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Family Planning and Contraception, Implants and IUDs

You deserve a method that is safe, effective, and fits your life. Together we can choose from reliable options, including the contraceptive implant and intrauterine devices, which are among the most effective reversible methods. Your plan can change as your needs change, and you can stop or switch at any time.

Key points

  • Implants and IUDs are very effective, low-maintenance, and work for several years; you can have them removed whenever you wish to conceive or switch.
  • Two main IUD types exist: copper IUD with no hormones, and a hormonal IUD that releases a small amount of progestin in the womb.
  • The contraceptive implant is a small soft rod placed under the skin of the upper arm that releases progestin.
  • Period changes are common, lighter or irregular with hormonal IUD or implant, heavier and crampier at first with copper IUD; these usually settle.
  • Most adults can use an implant or IUD, including those who have not had children, and those who are breastfeeding.
  • Condoms are still important for protection from sexually transmitted infections, even if you use an implant or IUD.

Evaluation and treatment: what to expect

  • We begin with your goals, whether you want to avoid pregnancy for now, space pregnancies, or plan future conception, and any symptoms you wish to improve, such as heavy periods or cramps.
  • We review medical history, medicines, migraines, blood pressure, smoking, and clot risk to ensure your method is safe.
  • We explain each option, effectiveness, side effects, non-contraceptive benefits, and what to expect with your periods, then agree on a method and a backup plan.
  • For IUD insertion, a pregnancy test is done if needed, the cervix is cleaned, and the device is placed through a thin tube. Most people feel cramping that eases soon after; you can pause at any time.
  • For implant insertion, the upper arm is numbed, the rod is placed just under the skin through a tiny opening, and a small dressing is applied.
  • After insertion, you can usually return to normal activities; mild cramping or arm tenderness is common for a day or two; pain relief can help.
  • Follow-up includes checking how you feel, managing any spotting, and showing you how to feel the IUD strings if you wish. Removal is quick and can be done whenever you choose.

Emergency State?

In urgent situations, contact immediately for help.

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When to seek urgent care

Go to hospital or call emergency services now for chest pain, severe shortness of breath, sudden severe headache or vision changes, one calf that is swollen, red, or painful, severe lower belly or pelvic pain, heavy vaginal bleeding with clots, fever or foul discharge after insertion, positive pregnancy test with pain or shoulder tip pain, or if you feel acutely unwell at any time.

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Action plan

Think about what matters most to you: effectiveness, period changes, convenience, privacy, and how long you want to cover.

If there is a chance of pregnancy, use condoms until you are assessed and a method is started.

Book your appointment with a doctor to review choices, check safety, arrange insertion, and set a follow-up to make sure the method feels right for you.

Keep condoms available for infection protection.

Plan for a light meal and simple pain relief on the day of insertion and arrange a ride if you prefer.

Note your period pattern for one to two months; this helps us choose a method that suits you.

FAQ - Family Planning and Contraception, Implants and IUDs

Frequently Asked Questions

These FAQs offer general information for patients. They do not replace medical advice. For urgent concerns, contact your local emergency number or visit the nearest emergency department.