LILETTA is a hormonal IUD that is FDA approved to be effective for up to 6 years (but in practice, it’s been proven effective for up to 7 years). It’s also explicitly approved for people who have not given birth. The main benefit of LILETTA is that it is more affordable than the other hormonal IUDs, especially for those with grandfathered health insurance plans and those without health insurance.
KYLEENA lasts up to 5 years and is the lowest hormone 5-year IUD. The Kyleena works by giving you a continuous low dose of a hormone called progestin. Because Kyleena releases progestin hormones locally in the uterus at a slow rate, only small amounts enter the bloodstream. About 1 in 8 people who use the Kyleena device will stop having periods after a year.
PARAGARD is a non-hormonal IUD that prevents pregnancy thanks to a tiny copper filament wrapped around the T. Paragard contains no hormones of any kind—it’s the only super-effective non-hormonal birth control method around (besides sterilization). Most people who use Paragard have heavier, longer, or crampier periods, especially for the first few months. After 6 months, many Paragard users’ periods return to normal.
The implant NEXPLANON is a tiny rod that’s inserted under the skin of your upper arm. It’s so small that most people can’t see it once it’s inserted. The implant releases progestin, a hormone that keeps your ovaries from releasing eggs and thickens your cervical mucus—which helps block sperm from getting to the egg in the first place. It prevents pregnancy for up to four years.