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The Medical Letter on Drugs and Therapeutics
Choice of Contraceptives
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Implants, intrauterine devices (IUDs), and sterilization are the most effective contraceptive methods available. Pills, patches, rings, and injectables, when used correctly, are also highly effective in preventing pregnancy. Barrier and fertility-based methods have the highest rates of failure.1,2

AN IMPLANT — Nexplanon, a single-rod implant containing the progestin etonogestrel, is placed under the skin on the inside of the non-dominant upper arm and is effective for up to 3 years. As with other progestin-based methods, bleeding irregularities are common. Implants, once placed, require no adherence and provide long-term protection against pregnancy. Fertility returns rapidly after removal.3

INTRAUTERINE DEVICES — The 4 IUDs currently available in the US are all highly effective in preventing pregnancy. IUDs have ... more      

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Title: Choice of Contraceptives
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