Implant and IUD services offered in San Fernando, CA

Implants and intrauterine devices (IUDs) are long-acting reversible contraceptives (LARCs) that provide highly effective birth control. Both methods are popular for their convenience, effectiveness, and long duration of action, making them suitable for individuals looking for a low-maintenance contraception option.

1. Contraceptive Implant

  • Description:
    • Device: The contraceptive implant is a small, flexible rod, about the size of a matchstick, that is inserted under the skin of the upper arm.
    • Hormone: It releases a progestin hormone called etonogestrel, which prevents pregnancy by thickening cervical mucus, inhibiting ovulation, and thinning the lining of the uterus.
  • Insertion Procedure:
    • Process: A healthcare provider inserts the implant using a special applicator. The procedure is quick, taking only a few minutes, and is usually done with local anesthesia to numb the area.
    • Duration: The implant provides continuous pregnancy protection for up to 3-5 years, depending on the brand (e.g., Nexplanon).
  • Effectiveness:
    • Success Rate: The implant is over 99% effective at preventing pregnancy, making it one of the most reliable forms of birth control.
  • Advantages:
    • Low Maintenance: Once inserted, there’s no need for daily attention, making it a convenient option.
    • Reversible: Fertility typically returns quickly after the implant is removed.
    • Non-Estrogen: Suitable for individuals who cannot use estrogen-containing contraceptives.
  • Side Effects:
    • Common: Irregular bleeding or spotting, especially in the first few months. Some individuals may experience changes in their menstrual cycle, mood swings, or weight gain.
    • Rare: Pain or infection at the insertion site.
  • Removal:
    • Procedure: Removal is done by a healthcare provider and is usually quick and straightforward. If desired, a new implant can be inserted at the same time.

2. Intrauterine Device (IUD)

  • Types of IUDs:
    • Hormonal IUD:
      • Description: Hormonal IUDs release a small amount of progestin hormone (levonorgestrel) into the uterus, which prevents pregnancy by thickening cervical mucus, thinning the uterine lining, and sometimes inhibiting ovulation.
      • Brands: Common brands include Mirena, Kyleena, Liletta, and Skyla.
      • Duration: Depending on the brand, hormonal IUDs can last between 3 to 7 years.
    • Copper IUD:
      • Description: The copper IUD (e.g., ParaGard) is a non-hormonal device wrapped with copper, which acts as a spermicide, preventing sperm from fertilizing an egg.
      • Duration: The copper IUD can provide protection for up to 10-12 years.
  • Insertion Procedure:
    • Process: A healthcare provider inserts the IUD through the cervix into the uterus. The procedure is typically done in a clinic and may cause brief discomfort or cramping.
    • Timing: It can be inserted at any time during the menstrual cycle, though some prefer to do it during menstruation when the cervix is slightly dilated.
  • Effectiveness:
    • Success Rate: Both hormonal and copper IUDs are over 99% effective at preventing pregnancy.
  • Advantages:
    • Long-Term Protection: Once inserted, IUDs provide long-term contraception without requiring daily attention.
    • Reversible: Fertility returns quickly after removal.
    • Non-Hormonal Option: The copper IUD is an excellent option for those who prefer or need to avoid hormones.
  • Side Effects:
    • Hormonal IUD:
      • Common: Lighter periods, reduced menstrual cramps, or irregular bleeding. Some may experience headaches, breast tenderness, or mood changes.
      • Rare: Ovarian cysts, pelvic inflammatory disease (usually within the first 20 days post-insertion).
    • Copper IUD:
      • Common: Heavier periods and increased menstrual cramps, especially in the first few months.
      • Rare: Uterine perforation during insertion, expulsion of the device.
  • Removal:
    • Procedure: IUDs can be removed by a healthcare provider at any time, and the process is usually quick. If desired, a new IUD can be inserted immediately.

3. Considerations for Choosing Between an Implant and an IUD

  • Lifestyle and Preference:
    • Maintenance: Both options are low-maintenance, but some may prefer the longer duration of the copper IUD or the lighter periods often associated with the hormonal IUD.
    • Hormonal vs. Non-Hormonal: Individuals sensitive to hormones or seeking a hormone-free method may prefer the copper IUD.
  • Side Effect Profile:
    • Personal Tolerance: Those prone to heavy periods may avoid the copper IUD, while those sensitive to hormonal changes may opt for the implant or non-hormonal IUD.
  • Medical Conditions:
    • Health Considerations: Certain medical conditions, such as a history of ectopic pregnancy or uterine abnormalities, may influence the choice between an implant and an IUD.

Conclusion

Both the contraceptive implant and IUDs offer highly effective, long-term protection against pregnancy, with unique benefits and considerations. The choice between them depends on individual preferences, medical history, and lifestyle needs. Consulting with a healthcare provider can help determine which method is best suited to a person’s specific circumstances.