your new family family planning RANK


METHOD


Least likely to result in unintended preg- nancy


Nexplanon Small progestin contraceptive rod implanted in superfi - cial skin of the arm


1


Most likely to result in unintended pregnancy


23 4


70


Mirena IUD Small, T-shaped device placed inside the uterus; made of plastic and contains progesterone


PROS


• Highly effective • Lasts up to three years with no main- tenance • Quick return to fertility once removed


• Highly effective • Lasts up to fi ve years with no maintenance except monthly string checks • Quick return to fertility once removed • Sig- nifi cant decrease in menstrual blood loss (excellent for women with heavy periods)


ParaGard IUD “Copper T” IUD, hormone-free


• Highly effective • Lasts up to ten years with no maintenance except monthly string checks • Quick return to fertility once removed • No hormonal side effects


Depo Provera Progestin shot


• Highly effective if used correctly • Requires action only every three months; therefore, less room for error


CONS


• Requires small offi ce procedure for placement • Long-term irregu-


lar bleeding in some women, but bleeding is generally lighter


• Requires small offi ce procedure for placement with some unique risks • Irregular bleeding in some women


• Requires small offi ce procedure for placement with some unique risks • Slightly heavier


periods in some women


• Irregular periods in some women (lighter bleeding may be an advantage) • Higher dose of hormones may mean more hormonal side effects, such as weight gain • Longer return to natural fertility


Birth control pills, patches, rings


Barrier methods Condoms, diaphragms


• No invasive proce- dures to initiate use • Generally easy to use


• Only condoms pro- vide protection from sexually transmitted infections • No delay in return to fertility


• Effectiveness de- pends on correct use • Requires daily,


weekly or monthly action


• Require use with each sexual encounter


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