Choosing a Method
Once a couple have halachic permission to use contraception, they should work together with their rabbi and physician to choose the most appropriate method. Both medical and halachic factors need to be considered to answer the following questions:
Is the method halachically permissible? Some methods are halachically preferable to others, and some are not permitted. The permissibility of a given method may depend on the couple's individual circumstances, and on the rabbi's halachic approach.
Is the method safe? Safety is an important halachic concern. A woman should discuss with her physician which methods are safe for her to use.
Is the method effective? If it is essential to avoid pregnancy, a very reliable method should be chosen. If pregnancy would not be disastrous, a couple may opt for a more convenient method that is somewhat less dependable.
Are there halachically significant side effects? Some contraceptive methods may cause bleeding or spotting. Physicians should be aware of the problems this can present for couples. Couples using such methods should be prepared for a difficult beginning (spotting often subsides after a few cycles), and should be familiar with the laws of stains.
This section includes information on choosing a contraceptive method.