Skip to Content

Over-the-counter birth control

Definition

Over-the-counter birth control methods are used during sex to avoid pregnancy and sometimes to prevent sexually transmitted infections (STIs). Over-the-counter means that they can be purchased by anyone, without a doctor's prescription.

For more information about birth control options, see:

Alternative Names

Birth control - over the counter; Contraceptives - over the counter

Information

Over-the-counter birth control methods are not as effective against pregnancy as some prescription methods. However, they are more effective against STIs than any other method except not having intercourse (abstinence). They enable people to protect themselves against pregnancies and STIs without having to:

  • Deal with long-term side effects
  • Spend a lot of money
  • Wait for a doctor's appointment

CONDOMS

  • A male condom is a thin sheath placed on the penis. In the case of the female condom, the condom is placed inside the vagina before intercourse. Semen is collected inside the condom, which must be carefully held in place and then removed after intercourse.
  • About 14 pregnancies occur out of 100 couples using male condoms over 1 year. About 21 pregnancies occur out of 100 couples using female condoms. Condoms are more effective when spermicide is also used.
  • Condoms are available in most drug and grocery stores. Some family planning clinics may offer free condoms.
  • Latex condoms help prevent HIV and other STIs.

SPERMICIDES

  • Spermicides are chemical gels, foams, creams, or suppositories that kill sperm. They are inserted into the vagina before intercourse.
  • They can be purchased in most drug and grocery stores.
  • This method used by itself is not very effective. About 26 pregnancies occur out of 100 women using this method alone over 1 year. Therefore, spermicides are often combined with other methods (such as condoms or diaphragm) for extra protection.
  • Spermicides are generally combined with other methods (such as condoms or diaphragm) as extra protection.
  • Warning: The spermicide nonoxynol-9 can help prevent pregnancy, but also may increase the risk of HIV transmission.
  • Risks include irritation and allergic reactions.

VAGINAL SPONGE

  • Vaginal contraceptive sponges are soft artificial sponges covered with a spermicide. Before intercourse, the sponge is moistened, inserted into the vagina, and placed over the cervix. After intercourse, the sponge is left in place for 6 - 8 hours.
  • The sponge is similar to the diaphragm (which you must get from a doctor) as a barrier protection method.
  • About 18 - 28 pregnancies occur out of every 100 women using this method over 1 year. The sponge may be more effective in women who have not already given birth to a baby.

  • Risks include irritation, allergic reaction, trouble removing the sponge. In rare cases, toxic shock syndrome may occur.

EMERGENCY ("MORNING AFTER") BIRTH CONTROL

  • The "morning after" pill consists of two doses of hormone pills taken within 72 hours after unprotected intercourse.
  • The emergency contraceptive pill is available as either single pill (Plan B One-Step) or as two pills (Plan B, Next Choice). See: Emergency contraception

References

Amy JJ, Tripathi V. Contraception for women: an evidence based overview. BMJ. 2009 Aug 7;339.

Review Date: 3/30/2010
Reviewed By: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com

Disclaimer: The information contained in this website, and its associated websites, is provided as a benefit to the local community, and the Internet community in general; it does not constitute medical advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this website and its associated sites. As medical advice must be tailored to the specific circumstances of each patient and healthcare is constantly changing, nothing provided herein should be used as a substitute for the advice of a competent physician. Furthermore, in providing this service, Adventist HealthCare does not condone or support all of the content covered in this site. As an Adventist health care organization, Adventist HealthCare acts in accordance with the ethical and religious directives for Adventist health care services.

Adventist HealthCare · 301-315-3030 · 1801 Research BLVD, Suite 400, Rockville, MD 20850

Submit an Online Information Request