The list below is meant to be an overall review of the many products available today that are designed to reduce unwanted pregnancy. I also plan to include a few products that are only available in the United States, but are used in other countries. These products will only be reviewed if they are available for purchase. Many of these products are available over the counter in the US, but not so in Canada or Europe. To use a particular product, follow the directions carefully. Always read the package instructions. This is also known as the 'tip of the iceberg' or 'the little blue pills' - many other products have not yet been developed , and they are listed here only to provide some context. The 'pill of shame' The pill of shame is a very small piece of white or blue plastic (sometimes called a 'pill-box') that you put in your vagina when you are not in a sexual position. It doesn't look like a pill, but it is really quite small and has a round hole in it. If you put it in wrong it will be difficult or impossible to get an erection or to have an orgasm. You can make it yourself, if you know what you are doing, and can do it safely.