Which Long-Term Birth Control Option Fits Your Life Best?
By: Celina Varga
Fact checked by: QA Team
Created on: August 6, 2025
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18462
7 min
Explore the best long term birth control options, from IUDs to implants. Understand the pros, cons, and find the right fit for your health and lifestyle.
Introduction
Choosing a birth control method is a major decision. With so many choices, it's easy to feel overwhelmed. You want something that's effective, safe, and fits your life.
If you're looking for a low-maintenance solution, long term birth control options are a great place to start. This guide breaks down the top choices to help you decide.
Key Takeaways
- IUDs and implants offer the longest protection, lasting from 3 to 12 years.
- Hormonal options can affect your period, while non-hormonal methods do not.
- Consider your lifestyle, health history, and future family plans when choosing.
- Always consult a healthcare provider to make an informed decision.
1. The IUD: Hormonal and Copper Options
An Intrauterine Device (IUD) is a tiny, T-shaped device placed in your uterus. It's a popular choice because it's over 99% effective and lasts for years.
There are two main categories of IUDs. Hormonal IUDs release a small amount of progestin, while the copper IUD is completely hormone-free.
Hormonal IUDs (e.g., Mirena, Kyleena)
- Last for 3 to 8 years, depending on the brand.
- Often make periods lighter and less painful; some users stop getting periods altogether.
- Requires a healthcare provider for insertion and removal.
Copper IUD (ParaGard)
- Provides protection for up to 12 years.
- Works by creating an environment where sperm can't survive. It's a great non-hormonal option.
- Can sometimes cause heavier periods and more cramping, especially in the first few months.
According to The American College of Obstetricians and Gynecologists, IUDs are one of the most effective forms of reversible contraception.
2. The Birth Control Implant: Set It and Forget It
The birth control implant (Nexplanon) is a small, flexible plastic rod inserted under the skin of your upper arm. It's about the size of a matchstick.
It prevents pregnancy by releasing the hormone progestin, which stops ovulation. The implant is highly effective and lasts for up to five years.
What to know about the implant
- Pros: Extremely effective, discreet, and requires no daily or monthly maintenance.
- Cons: The most common side effect is unpredictable bleeding patterns, especially in the first year.
- Like the IUD, it must be inserted and removed by a trained healthcare professional.
3. The Birth Control Shot: A Quarterly Commitment
The birth control shot (Depo-Provera) is an injection of the hormone progestin that you get every three months. It's a good option if you prefer not to have a device.
It works by preventing ovulation and thickening cervical mucus. To be effective, you must get your shot on time, every 12 to 13 weeks.
Pros and cons of the shot
- Pros: Very effective when used correctly, and many users experience lighter or no periods after a year.
- Cons: It may take some time for your fertility to return after stopping. Some users report weight gain, as noted by the Mayo Clinic.
- Requires a clinic visit four times a year, which can be a commitment for some.
Making the Right Choice for Your Body and Lifestyle
Choosing among these long term birth control options is a deeply personal decision. Consider your comfort with hormones, your health history, and your lifestyle.
Think about whether you want your periods to change, your plans for having children in the future, and how often you're willing to visit a doctor's office.
Managing side effects like mood changes or weight fluctuations is also key. A holistic approach that includes a balanced diet and regular exercise can support your body.
Apps like no.Diet offer personalized Mediterranean meal plans and guided workouts to help you feel in control of your health, no matter which option you choose.
Balance your health beyond birth control with no.Diet now
Conclusion
From IUDs to implants and shots, you have excellent, reliable long term birth control options. Each comes with its own set of benefits and considerations.
The best choice is the one that aligns with your health needs and life goals. Take your time, do your research, and have an open conversation with your healthcare provider.
Frequently Asked Questions
What is the safest long-term birth control method?
Safety depends on your individual health. However, IUDs and implants have very low risks and are considered extremely safe for most people.
Which long-term contraceptive is the most effective?
The implant and IUDs are the most effective reversible methods, with failure rates of less than 1%. They are more effective than methods that require user action.
Can long-term birth control cause weight gain?
The birth control shot is the only method with a strong link to weight gain in some users. For IUDs and implants, research shows little to no effect on weight.
How long does it take to get pregnant after stopping?
For IUDs and implants, fertility typically returns immediately after removal. After stopping the shot, it can take several months for your cycle to regulate again.
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