The Fundamentals of Sex

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American women who use contraception prefer the Pill over IUDs.

Studies show the Pill can cause reduced arousal, pelvic or vaginal pain, and less sexual satisfaction.

Individuals who experience sex problems that appear Pill-related might want to consider switching methods.

There are several good reasons why women might prefer the Pill over an IUD, but satisfying sex is not one of them.

Among sexually active women who use contraception, 21 percent take birth control pills, while far fewer—13 percent—rely on intrauterine devices (IUDs). The Pill and IUDs both offer advantages and disadvantages. Women can assess which of the dozen methods is best for them by talking with family planning counselors at Planned Parenthood and other contraception providers.

But those interested in satisfying sex are more likely to enjoy it if they choose an IUD over the Pill. Recently, a rigorous Brazilian study shows that, compared with IUD users, women taking the Pill report reduced arousal (p < 0.05), more sexual pain (p < 0.05), more anxiety and depression (p < 0.03), and less sexual satisfaction (p < 0.05).

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