Pills, IUDs or implants? Which birth control works best for women and why

New Delhi: Evaluating and choosing the right birth control method goes beyond preventing pregnancy; it’s all about taking charge of your reproductive health, managing hormonal imbalances, menstrual discomfort, and aligning with your lifestyle and future goals. With many contraception options available today, understanding the pros and cons of pills, IUDs, implants, and natural remedies can help women make informed choices for their health and lifestyle. It is the need of the hour to consult an expert who will guide you regarding this. Don’t try to opt for any options on your own. So, know about the suitable and convenient birth control options for you.

Dr Padma Srivastava, Consultant Obstetrician & Gynaecologist, Motherhood Hospitals, Lullanagar, Pune, explained how various forms of contraceptives work.

A large number of women may require birth control to prevent unplanned pregnancies and to manage reproductive health conditions like irregular periods, polycystic ovary syndrome (PCOS), or severe menstrual pain. It also allows them to plan families and pursue personal or career goals. Choosing the right method of birth control is a personal decision that depends on a woman’s health, age, reproductive goals, and lifestyle. From hormonal pills to devices and natural methods, each option available should be discussed with the doctor. Knowing how they work and what suits your body best is key to making a safe and effective choice.

Understanding various birth control measures for women

  1. Pills: Oral contraceptive pills are one of the most commonly used methods. They are easy to take and can regulate menstrual cycles, reduce period pain, and even help with acne. They work by preventing ovulation through hormones. However, they require consistent intake and may not suit women with detected with blood pressure issues or migraines or a history of blood clots. It is better to consult an expert before taking any birth control pills.
  2. IUDs (Intrauterine Devices): IUDs are small devices inserted into the uterus by a doctor. There are two types, that is, hormonal and copper. They are long-lasting, low-maintenance, and effective. Hormonal IUDs, which release progestin, can reduce heavy periods, while copper IUDs are hormone-free and are ideal for women who want a non-hormonal option. Some women may experience cramping or spotting initially, but these often reduce over time. The expert will determine if this is right for you. Both offer long-term protection, i.e., up to 3- 10 years, some IUDs are also used to treat conditions like endometriosis or anemia, and not only for birth control.
  3. Implants: These are small rods placed under the skin of the upper arm that release hormones to prevent pregnancy. They are effective and require no daily effort. Implants are reliable and safe for the majority of women. Some may face changes in menstrual patterns, such as spotting.
  4. Natural remedies: Such as tracking fertility cycles, using barrier methods like condoms, and avoiding intercourse on fertile days. These options are free of hormones and suitable for women who prefer natural approaches. However, they require discipline, accurate tracking.
  5. Emergency Contraception: Emergency contraceptive pills (morning-after pills) are a backup option used within 72 hours of unprotected sex. They’re not a regular form of contraception, but can prevent pregnancy in urgent situations.

While all methods have their advantages, what works best varies from woman to woman. It’s important to consult a gynecologist or healthcare provider to discuss your medical history, lifestyle, and needs. Only a doctor can guide you toward the safest and most effective birth control option that is suitable for you.