As you are searching for the perfect contraceptive method that fits your lifestyle and preferences, it can be overwhelming. However, two birth control methods have been gaining popularity among women in recent years – the IUD and hormonal implant.
Intrauterine Devices (IUDs) and hormonal implants are both forms of long-acting reversible contraceptives (LARCs) designed to provide extended protection against pregnancy. The intrauterine device (IUD) is a small, T-shaped device inserted into the uterus, while birth control implants are tiny rods placed under the skin of the upper arm.
While both are highly effective forms of birth control, they differ in various aspects that may impact your decision-making process. Let’s explore arm implant vs IUD in this post to help you decide on your birth control needs.
Key Similarities
Effectiveness
Both IUDs and hormonal implants are exceptionally effective contraceptives at preventing pregnancy, with a success rate of more than 99%. This means that fewer than 1 out of 100 individuals using either method for a year will experience an unintended pregnancy. Their high effectiveness rates make them reliable choices for those seeking long-term contraceptive solutions.
Reversibility
A notable benefit of both IUDs and implants is their reversibility. When you decide to conceive, fertility typically returns soon after the removal of either contraceptive device. This makes them ideal for those who may want to consider pregnancy in the future without long-lasting effects on fertility.
Low-maintenance
One of the major advantages of opting for an IUD or implant is their low-maintenance nature. Once inserted by a healthcare professional, both methods require little to no daily attention. They offer long-lasting protection up to 5 years for IUDs and up to 3 years for the nexplanon implant. This hassle-free aspect is highly appealing to individuals leading busy lives who prefer not to worry about daily birth control pills.
Not sure how an IUD works? Learn about the types of IUDs, how they function, and what to consider before making a decision. Why? This directs users who are unfamiliar with IUDs to a detailed, beginner-friendly explanation.
9 Key Differences Between IUDs and Implants
While they have similarities, they also have differences from one another.
1. Placement and Procedure
IUDs
IUDs, or intrauterine devices, are small, T-shaped devices inserted directly into the uterus. The procedure for inserting an IUD can cause brief but intense discomfort and cramping for some individuals.
A healthcare provider typically performs the insertion during a regular office visit, and it involves using a speculum to access the cervix. You may take some oral painkillers to minimise pain, though some discomfort is often unavoidable.
Implants
Implants, on the other hand, are small, flexible rods inserted just under the skin of the upper arm. The insertion process of a birth control implant is usually quick and relatively painless, often taking just a few minutes.
A local anaesthetic is used to numb the insertion site, which mitigates any discomfort. The procedure involves a small incision through which the implant is placed.
2. Hormonal vs Non-Hormonal Options
When considering a birth control method, it’s important to understand the distinction between hormonal and non-hormonal options. Hormonal birth control works by releasing hormones to prevent pregnancy, while non-hormonal methods use physical barriers or other mechanisms to achieve the same outcome.
IUDs: These come in both hormonal and non-hormonal (copper) options. The hormonal IUD releases progestin, which thickens cervical mucus and sometimes suppresses ovulation. It thins the uterine lining creating an unfavourable environment for the fertilized egg.
On the other hand, copper IUDs create an environment that is toxic to sperm, preventing fertilisation without the use of hormones. Copper IUD works by also physically inhibiting fertilization and implantation in the womb.
Implants: The birth control implant prevents pregnancy by releasing a steady amount of hormone progestin into the bloodstream, which prevents ovulation, thickens cervical mucus, and thins the uterus lining, making it harder for a fertilised egg to implant.
3. Impact on Periods
Hormonal IUDs: Hormonal IUDs can often lighten periods, shorten their duration, or even stop them completely. This makes them an attractive option for individuals looking to manage heavy menstrual bleeding or for those who prefer minimal menstrual disruption. The Copper IUD may cause periods to be heavier or more cramps but your cycles will remain the same.
Implants: Implants, on the other hand, can cause irregular bleeding patterns. Users may experience spotting, lighter periods, or, in some cases, no periods at all. The variability in menstrual impact makes implants suitable for those who are flexible with their menstrual cycle changes.
4. Duration
The longevity of each method varies significantly:
Copper IUDs last up to 5 years.
Hormonal IUDs are typically effective for 5 years.
Implants usually last for 3 years.
5. Effectiveness
Both IUDs and implants boast effectiveness rates of over 99%, making them highly reliable forms of contraception. The timeline for when each method becomes effective, however, differs slightly.
Copper IUDs are effective immediately upon insertion, providing instant protection. In contrast, hormonal IUDs and implants require a short timeframe to become effective. Hormonal IUDs and Contraceptive implant typically become effective within a week.
6. Side Effects
Both IUDs and implants are generally safe and well-tolerated, but some users might experience side effects.
IUDs: With copper IUDs, users may experience heavier periods initially. However, those opting for hormonal IUDs might notice lighter periods or even an absence of menstruation over time.
Implants: Users of the contraceptive implant might encounter irregular bleeding patterns, particularly in the initial months following insertion. Some patients may also experience slight weight gain with the implant.
7. Cost Comparison
When comparing the costs of IUDs and implants, it’s essential to consider both the upfront costs and the long-term expenses.
IUDs typically have a higher initial cost due to the procedure required for insertion. However, they can last for several years, making them a more cost-effective option over time.
On the other hand, implants may have a lower upfront cost, but they require more frequent replacement, which can increase the overall expenses in the long run.
8. Suitability
IUDs:
IUDs may be suitable for a range of women, particularly those who have completed childbearing or are certain they don’t want children in the next few years. Women who can tolerate hormonal birth control may find hormonal IUDs to be an effective option, as they can also reduce menstrual bleeding and cramps.
Additionally, a non-hormonal copper intrauterine device can be suitable for those who prefer or need to avoid hormone-based contraception.
Implants:
Implants, on the other hand, are a good fit for women who experience painful or heavy periods, as the progestin-only hormone in the implant can reduce bleeding and pain. They are also ideal for women who cannot tolerate estrogen, making them a viable option for those who need to steer clear of combined hormonal contraceptives like the birth control pill.
Removal Considerations:
Both IUDs and implants are reversible contraceptive methods, as removal can restore fertility relatively quickly. IUD removal is a quick and simple procedure done in the clinic. The implant removal can also be done in the clinic, often requiring a minor procedure under local anaesthetic.
If you’re wondering about the removal process, find out how an IUD is removed and what to expect when the time comes. Why? This reassures users that IUD removal is simple and accessible.
9. Convenience and Lifestyle Impact
When considering convenience and lifestyle impact, it’s essential to weigh how each option might influence day-to-day activities.
IUDs can be initially inconvenient due to potential menstrual cramps or spotting during the first few months after insertion. These symptoms often diminish over time, allowing individuals to get back to their routines with minimal disruption. However, the initial adjustment period might require some preparation and flexibility in one’s schedule.
Implants, on the other hand, may lead to unpredictable bleeding patterns, particularly in the early stages. While some may experience irregular bleeding or spotting, these patterns often improve over time.
Choosing Between IUDs and Implants
When deciding between intrauterine devices (IUDs) and implants for birth control, you must take into account their difference as to what suits your body and lifestyle the most. It is helpful to have a consultation with a healthcare professional. They offer personalised advice based on your medical history, lifestyle, and individual needs, prioritising your health and well-being.
If you are considering getting an IUD, find out what to expect from the insertion procedure and its long-term benefits at our clinic. Why? This guides users who have chosen IUDs toward the service page for the next steps.
Conclusion
IUDs and implants for birth control are both highly effective and reversible methods of contraception. They differ in terms of their duration, impact on period, cost, suitability, side effects, and convenience.
The right choice depends on individual preferences and needs. Consult with a healthcare professional to help you decide what is best suited for your body and lifestyle.
