|Back to article|
Birth control - slow release methods
Certain birth control methods contain man-made forms of hormones that are normally made in a woman's ovaries. These hormones are called estrogen and progestin.
Birth control pills are one way of receiving these hormones. However, you must remember to take the pills every day.
Other methods to prevent pregnancy use the same hormones, but these hormones are released slowly over time.
Alternative NamesContraception - hormonal methods; Progestin implants; Progestin injections; Skin patch; Vaginal ring
A progestin implant (Nexplanon) is a small rod that is implanted under the skin, usually on the upper arm. The rod releases a small amount of the hormone progestin into the bloodstream.
It takes about a minute to insert the rod, which is done using a local numbing medicine in a doctor's office. It can stay in place for 3 years, but it can be removed at any time. Removal usually only takes a few minutes.
After the implant has been inserted:
Progestin implants work better than birth control pills to prevent pregnancy. In any 1 year, only 1 out of 100 women who uses these implants is likely to get pregnant.
Your regular menstrual cycles should return within 3 or 4 weeks after these implants are removed.
Injections or shots that contain the hormone progestin also work to prevent pregnancy. A single shot works for up to 90 days. These injections are given into the muscles of the upper arm or buttocks.
Side effects that may occur include:
Progestin injections work better than birth control pills to prevent pregnancy. In any 1 year, only 1 out of 100 women who uses progestin injections is likely to get pregnant.
Sometimes the effects of these hormone shots last longer than 90 days. If you are planning to become pregnant in the near future, you might want to consider a different birth control method.
The skin patch (Ortho Evra) is placed on your shoulder, buttocks, or another area of your body.
The patch slowly releases both estrogen and progestin into your blood. Your health care provider will prescribe this method for you.
The patch works better than birth control pills to prevent pregnancy. In any 1 year, only 1 out of 100 women who uses the patch is likely to get pregnant.
The skin patch contains estrogen. As a result, there is a rare risk of high blood pressure, blood clots, heart attack, and stroke. Smoking increases these risks even more.
The vaginal ring (NuvaRing) is a flexible ring about 2 inches wide that is placed into the vagina. It releases the hormones progestin and estrogen.
Side effects with the ring may include:
The vaginal ring contains estrogen. As a result, there is a rare risk of high blood pressure, blood clots, heart attack, and stroke. Smoking increases these risks even more.
The vaginal ring slowly releases both estrogen and progestin into your blood. Your health care provider will prescribe this method for you.
The vaginal ring works better than birth control pills to prevent pregnancy. In any 1 year, only 1 out of 100 women who uses the vaginal ring is likely to get pregnant.
Lopez LM, Grimes DA, Gallo MF, Schulz KF. Skin patch and vaginal ring versus combined oral contraceptives for contraception. Cochrane Database Syst Rev. 2008;(1):CD003552.
Spencer AL, Bonnema R, McNamara MC. Helping women choose appropriate hormonal contraception: update on risks, benefits, and indications. Am J Med. 2009;122:497-506.
Amy JJ, Tripathi V. Contraception for women: an evidence based overview. BMJ. 2009;339:b2895.doi:10.1136/bmj.b2895.
March LS, Lakkegaard E, Andreasen AH, Krager-Kjaer L, Lidegaard O. Hormone therapy and ovarian cancer. JAMA. 2009;302:298-305.
Reviewed by:Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorousstandards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information andservices. Learn more about A.D.A.M.'s editorialpolicy, editorialprocess, and privacypolicy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch.)
The information provided herein should not be used during any medical emergency or for the diagnosis or treatmentof any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 2014 A.D.A.M., Inc. Any duplication ordistribution of the information contained herein is strictly prohibited.