Extremely Effective methods

Method PPY* Features
Hormone implant (e.g. Nexplanon, Implanon) <1 One rod, single insertion. Rapid return of fertility upon removal.
IUD – levonorgestrel (e.g. Mirena, Skyla) <1 Use up to 5 years. May have lighter, infrequent, or absent menses. Rapid return of fertility after removal.
IUD – Copper T (e.g. ParaGard) <1 Use up to 10 years. May have heavier, more painful menses initially. Rapid return of fertility after removal.
Tubal sterilization <1 Permanent. Requires surgical procedure.
Partner's vasectomy <1 Permanent with that partner. Ineffective with other partners.
Lactational amenorrhea for first 6 months after birth 1-2 Requires exclusive breastfeeding during first 6 months after delivery. Effectiveness declines thereafter.
*PPY = pregnancies per year that occur among 100 women with typical use of the method.