Gynecology > Birth Control: Convenient Long-Term Contraceptive Choices


Which Long-Term Birth Control Method Is Right For Me?

Do you know which long-term birth control is right for you? />
Some popular alternatives to birth control pills are the NuvaRing®, IUDs (intrauterine devices), and DepoProvera®. Many women are looking for convenient and easier alternatives and therefore prefer these options since they require much less work and attention than taking a pill every day. Several factors come into play and must be considered when deciding which method of birth control is best for you: your overall health, age, frequency of sexual intercourse, the number of partners you have, and whether you desire to have children in the future.
  1. IUD - an intrauterine device for up to 10-years protection
  2. NuvaRing® - a vaginal ring and once a month birth control
  3. DepoProvera® - a hormone shot for three months protection
If you would like permanent, non-reversible contraception, your current options of female sterilization techniques include laparoscopic tubal ligation and the newer, no cutting into the body, minimally invasive Essure® procedure.

1. Intrauterine Device (IUD)

The intrauterine device, also know as "IUD", is the most popular form of reversible birth control in the world with more than 85 million women users. An IUD is a soft flexible "T-shaped" plastic device that is inserted into the uterus to be used for contraception. The device is inserted and removed at separate office visits. The IUD is one of the safest, most effective and private methods of birth control.

Effectiveness: IUDs offer a very effective, safe, and hassle free contraception option and they last for a very long time.
Pregnancy: The ability to become pregnant returns quickly when IUD use is stopped.

There are two IUDs currently on the market in the USA:

a) The Mirena® IUD

Hormone IUD
Offers 99.9% effective birth control for up to 5 years. This device has a small amount of progestin hormone on it that usually makes your period lighter, and in some cases stops your period. Women tend to like these lighter periods on this IUD. Some women may experience irregular and/or heavier periods for the first 3 to 6 months after insertion but this usually resolves with ongoing use.

For in depth information about the advantages and disadvantages of a Mirena® IUD please visit Mirena®'s website or Planned Parenthood.




b) The ParaGard® IUD

Copper IUD
Offers 97%-99% effective birth control for up to 10 years. The device is non-hormonal and has a small amount of copper on it. Occasionally women may have heavier periods on this IUD for up to 6 months.

For for in depth information on the advantages and disadvantages on the ParaGard® IUD please visit ParaGard®'s website or Planned Parenthood.



back to top



2. NuvaRing®

Image of NuvaRing(R)
NuvaRing® is a once a month contraception. It is a comfortable, flexible contraceptive ring that prevents pregnancy by releasing a low dose of hormones. The ring need only be replaced once every four weeks - it is left in place for three weeks and taken out for the remaining week each month. Many women who use the vaginal ring have more regular, lighter, and shorter periods.

Effectiveness: Less than 1% of women will get pregnant each year if they always use NuvaRing® as directed and less than 8% will get pregnant each year if they don't always use NuvaRing® as directed.
Pregnancy: If you decide you want to become pregnant, stop using NuvaRing®.

For more detailed information on NuvaRing®'s benefits, disadvantages, costs and
much more, please visit NuvaRing®'s website or visit Planned Parenthood.

back to top



3. Depo-Provera®

Three months of calendar pages
Depo-Provera® is a birth control shot that is administered in the arm and lasts three months so you only have to think about it four times a year (every 12 weeks). The birth control shot does not contain estrogen, another type of hormone that is in many types of birth control, including the pill, patch, and ring. This means the shot can be a good choice for women who cannot take estrogen and for women who are breastfeeding. For most women, periods become fewer and lighter. After one year, half of the women who use the birth control shot will stop having periods completely. Some women have longer, heavier periods. Some women have increased spotting and light bleeding between periods.

Effectiveness: Less than 1% of women will get pregnant each year if they always use the birth control shot as directed and less than 3% of women will get pregnant each year if they don't always use the birth control shot as directed.
Pregnancy: Because the birth control shot is long lasting, it can take a long time to get pregnant after getting your last shot - anywhere from nine months to more than a year. So, Depo-Provera® is not a good birth control method for you if you are thinking of getting pregnant soon.

To learn more about the benefits & risks, please visit Planned Parenthood and talk to your doctor if this contraceptive solution is right for you.

back to top



Web Content Disclaimer | © 2008 Portland Obstetrics & Gynecology Associates, P.C. | Site: CSOdesign