Good morning, I intend to change contraception from a disc to an implant or contraceptive device in the near future. However, I do not know which method is better, greater effectiveness and fewer side effects. In addition, there are also various companies of inserts, e.g. Mirena or kyleena, etc. I would ask for help and explanation of the differences between them and which method works better
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Agata Sikora Pharmacist
3 years ago
Both methods are characterized by very high effectiveness in preventing pregnancy - above 99.5% and are convenient because you do not have to remember about them, such as when taking contraceptive pills. What unites, if the methods, is also the period of protection against pregnancy - is long-term - with an implant of about 3 years, with an insole of about 5 years. The implant is implanted by a doctor under the skin, contains the hormone progestin, which works on the principle of one-component tablets, which is why it is also safe for breastfeeding women. Side effects are also similar to those when using single-component contraceptive pills - there may be midcyclic spotting, which many women interfere with intercourse, nausea, abdominal pain, swelling sensation, breast tenderness, headaches. Intrauterine devices (spirals) are placed by a doctor in the uterus, there are two types - hormonal - containing progestin and non-hormonal (copper). Non-hormonal inserts cause local uterine congestion by releasing copper ions, inhibit sperm and egg motility by thickening cervical mucus. A characteristic side effect is abundant menstruation. Hormonal spirals are a combination of progestin action as described in the implant and non-hormonal inserts, in this case menstruation may not occur or be very scarce. Although both methods are foreseen for years, you can opt out of them at any time. An important issue is certainly to spend a large amount of money on contraception at one time (e.g. when using pills, smaller amounts are spent every month). The most important contraindications to the use of a subcutaneous implant and inserts are: thromboembolism, hormone-dependent tumors, liver disease, allergy. Both Mirena and Kyleena are therapeutic systems containing progestogen - levonorgestrel, they are assumed for a period of 5 years, Mirena has a higher hormone content than Kyleena. The prices of the inserts differ from each other and can be compared here: https://www.gdziepolek.pl/produkty/95362/kyleena-przyrzad/apteki#stacjonarne https://www.gdziepolek.pl/produkty/49634/mirena-przyrzad/apteki#stacjonarne