Extremely Effective
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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.
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