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What is Long Acting Reversible Contraception?

(Find out in just 2 minutes)

Well, it’s different.

3‐10 years

It protects for
longer

You can’t
forget it

≥ 99.5%

It works
really well

Long-Acting Reversible Contraception is a range of highly effective reversible contraceptive methods that last for an extended period of time. They mainly include the hormonal IUS, the copper coil, the hormonal injection and the hormonal implant.

So does the same contraception suit all women?

Not quite, we are all different after all.
That’s why there’s a range of options for everyone.

Compare them now

(and with the pill)

Long Acting Reversible Contraception

Long Acting Reversible Contraception & the Pill

Compare the facts and see which benefits matter most to you

the pill the pill

The Pill 

intrauterine system intrauterine system

The IUS(hormonal coil)

intrauterine device intrauterine device

The IUD(copper coil)

contraceptive injection contraceptive injection

The Injection 

contraceptive implant contraceptive implant

The Implant 

Long Acting Reversible Contraception

the pill The pill

The pill is a small tablet that is best taken at about the same time every day.

intrauterine system The IUS

The intrauterine system (IUS) is a small plastic T-shaped apparatus that contains hormones, which is placed in your womb by your doctor.

intrauterine device The IUD

The intrauterine device (IUD) is a small plastic T‐shaped apparatus that contains a copper wire, which is placed in your womb by your doctor.

contraceptive implant The Injection

The contraceptive injection is an injection, given usually into your buttock by your doctor or nurse.

contraceptive implant The Implant

The contraceptive implant is a small flexible plastic rod that is placed under the skin of your upper arm by your doctor.

Long Acting Reversible contraception

When do I need to think about them?

the pill The pill
Every day

It needs to be taken every day, at about the same time

intrauterine system The IUS
3-5 years

Lasts up to 3-5 years once placed. The duration of use depends on the product.1,8

intrauterine device The IUD
3-10 years

Lasts up to 3-10 years once placed. The duration of use depends on the product.3,6

contraceptive implant The Injection
contraceptive implant 12 weeks

Lasts for 12 weeks once injected by your doctor or nurse.5

contraceptive implant The Implant
contraceptive implant 3 years

Lasts up to 3 years once placed by your doctor.1

You would expect all contraceptives to stop you getting pregnant, right? Well, some methods are more effective than others...

1. Long Acting Contraception keeps working even when you forget about it. You have protection you can rely on. How well do they work?

Looking for something you don't need to think about everyday?

1. With Long Acting Reversible Contraception you don't need a routine and you don't need to worry about forgetting it.
So how do I use it?

2. With Long Acting Reversible Contraception you don't need a daily routine. It keeps working while you get on with enjoying life.

Long Acting Reversible Contraception could be a good choice. Why don't you discuss your options with your doctor? Talk to your doctor

2. Long Acting Reversible Contraception is a convenient alternative to the pill. You don't need to think about it everyday and it's really effective.

Long Acting Reversible Contraception could be a good choice. Why don't you discuss your options with your doctor? Talk to your doctor

How reliable are they?

the pill The pill
up to up to 90 of 1000 get pregnant

of 1000

get pregnant with
typical use 1

intrauterine system The IUS
2 of 1000 get pregnant

of 1000

get pregnant with
typical use 1,8

intrauterine device The IUD
2 of 1000 get pregnant

of 1000

get pregnant with
typical use 1

contraceptive implant The Injection
60 of 1000 get pregnant

of 1000

get pregnant with
typical use 1

contraceptive implant The Implant
Less than 1 of 1000 get pregnant

of 1000

get pregnant with
typical use 1

2. Only 2 of 1000 women on the IUS, IUD or Implant get pregnant, making these some of the most reliable methods out there.
What if I stop using it?

2. Only 2 of 1000 women on the IUS, IUD or Implant get pregnant, making these some of the most reliable methods out there.

Long Acting Reversible Contraception could be a good choice. Why don’t you discuss your options with your doctor?
Talk to your doctor

What makes them work?
And where?

the pill The pill

Hormones

Hormones absorbed into the bloodstream which prevent the production of an egg by your ovaries.

intrauterine system The IUS

Hormones

A small amount of hormone is released into the womb which works mainly locally to prevent a pregnancy.

intrauterine device The IUD

Copper ions

Copper ions released into the womb which work to prevent pregnancy.

contraceptive implant The Injection

Hormones

Hormones injected into the buttock, which circulates in the blood to help prevent pregnancy.

contraceptive implant The Implant

Hormones

A small flexible plastic rod is inserted under the skin, releasing hormone to help prevent pregnancy.

So you're interested in a low dose of hormones...

1. The IUS has lower hormone levels than the pill and is estrogen-free. The IUD has no hormones at all but instead releases copper. What about my period?

How can it affect my period?

the pill The pill

Regular bleeding every month, may reduce bleeding and pain 9,10

intrauterine system The IUS

Initial irregular bleeding likely, followed generally by lighter shorter periods over time. In some cases, no periods at all. 2,8

intrauterine device The IUD

Irregular, longer bleeding likely 3

contraceptive implant The Injection

Irregular and possibly lengthy bleeding or spotting, decreasing over time. In some cases, no bleeding at all after one year of treatment.4

contraceptive implant The Implant

Irregular, heavy bleeding likely at start, and can become heavier, lighter or longer thereafter.5

2. As well as having a low hormone dose, the IUS can cause lighter, shorter and less painful periods over time. Anything else I should know?

It's true, period pain can be quite unpleasant...

1. The IUS can make your periods less painful as well as being lighter, and shorter over time.What about my lifestyle?

Will it make me gain weight?

the pill The pill

No

Small, if any change to body weight9,10

intrauterine system The IUS

No

Small, if any change to body weight7

intrauterine device The IUD

No

Small, if any change to body weight7

contraceptive implant The Injection

No

May cause weight gain of 2.3 - 3.6 kg in the first year4,7

contraceptive implant The Implant

No

Small, if any change to body weight7

Weight gain is something most women don’t want to have to deal with...

1. These methods won't normally make you gain weight. Changing your contraception doesn’t mean you have to change your lifestyle.
Anything else I should know?

2. These methods won't normally make you gain weight. Changing your contraception doesn't mean you have to change your lifestyle.

Long Acting Reversible Contraception could be a good choice. Why don't you discuss your options with your doctor? Talk to your doctor

Can I get pregnant if I stop using it?

the pill The pill

Yes, soon after stopping.9,10

intrauterine system The IUS

Yes, soon after stopping.7

intrauterine device The IUD

Yes, soon after stopping.7

the injection The Injection

Yes, but possible delay of up to 1 year after stopping injections.7

contraceptive implant The Implant

Yes, soon after stopping.7

3. It's also good to know that if your plans change and you decide to stop using it, you will return to your prior level of fertility.

Long Acting Reversible Contraception could be a good choice. Why don’t you discuss your options with your doctor? Talk to your doctor

How do I use it?

the pill The pill

You get it prescribed by your doctor, buy it at your pharmacy and take it orally at the same time every day.

Hormones are then constantly released into your bloodstream to protect you.

intrauterine system The IUS

It is placed in your womb by your doctor during a standard office procedure. You can return home right away.2,8

Hormones are then released locally in your womb to protect you.

intrauterine device The IUD

It is placed in your womb by your doctor during a standard office procedure. You can return home right away.3

The device contains a copper wire that releases copper into your system.

contraceptive injection The Injection

It is injected into a muscle in your buttock by your doctor or nurse. You can return home straight afterwards.4

Hormones are then constantly released into your bloodstream to protect you.

contraceptive implant The Implant

It is implanted into your upper arm by your doctor with a special needle under local anesthetic.5

Hormones are then constantly released into your bloodstream to protect you.

2. Once placed by your doctor, Long Acting Reversible Contraception keeps working by itself. It’s a convenient way of staying protected.

Long Acting Reversible Contraception could be a good choice. Why don't you discuss your options with your doctor? Talk to your doctor

So you're interested in a self administered method...

1. With the pill, you take it yourself. But remember, it's up to you keep yourself reliably protected. Is there an easier alternative?

Are there side effects?

the pill The pill

Some people using the pill may experience side effects. Learn more

intrauterine system The IUS

Some people using an IUS may experience side effects. Learn more

intrauterine device The IUD

Some people using an IUD may experience side effects. Learn more

contraceptive Injection The Injection

Some people using an injection may experience side effects. Learn more

contraceptive implant The Implant

Some people using an Implant may experience side effects. Learn more

Myths

Perhaps we can help to clear up a few common myths about LARC.

Once you stop using Long Acting Reversible Contraception your fertility will return to normal, so you can start planning a family if and when you decide you’re ready.

When inserting or placing a Long Acting Reversible Contraception the majority of women will feel only minor or no pain.

Long Acting Reversible Contraception is a form of contraception that generally will not affect your body shape.

Long Acting Reversible Contraception is a suitable choice for many women of different ages who don’t want to get pregnant.

If you still want to know more click here for our FAQs.

Where can I get Long Acting Reversible Contraception?

You can get Long Acting Reversible Contraception from your doctor. Book an appointment for consultation today.

Can I remove Long Acting Reversible Contraception at any time?

Yes, you can have your Long Acting Reversible Contraception (an exception is the injection) removed at any time you choose by your doctor.

Can I use tampons with Long Acting Reversible Contraception?

Yes, you can wear tampons with the IUS (hormonal coil) and IUD (copper coil). However, it is recommended to use pads to reduce the risk of accidently pulling on the threads. When using an implant or injection, you can choose whichever sanitary/hygiene products suits you best.

Can the IUS or IUD fall out?

Although, on rare occasions, it can happen, it is very unlikely that the IUS or IUD very will fall out (or be expelled).

Will Long Acting Reversible Contraception affect my desire for sex?

Using LARC will generally have no effect on your libido (desire for sex).

Does Long Acting Reversible Contraception protect me against STIs?

No, Long Acting Reversible Contraception will not protect you against STIs including HIV so it is important that you make sure to protect yourself and your partner, by using a condom as well, especially if you are in a new relationship.

Why are there threads attached to the IUS and IUD?

The threads are there so your doctor can easily and safely remove the device when you want, or when it needs to be replaced. They are also there for you to check if the device is still in place.

How will Long Acting Reversible Contraception affect my periods?

Different methods of LARC will have different impact on your periods: With an IUS, you may experience irregular bleeding for the first few months after which most women will have much shorter and lighter periods, while some may even stop having periods altogether. With the IUD you may experience cramping, heavier and prolonged bleeds. Irregular bleeding may occur for the first couple of months with the Implant, and the bleeding pattern experienced during the first three months is broadly predictive of future bleeding patterns for many women. In general these symptoms are nothing to worry about, but consult your doctor if you’re concerned.

What is the difference between an IUS (hormonal coil) and an IUD (copper coil)?

The main difference between the IUS and IUD is that an IUS slowly releases a small amount of hormones to prevent pregnancy while the IUD releases copper ions. Both methods work locally inside your womb. Using an IUS will usually decrease your regular bleeding while using an IUD may cause it to increase.

How is the IUS/IUD inserted?

Once it is confirmed that you are not pregnant, the IUS/IUD is inserted into your womb by a trained healthcare professional within 7 days of the start of your period. Preparation for the insertion can take 5 to 10 minutes but the actual insertion itself only takes a couple of seconds. Afterwards you may feel some cramping like a period pain, but this disappears after a few hours.

When should the implant be inserted?

Once your doctor has confirmed you aren’t pregnant, the implant will be inserted within 7 days of the start of your period. If it is inserted at any other time you should use a non-hormonal method of contraception (e.g. a condom) for 7 days following insertion.

How is the Implant placed?

The procedure to insert the Implant should only take a couple of minutes and a local anesthetic can be used so you should feel little pain. A small incision is made in the inside of your upper arm and the Implant is carefully inserted just beneath the skin. You may experience slight bruising or soreness afterwards.

Does my body need to take regular breaks from hormones?

Taking a break from hormones to let your body “recover” is an old-fashioned belief that has no truth to it whatsoever. Both the IUS and the Implant contain low (the IUD doesn’t have any hormones) levels of hormone and can be used for as long as you wish.

Sparked your interest?

Contact your doctor and ask for more information on


Long-Acting Reversible Contraceptive options.