1891 Beach Blvd., Suite 200
Jacksonville Beach, FL 32250

Phone: 904.249.3743
Fax: 904.249.2047

Clinic Hours:

Mon – Thurs: 7:30 a.m. – 5:00 p.m.
Frid: 7:30 a.m. – 12:00 p.m.

PATIENT PORTAL
dr. randolph's ageless & wellness medical center

Gynecology Services - Implantable Devices

Implantable devices provide a reliable and long-term option for contraception, freeing the user from daily or monthly schedules. The intrauterine device (IUD), a small T-shaped apparatus inserted into the uterus, comes in two variations: hormonal and copper. Hormonal IUDs release a small amount of progestin, preventing pregnancy for 3-8 years, while copper IUDs cause an inflammatory response toxic to sperm, providing contraception for up to 10 years. Another implantable option is the birth control implant, a matchstick-sized rod inserted under the skin of the upper arm. It releases progestin and provides effective contraception for up to 3 years. These devices offer a high level of effectiveness and convenience but require healthcare provider insertion and removal.

Choosing an Intrauterine Device (IUD) can be an effective and convenient method of contraception for several reasons. First, IUDs are highly reliable with a success rate of over 99%, offering long-term protection from unplanned pregnancies. Unlike daily oral contraceptives, once an IUD is in place, it requires little to no maintenance until its lifespan ends, which can range from 3 to 10 years, depending on the type. This makes it a good option for those seeking a hassle-free contraceptive method. Additionally, hormonal IUDs can provide benefits such as reduced menstrual pain and bleeding. Lastly, IUDs do not permanently affect fertility – once removed, your ability to conceive returns to normal quite quickly. Nexplanon is a form of birth control implant similar to the ones discussed above. It is a small, flexible plastic rod about the size of a matchstick that is inserted under the skin of the upper arm by a healthcare provider. Nexplanon releases a steady, low dose of the hormone etonogestrel to prevent pregnancy. It works in two ways: by preventing ovulation, thus no egg is released for fertilisation, and by thickening the mucus in the cervix to prevent sperm from reaching any eggs that might have been released. With a success rate of over 99%, it provides effective contraception for up to 3 years. However, like any other birth control method, it does not protect against sexually transmitted infections (STIs). After removal of the Nexplanon implant, fertility usually returns to normal quickly. Deciding on a form of contraception is a personal decision that should be based on your individual health, lifestyle, and family planning goals. When considering an IUD or implant like Nexplanon, here are a few factors to keep in mind:
  • Duration of Use: If you prefer a long-lasting method, a copper IUD might be a good fit as it works for up to 10 years. In contrast, Nexplanon and hormonal IUDs are effective for 3 to 8 years, respectively.
  • Hormonal or Non-Hormonal: If you wish to avoid hormones, you might opt for a copper IUD which uses a copper wire to inhibit fertilization. Nexplanon and hormonal IUDs, however, use progestin to prevent pregnancy.
  • Health Benefits: Besides contraception, hormonal IUDs can help reduce menstrual pain and heavy bleeding. On the other hand, a copper IUD doesn’t offer such benefits.
  • Reversibility: All these methods are reversible. Once the device is removed, fertility tends to resume quickly.
  • Protection from STIs: None of these options protect against STIs. If this is a concern, using condoms along with your chosen method can provide added protection.

Ultimately, it’s best to discuss these points with your healthcare provider. They can provide further guidance based on your medical history and lifestyle, ensuring you make the most informed choice about your contraceptive method.