How is the effectiveness of contraceptive methods assessed?
In scientific studies on contraceptives, a distinction is often made between:
This distinction helps to assess effectiveness as realistically as possible.
Typical Use
“Typical use” describes use under everyday conditions.
This may include, for example, situations in which:
- the diaphragm is not positioned correctly
- the gel is forgotten
- the method is not used every time you have sex
- or errors in use occur
The ‘typical use’ figures therefore reflect how a method works in real-life situations.
For user-dependent contraceptive methods, the actual effectiveness can therefore be influenced by how consistently and correctly the method is used.
Perfect Use
“Perfect Use” describes the best possible use in everyday life.
With the diaphragm, for example, this means:
- the diaphragm is inserted correctly before every act of sexual intercourse
- the cervix is completely covered
- a suitable diaphragm gel is used
- the diaphragm remains in the vagina for at least six hours after sexual intercourse
However, it is important to note that:
"Perfect Use" does not mean complete protection or error-free use under laboratory conditions. Even when used correctly, no barrier method can completely rule out pregnancy. No contraceptive is 100% effective.