Over the past three decades nonhormonal methods have reemerged as a staple
in the clinician's repertoire of contraceptive offerings. Nonhormonal metho
ds of contraception, although not as effective at preventing pregnancy as h
ormonal methods, should be offered to every high-risk sexually active adole
scent in an effort to reduce the transmission of sexually transmitted disea
ses. The various nonhormonal methods of contraception available to adolesce
nts are compared in terms of their mechanism of action, usage, effectivenes
s, advantages, and disadvantages. The future of nonhormonal contraceptives
and contraceptive counseling also are addressed in this article.