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The hormonal IUD is an extremely effective method of birth control, and a 2021 study demonstrated that it may be used for emergency contraception. [15] In addition to birth control, the hormonal IUD is used for prevention and treatment of: Heavy menstrual periods [16] Endometriosis and chronic pelvic pain [16] [17] Adenomyosis and dysmenorrhea ...
Extended or continuous cycle combined oral contraceptive pills are a packaging of combined oral contraceptive pills (COCPs) that reduce or eliminate the withdrawal bleeding that would occur once every 28 days in traditionally packaged COCPs. It works by reducing the frequency of the pill-free or placebo days.
Although copper IUDs may increase menstrual bleeding and result in painful cramps, [12] hormonal IUDs may reduce menstrual bleeding or stop menstruation altogether. [13] However, women can have daily spotting for several months after insertion, and it can take up to three months for there to be a 90% decrease in bleeding with hormonal IUDs. [14]
[52] [48] A study of about 4,000 women found that progestogen-only birth control with depot medroxyprogesterone acetate had an incidence of depression of 1.5% and discontinuation due to depression of 0.5%. [51] [53] [54] Beneficial effects of hormonal birth control such as decreased menstrual pain and bleeding may positively influence mood. [48]
Depending on the presumed underlying cause of bleeding, medical management with progestogen-only pills, combined oral contraceptives, or tranexamic acid may be appropriate. One study found that 76% of patients who took oral medroxyprogesterone acetate (20 mg) for treatment of bleeding unrelated to pregnancy saw resolution of their bleeding.
Modern contraceptives using steroid hormones have perfect-use or method failure rates of less than 1% per year. The lowest failure rates are seen with the implants Jadelle and Implanon, at 0.05% per year. [9] [10] According to Contraceptive Technology, none of these methods has a failure rate greater than 0.3% per year. [10]
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