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title: This Is the Most Common Type of Contraception In the U.S.
description: A new report says about two-thirds of U.S. women are using contraception. IUDs, birth control pills and sterilization are all common.
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article:published_time: 2018-12-19T15:33:28.000Z
article:modified_time: 2026-10-13T08:17:53.805Z
article:section: Health
og:title: The Most Common Type of Birth Control In the U.S. Might Surprise You
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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt20b89acac69ee4c3/6987788606f2c181f13333e7/birth-control-pills-1.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# The Most Common Type of Birth Control In the U.S. Might Surprise You

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<!-- video src="https://cdn.jwplayer.com/manifests/4oCau3Jn.m3u8" -->
## Video: The History of Birth Control

[Watch (HLS stream): The History of Birth Control](https://cdn.jwplayer.com/manifests/4oCau3Jn.m3u8) (3:12)

![The History of Birth Control](https://cdn.jwplayer.com/v2/media/4oCau3Jn/poster.jpg?width=720)

_Published 2015-01-22. For as long as men and women have been having children, they’ve been trying to figure out how not to. Artifacts dating back to ancient times have shown that contraceptives have been used for thousands of years._


![Jamie Ducharme](https://static.time.com/v3/assets/bltea6093859af6183b/bltee90d03f171c21c6/698a0b45db2987baea2650e7/200115_Time_Headshots_Day451258.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Jamie Ducharme](https://time.com/author/jamie-ducharme/)


![Jamie Ducharme](https://static.time.com/v3/assets/bltea6093859af6183b/bltee90d03f171c21c6/698a0b45db2987baea2650e7/200115_Time_Headshots_Day451258.jpg?branch=production&width=96&quality=75&auto=webp)

## Jamie Ducharme


Ducharme is a contributor to TIME.

Dec 19, 2018 3:33 PM UTC

For as long as men and women have been having children, they’ve been trying to figure out how not to. Artifacts dating back to ancient times have shown that contraceptives have been used for thousands of years. 

![Jamie Ducharme](https://static.time.com/v3/assets/bltea6093859af6183b/bltee90d03f171c21c6/698a0b45db2987baea2650e7/200115_Time_Headshots_Day451258.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Jamie Ducharme](https://time.com/author/jamie-ducharme/)


![Jamie Ducharme](https://static.time.com/v3/assets/bltea6093859af6183b/bltee90d03f171c21c6/698a0b45db2987baea2650e7/200115_Time_Headshots_Day451258.jpg?branch=production&width=96&quality=75&auto=webp)

## Jamie Ducharme


Ducharme is a contributor to TIME.

Dec 19, 2018 3:33 PM UTC

Most women in the U.S. between the ages of 15 and 49 use contraception, [according to federal data](https://www.cdc.gov/nchs/data/databriefs/db327-h.pdf) released Wednesday — and the most common form is permanent.

According to the new report from the National Center for Health Statistics (NCHS), which polled women from 2015 to 2017, sterilization was the most common contraceptive method for the roughly 47 million women in this age range. Almost 19% of women relied on female sterilization — a permanent procedure that involves either cutting, sealing, tying or [manually blocking](http://time.com/5344646/bayer-essure-birth-control-sales/) the fallopian tubes — for birth control.

Almost 13% of women said they used birth control pills, followed by about 10% who used long-acting reversible contraceptives (LARCs) such as [intrauterine devices](http://time.com/4746242/iud-birth-control/) (IUDs). Almost 9% of women used the male condom for birth control, and almost 6% relied on a male parter’s sterilization, which is performed through a vasectomy. Smaller proportions of women used methods including rings, patches, diaphragms and injections.

Female sterilization is most common among older women. Since the procedure is irreversible, doctors usually recommend it only to women who are finished having children or know they do not want to at any point. About 40% of women ages 40 to 49 rely on female sterilization for birth control, according to the report — which may partially explain why women in this age group were the most likely to be using any type of contraception, along with factors like not wishing to expand existing families.


Pills, meanwhile, were more commonly used by women in their teens and twenties than by older women. LARCs and condoms were more popular among women in their twenties and thirties than those in their teens or forties.

Teen birth rates are [at a record low](http://time.com/4843652/teen-birth-rates-record-low/) — but contraception use in this age bracket is also fairly low, the report showed. Just 37% of women ages 15 to 19 said they were using contraception.

The latest numbers represent a slight overall increase in contraception use. Almost 65% of women in the survey said they used contraception, but that number was around 62% [between 2002 and 2015](https://www.cdc.gov/nchs/nsfg/key%5Fstatistics/c.htm#contraception). The uptick can be partially explained by surveying methods: The new report was based on more than 5,500 responses to the 2015-2017 National Survey of Family Growth, which for the first time expanded its age range to include women aged 45 to 49, a demographic with high rates of contraception use.

Other possible explanations include [expanded access to birth control](http://time.com/3948649/birth-control-affordable-care-act/) under the Affordable Care Act, [changing attitudes toward having children](http://time.com/5425376/fertility-rates-report/) and the [increasing popularity](http://time.com/4650190/iud-trump-election/) of permanent and long-term options like female sterilization and [IUDs](http://time.com/4746242/iud-birth-control/).


## Transcript

[ MUSIC ] For as long as men and women have been having children, they've been trying to figure out how not to. Artifacts dating back to ancient times have shown that contraceptives have been used for thousands of years. Unsurprisingly, not every method was all that effective. In ancient China, concubines would drink a cocktail of lead and mercury. Unfortunately, the side effects included sterility, brain damage. Kidney failure and death. Ancient Egyptian women would mix honey, sodium carbonate, and crocodile dung into a thick paste they would insert into themselves before having sex. In Greece in the year 200 a gynecologist named Soranus.

Advised women to hold their breathe during intercourse and sneeze afterward. [ SNEEZE ] And in the Middle Ages in Europe, women believed tying weasel testicles to their thighs or around their necks during sex would prevent pregnancy. Huh? But it wasn't all a shot in the dark. Many modern forms of contraception have roots in the ancient past. For example, ancient cave drawings found in France appear to show an early version of the condom and a prototype of the cervical cap has been used since Casanova's days. In his memoirs written in the 18th century he describes using partially squeezed lemon halves to do the trick.

[ MUSIC ] The modern history of not having babies begins in the mid 1800's. When vulcanized rubber was patented and condoms could be mass produced. [ MUSIC ] Yet for much of the 19th and early 20th centuries women had a hard time getting their hands on effective contraception. Contraception. Anti- obscenity laws in the US restricted anyone, including doctors, from spreading information about it. But that didn't stop women from trying to prevent pregnancy. Many women would use household products, such as Lysol or Coca- Cola, which they believed would kill sperm. [ MUSIC ] Advertisements for Lysol even endorsed the product as a way for women to protect their married happiness.

All of that changed in 1960 when the FDA approved an oral contraceptive pill thanks to the tireless efforts of activist Margaret Sanger. And a team of doctors. Within five years millions of American women had prescriptions for the pill. In the following decades other forms of reliable contraception appeared, including IUD's. Safe and effective birth control still isn't a universal privilege. A 2013 report found that 222 million women from developing countries around the world. Said they wanted to use birth control but didn't have access to it. But in the US, a whopping 99 % of women of child bearing age say that they've used some form of contraception.

No crocodile dung required. [ MUSIC ]

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