Reading a popular women's magazine the other day, I was
startled to discover that what looked like one of those peel-off makeup samples
wasn't a makeup sample at all. It was "The Patch," a form of birth
control that you slap on your skin once a week. Of course, the magazine sample
didn't actually contain the combination of estrogen and progestin that the
real patch releases -- it was just to demonstrate how thin and
unnoticeable the real thing is.
A few pages later, I found an ad for NuvaRing, an insertable
hormonal contraceptive. After decades of little to no exciting news in
contraceptives for women, suddenly we're riding a wave of promising new birth
Birth control implants are devices that are inserted under women's skin. They release a hormone that prevents pregnancy.
Two similar implants available in the U.S. are Implanon and Nexplanon. However Implanon is gradually being replaced by Nexplanon.
Each implant is a plastic rod about the size of a matchstick. The rods contain a form of the hormone progesterone called etonogestrel.
"This is really unprecedented," says Stephanie B. Tiel,
M.D., a clinical instructor of obstetrics and gynecology at Columbia University
College of Physicians and Surgeons in New York. "There are four new
FDA-approved methods of contraception now on the market."
Tiel calls the new options "the best of both worlds" --
they have the quick reversibility of the pill, should you decide to get
pregnant, but they're longer-acting systems that don't require busy women to
remember to do something at the same time every day.
"You Don't Have to Think About It"
First on the market was Mirena, an intrauterine device (IUD)
that's been used in Europe for over ten years. Mirena releases levonorgestrel,
a hormone commonly found in the pill, to create a "hostile uterine
environment" and prevent pregnancy. Inserted (and removed) by a physician,
Mirena works for up to five years, with a failure rate of less than 1%.
"You don't have to think about it. Once it's in, it's
in," says Tiel. "It's just as effective as having your tubes tied, only
it's reversible." Another big plus: Mirena causes lighter periods for most
women. In fact, some 20% of Mirena users don't menstruate at all. "It's
totally normal. The hormone in the IUD thins the Â¼ lining [of the uterus] so
you still ovulate, but you don't bleed," Tiel explains. Most of the other
80% experience 1-2 days of very light bleeding, a huge relief if you normally
have problem periods.