Contraception

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  • Blocks sperm from reaching or fertilizing an egg
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  • Keeps an egg from reaching the sperm
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  • Makes the lining of the uterine wall thinner
  • 99.9% Mirena
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  • 99.2% ParaGard
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  • 99.1% Skyla
  • Skyla can stay in place for up to 3 years; Mirena up to 5 years; and ParaGard up to 10.
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  • Should the woman decide she would like to become pregnant, the IUD can be easily removed by a health care professional during an office visit.
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  • Immediately after removal, she is able to become pregnant.
  • IUDs are excellent contraception for all women of childbearing age looking for a highly effective, long term form of birth control.
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  • IUDs are not recommended for women who think they may be pregnant, have had PID in the past three months, currently have untreated pelvic infection, have or have ever had breast cancer, or are allergic to levonorgestrel, silicone, or polyethylene (or copper for the ParaGard).
  • Cost is now covered 100% through most major health insurance companies!
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  • Very high effectiveness rates
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  • Skyla and Mirena have lower and steadier hormones than the Pill.
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  • Skyla may help shorten and/or lighten periods.
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  • Mirena may help shorten, lighten, and/or eventually eliminate periods.
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  • ParaGard does not contain hormones.
  • Does not protect against STIs
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  • May alter bleeding patterns
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  • ParaGard may increase cramping and/or bleeding
  • An experienced clinician must insert Nexplanon.
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  • Before insertion, the arm is washed with a cleaning solution and a local anesthetic is applied to the upper arm around the insertion area.
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  • A needle-like applicator is used to insert the rod under the skin into the subdermal tissue on the inner side of the arm between the biceps and triceps muscles.
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  • The average time for the insertion process is 10-15 minutes.
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  • A bandage should be kept on the insertion site for 24 hours afterwards.
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  • Bruising and mild discomfort are common after insertion.
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  • Serious insertion site complications such as infection can occur very rarely, in less than 1% of patients.
  • Nexplanon should be removed after three years; however, it can easily be removed sooner if desired.
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  • The rod must also be removed by an experienced clinician using forceps.
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  • The removal procedure lasts, on average, 10-15 minutes.
  • Within a week of removal, the hormones from the device leave the body and are undetectable in most users.
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  • Most women will begin to ovulate within six weeks of removal.
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  • Fertility levels will return to what they were before Nexplanon insertion.
  • Nexplanon is the most effective form of birth control available.
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  • The failure rate of Nexplanon is .05% for both perfect use and typical use because the method requires no user action after insertion.
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  • These statistics suggest that Nexplanon is almost ten times more effective at preventing pregnancy than tubal sterilization.
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  • Also, tubal sterilization is permanent, whereas the implant must be replaced every three years.

Women should not use Nexplanon if they:

     
  • Are, or think they are, pregnant
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  • Are allergic to etonorgestrel (the hormone in Nexplanon)
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  • Have a history of breast cancer
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  • Have vaginal bleeding that has not been explained
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  • Are breastfeeding in the first 6 weeks postpartum
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  • Have severe liver disease
  • One time insertion that lasts 3 years
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  • Most effective form of birth control
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  • Does not contain estrogen
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  • Works quickly after insertion
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  • Nothing to do right before sex to make it work
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  • Fertility returns quickly after removal
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  • 20% women have no more periods while using
  • Irregular menstrual bleeding or spotting may occur when first inserted
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  • Pain at insertion site
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  • Possible small increase in weight
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  • Headache, acne, ovarian cysts, or change in mood can possibly occur
Birth Control Effectiveness