Long-Acting Reversible Contraception

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Intrauterine Device (aka 'IUD')

Intrauterine Device (aka 'IUD')

What is it and how does it work?

A device shaped like a 'T' that is inserted into the uterus by a healthcare professional(82). There are two main types of IUDs:

  • The hormonal IUD works in different ways depending on the brand used. It prevents pregnancy by either thickening cervical mucus which blocks sperm or stopping ovulation(82).
  • The copper IUD stops the sperm and egg from meeting (prevents fertilization) by making the cervical mucus thicker(82).

What does it prevent?

Prevents pregnancy, does not prevent STIs(83).

What is its effectiveness?

IUDs are one of the most effective forms of birth control - they are more than 99% effective!(83)

This is because once it is inserted into the uterus, all you have to do is to remember when you got it inserted and when it should be removed!(83)

Side Effects

  • Temporary pain when IUD is inserted
  • Cramping or back pain for a few days after insertion of IUD
  • Spotting
  • Irregular Periods
  • Heavier or lighter periods depending on type of IUD

What else to know?

  • IUDs are a long term contraceptive that can last up to 3-12 years depending on the type you choose.(83)
  • They are reversible, so, if after getting an IUD, you decide you want to become pregnant, you can just have it removed!(82)
  • The copper IUD, can also be used as a form of emergency contraception if unprotected sex has taken place(82).
  • This method is even safe to use after pregnancy and while you are breastfeeding(84).

Implant

What is it and how does it work?

The Implant is a small rod that is inserted into your upper arm by a healthcare professional. Once placed in your arm, it releases hormones that prevent pregnancy(86).

What does it prevent?

Prevents pregnancy, but does not prevent STIs(86)

What is its effectiveness?

  • Depending on when you get the implant inserted and where you are in your menstrual cycle, you should use another method of birth control (i.e. condoms) for the first 7 days(85).
  • After the first week, the implant is more than 99% effective(85).

Side Effects(87)

  • The most common side effect is spotting, but this often goes away within the first 6-12 months.
  • Sometimes, spotting can be long lasting and periods can get heavier.
  • Less common side effects include:
    • Breast pain
    • Headache
    • Nausea
    • Infection at the insertion site
    • Weight gain
    • Ovarian cysts
    • Pain or bruising on the arm
  • Some side effects can even be positive, such as:
    • Having less menstrual cramps and pain
    • Making your periods lighter
    • Some people will even safely stop getting their period

What else should I know?

  • The implant is long term and can be effective for up to 5 years.
  • It is reversible, so if you decide you want to get pregnant, you can get it removed by a healthcare professional.
  • You can also use this method if you have have already been pregnant and are not sure if you want to get pregnant again in the future
Implant