Implant The contraceptive implant is hormone-based and highly effective, approved in more than 60 countries and used by millions of women around the world. The typical implant is a small flexible tube measuring about in length. It is most commonly inserted subdermally in the inner portion of the upper, non-dominant arm by a trained and certified health care provider. After insertion, it prevents pregnancy by releasing progestin which inhibits ovulation. The two most common versions are the single-rod
etonogestrel implant and the two-rod
levonorgestrel implant. Brands include: Norplant, Jadelle (Norplant II), Implanon, Nexplanon, Sino-implant (II), Zarin, Femplant and Trust.
Benefits Some brands of the contraceptive implant, including Nexplanon, are over 99% effective. The benefits of the contraceptive implant are dependent on the active ingredients. Depending on the type of implant, benefits of the implant may include fewer, lighter periods, improved symptoms of
premenstrual syndrome, long-lasting up to three to five years, and the convenience of not needing to remember to use it every day. The implant is also useful for women who cannot use contraception that contains oestrogen. The implant can also be removed at any time and natural fertility will return very quickly.
Side effects When the implant is first inserted, it is common to have some bruising, tenderness or swelling around the implant. Although rare, there is also a risk of complications occurring during insertion or removal of the implant. contraceptive also corresponds with earlier waking, frequent mood swings, impaired concentration, and strain. The Implanon also has these negative side effects causing a considerable amount of vaginal bleeding irregularities, and amenorrhea in about 30–40% of its users during the following 90 days of starting use. However, there may be little or no difference between immediate and delayed insertion in terms of continued use of implants at six months or in terms of women's satisfaction, Progestin containing implants (specifically etonogestrel) are safe for immediate insertion in both postpartum individuals and those post-abortion. As of 2011, IUDs are the most widely used form of reversible contraception worldwide. Among types of birth control they, along with birth control implants, result in the greatest satisfaction among users. IUDs also tend to be one of the most cost-effective methods of contraception for women. Cons of intrauterine devices, similarly to implants, is the need for a trained healthcare professional for both insertion and removal. Brands include: Paragard, Kyleena, Liletta, Mirena, and Skyla.
Hormonal IUD Hormonal IUDs contain the hormone
levonorgestrel which is a progestin. Most commonly, products are inserted for 5 years, allowing them to release a low dose of hormones over that time frame. The
levonorgestrel IUD is highly efficacious and has a failure rate of only 0.2% in the first year of use. An additional benefit of hormonal IUDs is decreased blood loss, which 20-30% of patients will experience
amenorrhea. The disadvantage of this immediate insertion is the associated higher risk of expulsion or
uterine perforation, however, the benefits greatly outweigh any potential risk. They also are safe to use in
lactation. An additional benefit of copper IUDs is their use in
emergency contraception. Not only are they able to be used as a form of emergency contraception but a Cochrane review noted that they are the most effective method of emergency contraception as well. When inserted within 7 days of unprotected intercourse, they are able to reduce the risk of pregnancy by 99% and provide the added benefit of ongoing contraception in the patient too. ==Men==