2010·The Journal of Family Planning and Reproductive Health Care·Susan Quilliam
May 2, 2013·The Cochrane Database of Systematic Reviews·Laureen M LopezKenneth F Schulz

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