IUDs and Implants: It’s Not Too Late for LARCs

IUDAccess to contraception is coming under attack, and reproductive-health advocates are scrambling to find ways to protect it. In December, Obama did what he could to protect Planned Parenthood from losing its ability to serve Medicaid patients. In New York, the state’s attorney general has moved to ensure that New Yorkers will continue to receive no-copay birth control as part of their insurance benefits, and Massachusetts moved to defend Medicaid patients’ right to use Planned Parenthood’s services in the event of federal interference. And, across the country, people at risk for unintended pregnancy are clamoring for highly effective, long-term birth control to see them through the next four tumultuous years.


IUDs and implants can help you and your uterus make it through the Trump administration.


Tom Price, who was confirmed as secretary of health and human services last month, represents the most immediate threat to our birth-control access. As HHS secretary, Price has the power to declare that contraception is not a “preventive” service insurers must make available to their customers with no copay. In one fell swoop, Price could undo the enormous progress the Obama administration made in expanding access not just to all forms of contraception, but to highly effective forms of contraception that had for so long been out of reach to so many.

Before the Affordable Care Act, long-acting reversible contraception (LARC) methods like IUDs and implants were known to be highly effective — not just cost-effective, but also simply the most effective in terms of preventing pregnancy. However, the high upfront costs closed the door to many potential users. Let’s do some quick-and-dirty math: A copper IUD could set you back anywhere from $500 to $932, but it lasts for 12 years. That means it costs $3.50 to $6.50 per month, compared to the Pill, which can cost $10 to $50 a month out of pocket. Clearly, the IUD makes the most financial sense, but for many of us, a medical bill charging upward of $500 doesn’t fit into our budgets. Better to rely on methods like the Pill, which cost more over time, but aren’t as hard on the wallet of someone living paycheck to paycheck or on an otherwise tight budget. Continue reading

Let’s Talk Contraception: New Developments in Contraceptives for Women

Image: Microchips Biotechnology

Image: Microchips Biotechnology

With the availability of an array of birth control methods ranging from pills to patches, from rings to shots, from male condoms to female condoms, and from implants to intrauterine devices, you might think there is no need for further research into contraception. But not all women around the world have access to the choices that many of us reading this article might take for granted. In fact, many have no access to contraceptives at all.


What do you think about a birth control implant that lasts 16 years and can be activated by remote control?


The Bill & Melinda Gates Foundation is leading the charge in the development of new types of contraceptives for women, especially those who live in areas of the world without easy access to modern contraceptives. According to the World Health Organization, 225 million women in developing countries would like to delay or stop childbearing, but are not using any method of contraception. By giving large grants through their foundation, Bill and Melinda Gates are providing the financial backing for contraceptive research and drug development, which will enable women worldwide to take control of their health — and the health of their children.

In 2012, the Gates Foundation granted Microchips Biotech $6.7 million to develop a microchip implant containing the hormone levonorgestrel (which is a hormone in many oral birth control pills). This very small device, which measures only 20 millimeters by 20 millimeters by 7 millimeters, contains an internal battery and a microchip holding tiny reservoirs of the hormone. The device is implanted under the skin of a woman’s buttocks, upper arm, or abdomen. Once implanted, it releases 30 micrograms of levonorgestrel into the body each day when a small electrical charge inside the chip melts an ultra-thin seal around the hormone reservoir to release the daily dose of medication. Continue reading

Let’s Talk Contraception: What Contraception Does Your Doctor Choose?

IUD in hand croppedHave you ever wondered what birth control method your health provider has chosen to use for her contraceptive? Though it is usually not relevant or ethical for your provider to disclose something so personal, you might find it helpful and reassuring to know this information when you are deciding which contraceptive is a good choice for you.


Thanks to the Affordable Care Act, you might not have to worry about footing the bill for an IUD or implant yourself.


New research by Planned Parenthood has some answers to this question. In a recent study published in Contraception, the official journal of the Association of Reproductive Health Professionals and the Society of Family Planning, Planned Parenthood researchers found that women’s health care providers are three-and-a-half times more likely to choose long-acting reversible contraceptives (LARCs) such as IUDs (intrauterine devices) and implants as their contraceptive of choice. Forty-two percent of providers use LARCs, compared to just 12 percent of women in the general population. The birth control pill is used far less often, by only 16 percent of providers surveyed. Earlier studies have also shown these differences, but the Planned Parenthood study shows an increasing trend of women health care providers choosing LARCs.

The Centers for Disease Control and Prevention also conducts surveys and studies to look at contraceptive usage across the general population. Their surveys have shown an upward trend in LARC use — a five-fold increase in the last 10 years. Most of the women using these methods are 25 to 34 years old. But women in general use LARCs far less often than the percentage of health care providers reporting they use LARCs in the Planned Parenthood study. Continue reading

Contraception in the Zombie Apocalypse

The zombie hoard approaches. Photo: Caio Schiavo

The zombie horde approaches. Photo: Caio Schiavo

If you’ve watched a zombie movie with your friends, you’ve probably talked about what kinds of weapons you’d be packing in case of a zombie apocalypse. The Centers for Disease Control and Prevention even has a list of supplies you’ll need for a zombie preparedness kit, which includes smart choices like water, duct tape, and bleach. (I would add toilet paper to that list. How you’ll miss it when you’re on the run!) But how many of you have discussed birth control?


You’ve probably picked out which weapons to use during the zombie apocalypse. But have you chosen a birth control method?


Even if your greatest dream is to have a baby, you must admit that the zombie apocalypse is the worst time to be pregnant, give birth, and raise a child. Fleeing and hand-to-hand combat can be a drag while pregnant, and childbirth can kill you, especially without access to trained personnel or hygienic supplies. And if you do manage to birth a baby into this cruel new world, diapers can distract from more pressing duties, and the infant’s cries can attract undead attention.

When you’re in hardcore fight-or-flight mode, taking a pill at the same time every day might be difficult, and besides, a supply of pills can take up valuable backpack real estate. Plus, even if you find an abandoned pharmacy to raid, birth control pills and condoms come with expiration dates and can be affected by high temperatures. The same goes for contraceptive patches and rings. For these reasons, you need a contraceptive method that’s well suited to the zombie apocalypse. Besides abstinence, what are your options? Continue reading

Pro-Choice Friday News Rundown

  • copper iudArizona gubernatorial candidates participated in a televised debate the Monday before last, and nary a word was spoken about reproductive rights. We’re talkin’ radio silence here, peeps. (Democratic Diva)
  • While social issues, such as abortion and religious freedom, haven’t been a dominant part of the conversation in this race, they will absolutely be a dominant part of our next governor’s job. (AZ Central)
  • The American Academy of Pediatrics is now recommending the use of long-term contraceptives (like IUDs) for teen girls. PPAZ’s medical director agrees! (Public News Service)
  • Who else is ready to party at some legal (and not only ceremonial/symbolic) gay weddings in AZ? Our wish might soon be granted! (Tucson Sentinel)
  • Texas forced the closure of 13 abortion clinics last week, leaving the state’s 5.4 million women of reproductive age with only eight clinics, which are scattered throughout the state and not in convenient locations for many of the women in its most rural areas. Their AG (out-of-touch, privileged white guy) says driving up to 250 miles one way for an abortion is “manageable.” Because, yes, he’s the arbiter of what’s manageable for women of varying socioeconomic backgrounds. Ugh. (HuffPo)
  • Maybe if Texas hadn’t banned the safest, most affordable method of abortion (now available in only two states), this wouldn’t be such a hardship. (The Atlantic)
  • Ironically, the states with the most “pro-life” laws on the books provide the most craptacular health (and maternal) care to women. The infant/maternal mortality rates in these places are obscene. In these states (Arizona is one), the babies they force us to have are more likely to die at birth, and so are we in the process of having them. Thanks, conservatives! (Jezebel)
  • In case you weren’t aware, parental consent laws are terrible and pregnant teenagers who want to terminate their pregnancies are completely humiliated and put through the wringer by conservative judges. At a time when they least need it. (Mother Jones)
  • Starting next week, the University of California, San Francisco will commence the first online course on abortion care that’s ever been offered by a U.S. school. Considering there’s such a shortage of doctors who actually know how to perform abortions, it’s a great sign that more than 3,000 students have already signed up for the course. (Think Progress)

Let’s Talk Contraception: Contraceptive Implants

implantMany of us want a long-term method of birth control, but know we’re not able to reliably take a daily pill or interrupt a sexual experience to use a barrier contraceptive. There are several other options available that offer protection on a weekly, monthly, or yearly basis. A very effective but often underused method is the contraceptive implant, which provides pregnancy prevention for three years. The Guttmacher Institute reports that only 0.3 to 0.5 percent of women who use birth control choose an implant, but it is one of the most effective contraceptives.


The implant protects you from pregnancy for three years and, with a failure rate of 0.05 percent, is the most effective reversible contraceptive.


There are two hormonal implants available in the United States: Implanon and Nexplanon. Both contain only a progesterone hormone, etonorgesterol. This hormone prevents pregnancy by suppressing ovulation, thickening cervical mucus, and thinning the lining of the uterus. Nexplanon is quickly replacing Implanon because it is designed to be seen on an X-ray. This feature helps medical providers be sure the implant is placed correctly and reduces problems due to incorrect insertion. If the implant is placed incorrectly, you can have numbness and it may be difficult to remove.

Nexplanon is a very small flexible plastic rod, about the size of a matchstick. It is inserted by your provider under the skin in your upper arm, where it slowly releases the progesterone hormone into your bloodstream and prevents pregnancy for three years. After three years, it must be replaced with a new one to provide continuous effective birth control. However, it can be removed at any time before three years if desired. Continue reading

Pro-Choice Friday News Rundown

  • saguaroArizona Republicans do a stellar job of making our beloved state seem like a haven for bigots. The current target? Members of the LGBT community. (AZ Central)
  • Here’s another shining example of this … (Raw Story)
  • And again! Can’t even give birth to your own baby the way you want to! Dammit, Arizona! (Care2)
  • If you are married to a person with genitalia that is the opposite of yours, I have some good news for you — Mike Huckabee approves of your intercourse. Congratulations. (Slate)
  • A mother who helped her 16-year-old daughter terminate an unwanted pregnancy could become a convicted felon for doing so … and remember, this is a world where others can kill unarmed born children and get off scot-free. (Care2)
  • After having had to abort her very wanted child at the end of the second trimester, Phoebe Day Danziger tells her sad story. (Slate)
  • We’re familiar with Plan B, but is there a Plan C on the horizon? (RH Reality Check)
  • The 10 suckiest anti-abortion bills of 2014 — and we’re not even in the third month of the damn year. (Think Progress)
  • Lack of Knowledge on Long-Term Contraception Is A Real Danger for Women (HuffPo)
  • The inventor of the HPV vaccine is working on a similar vaccine for herpes. Yay science! (Sydney Morning Herald)
  • Like everything else in medicine, the value of mammograms is being debated. Wouldn’t it be nice if doctors could be on the same page? (NY Times)