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Hormonal Birth Control

pill to reduce the risk of pregnancy. Do this as soon as possible after sex. ‚  
All topics are updated as new evidence becomes available and our peer review process is complete. ‚  
This topic retrieved from UpToDate on: Nov 04, 2014. ‚  
Topic 16162 Version 3.0 ‚  
Release: 22.8 - C22.208 ‚  
‚ © 2014 UpToDate, Inc. All rights reserved. ‚  


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table 1Hormonal birth controlView Largetable 1Hormonal birth control

Method

Using the method

Some side effects and risks

Implantable rod

Hormones it contains: Progestin

Expected pregnancies per 100 women in first year of use: Less than 1

Must be inserted by a doctor.

Nothing to do or remember.

Lasts up to 3 years.

Most common side effects:

  • Bleeding between periods

  • Changes in periods

Other possible side effects:

  • Headache

  • Acne

  • Sore breasts

  • Weight gain

  • Mood changes

IUD with progestin

Hormones it contains: Progestin

Expected pregnancies per 100 women in first year of use: Less than 1

Must be inserted by a doctor.

Nothing to do or remember.

Lasts 3 to 5 years depending on type.

Most common side effects:

  • Bleeding between periods

  • Regular periods may stop

Other possible side effects:

  • Cramps

Potential but uncommon risks:

  • IUD can slip out

  • IUD can damage the uterus

  • Insertion of IUD can lead to a type of infection that can make it hard for a woman to get pregnant after the IUD is removed

Shot/injection

Hormones it contains: Progestin

Expected pregnancies per 100 women in first year of use: 6

Doctor or nurse must give you a shot every 3 months.

Most common side effects:

  • Bleeding between periods

  • Regular periods may stop

Other possible side effects:

  • Temporary bone thinning

  • Weight gain

  • Mood changes

  • Hair loss or increased hair on face or body

  • Sore breasts

  • Headache

Progestin-only pill

Hormones it contains: Progestin

Expected pregnancies per 100 women in first year of use: 9

You must swallow a pill at the same time every day.

Most common side effects:

  • Bleeding between periods (this is more common with progestin-only pills than with combined estrogen-progestin pills)

Other possible side effects:

  • Sore breasts

  • Acne

Combination estrogen-progestin pill

Hormones it contains: Progestin and estrogen

Expected pregnancies per 100 women in first year of use: 9

You must swallow a pill every day.

Most common side effects:

  • Bleeding between periods

  • Decreased bleeding during period

Other possible side effects:

  • Nausea

  • Changes in mood

Rare but serious risks include:

  • Heart attack

  • Stroke

  • Blood clots

  • High blood pressure

  • Liver tumors

  • Gallstones

  • Yellowing of the skin or eyes (jaundice)

Patch

Hormones it contains: Progestin and estrogen

Expected pregnancies per 100 women in first year of use: 9

You must wear a patch on your skin all the time for 3 weeks. Every week, you change the patch. During the fourth week, you go without a patch.

Side effects and risks similar to those of combined estrogen-progestin pills, but the patch causes higher average levels of estrogen than most pills. This may increase the risk of blood clots.

Other possible side effects:

  • Skin irritation where patch is applied

Vaginal ring

Hormones it contains: Progestin and estrogen

Expected pregnancies per 100 women in first year of use: 9

You must put the ring into your vagina and leave it in for 3 weeks. During the fourth week, you go without a ring.

Side effects and risks similar to those of combined estrogen-progestin pill. (Breast soreness and nausea may be less than with the pill.)

Other possible side effects:

  • Vaginal discharge or irritation

The methods listed here all require a prescription. This table applies to women without medical problems, such as a history of cancer, blood clots, or liver disease. If you have any medical problems, ask your doctor or nurse whether you should avoid any type of hormonal birth control. If you are breastfeeding, mention that to your doctor or nurse when you choose birth control.

Graphic 75100 Version 4.0


picture 2

NuvaRing

This ring stays inside the vagina for 3 weeks at a time. It delivers hormones into the body that help prevent pregnancy.

Graphic 73663 Version 3.0

View Originalpicture 2

NuvaRing

This ring stays inside the vagina for 3 weeks at a time. It delivers hormones into the body that help prevent pregnancy.

Graphic 73663 Version 3.0

View Original

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