Pearl Index (Contraceptive Failure Rate)

Pearl Index: (accidental pregnancies x 1200) / total woman-months of exposure = contraceptive failures per 100 woman-years; a lower index reflects a more effective method.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Accidental pregnancies
2
Total months of exposure
1200 months

Result: Pearl index 2 per 100 woman-years — lower = more effective.

The tool opens with these values already filled in. Replace them with your own.

What the result means

per 100 woman-years
(accidental pregnancies x 1200) / months of exposure. Lower = more effective contraceptive method. A failure rate, not a diagnosis.

What you enter

  • Accidental pregnancies
  • Total months of exposure
How this is calculated

Pearl R. Factors in human fertility and their statistical evaluation. Lancet. 1933;222(5741):607-611. (Pearl Index.) Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.