Long-Acting Reversible Methods

Long Term reversible

These are your safest bet when it comes to preventing pregnancy.  Why do they get an A+ from us?  They are 99% effective, low effort (as in put it in and forget about it), and last several years or more.  Safe, effective and forgettable… you can’t beat that! Word of caution: they do not protect against HIV or other sexually transmitted diseases, so don’t forget to use a condom.

Click a question to compare methods. Or, read up on a specific method by clicking the boxes below.

IUDS

What is the IUD?

The IUD (intrauterine device) is a tiny “t” shaped plastic device, about the size of a quarter, which works by changing the lining of the uterus so that sperm can't make their way to an egg to cause pregnancy. A clinician places it inside a person's uterus during a simple procedure where it can stay and remain effective for 5-12 years, depending on which kind of IUD is used. 

There are two types of IUDs: Paragard or Mirena. 

Paragard Pros:

  • May be safely left in place up to 12 years.
  • It is 99.2-99.4% effective at preventing pregnancy.
  • Very private and hidden. Neither you nor your partner can feel it.
  • Works better than BC pills, the patch, the ring or the shot.
  • Provides a hormone-free BC option.
  • After Paragard insertion, you don’t have to think about BC again for 12 years. 

Paragard Cons:

  • Does not protect against sexually transmitted diseases or HIV.
  • Paragard  may cause occasional cramps and heavier periods for some people.
  • Paragard can be expensive, but most young people can get most or all of it covered even if you don’t have insurance, or you don’t want your parents to know.  Find a clinic that provides IUDS at low to no cost. 

Mirena  Pros:

  • May be safely left in place up to 5 years.
  • It is 99.9% effective at preventing pregnancy.
  • Very private and hidden. Neither you nor your partner can feel it.
  • Works better than BC pills, the patch, the ring or the shot.
  • Can provide relief for people who experience heavy periods, bad cramps and PMS.
  • After Mirena insertion, you don’t have to think about BC again for 5 years. 

Mirena Cons:

  • Does not protect against sexually transmitted diseases or HIV.
  • Mirena can be expensive, but most young people can get most or all of it covered even if you don’t have insurance, or you don’t want your parents to know. Find a clinic that provides IUDS at low to no cost.
     

Who uses the IUD?

People who want long-acting, low-maintenance pregnancy prevention and who don’t want to have to remember to take their BC for several years.

How do you use the IUD?

The IUD is inserted by a clinician into the uterus.  It is a simple procedure that takes about 15 minutes. 

Where do you get the IUD?

To get an IUD, go to a nearby clinic. A clinician will fit you for the IUD, and insert it. The cost of the IUD varies but at most clinics in California it may be available for free. Since the IUD keeps working for 5 to 12 years, it is a great investment.

How effective is the IUD?

The IUD is more than 99% effective, and is the most effective reversible BC method currently available.

Does the IUD offer STD protection?

NO. For STD protection use condoms with this method.

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