Fewer than 1 woman out of becomes pregnant in the first year of using IUDs with typical use IUDs are long-acting, are reversible, and can be used by women of all ages, including adolescents, and by parous and nulliparous women. Comments and Evidence Summary. In situations in which the health care provider is not reasonably certain that the woman is not pregnant, the woman should be provided with another contraceptive method to use until the health care provider can be reasonably certain that she is not pregnant and can insert the Cu-IUD. A systematic review identified eight studies that suggested that timing of Cu-IUD insertion in relation to the menstrual cycle in non-postpartum women had little effect on long-term outcomes rates of continuation, removal, expulsion, or pregnancy or on short-term outcomes pain at insertion, bleeding at insertion, or immediate expulsion 43 Level of evidence: II-2, fair, direct.
Explaining the Insertion Procedure | Family Planning
A more recent article on long-acting reversible contraception is available. The copper-releasing IUD can be used for 10 years before replacement and is a good choice for women who cannot, or choose not to, use hormone-releasing contraceptives. However, some women experience an increase in menstrual blood loss and dysmenorrhea. The progestin-releasing IUD can be used for five years. It may reduce menorrhagia and dysmenorrhea, although some women have increased spotting and bleeding during the first months after insertion. The ideal candidates for IUD use are parous women in stable, monogamous relationships. Pregnancy, unexplained vaginal bleeding, and a lifestyle placing the woman at risk for sexually transmitted diseases are contraindications to IUD use.
Sexual & Reproductive Health
Implantable contraception often called the birth control implant is a small, flexible plastic tube that doctors put under the skin of a girl's upper arm. The tube releases hormones that can help protect against pregnancy for up to 3 years. The implanted tube slowly releases low levels of the hormone progestin to prevent ovulation the release of an egg during the monthly cycle. If a girl doesn't ovulate, she can't get pregnant because there is no egg to be fertilized. The released progestin also thickens the mucus around the cervix.
PSI believes all people can and should have control of their sexuality, sexual health and fertility. That this is best achieved when people have greater voice, choice and agency over the processes and services that most affect them. Our mission is clear: every woman and girl—and every man and boy—should have access to the products, information and services they need to plan for the families and lives that they desire.