Which is better for contraception: intrauterine device (IUD) or oral contraceptive pills?

Nov 11, 2024 Source: Cainiu Health
Disease description:

My husband and I currently do not plan to have children, and I would like to learn more about whether it is better to use an intrauterine device (IUD) for contraception or to take contraceptive pills?

Doctor's answer (1)
Dr. Zhang Lu

The choice between using an intrauterine device (IUD) or oral contraceptive pills mainly depends on individual health status, lifestyle habits, and personal preferences. Both IUDs and oral contraceptives have their own advantages and disadvantages, as follows:

1. Intrauterine Device (IUD):

Advantages: Highly effective for contraception, with a success rate exceeding 99 percent. It is a long-acting contraceptive method that can be used continuously for 3–10 years. It is also convenient to use and does not require daily medication.

Disadvantages: May cause side effects such as irregular menstruation, abdominal pain, and breast tenderness. Discomfort or pain may be experienced during insertion. In rare cases, complications such as infection or uterine perforation may occur.

2. Oral Contraceptive Pills:

Advantages: Effectively prevents pregnancy, and can also help relieve premenstrual syndrome (PMS), control body weight, and reduce the risk of certain cancers.

Disadvantages: May cause side effects in some women, such as nausea and breast tenderness. It is not suitable for smokers or women with certain cardiovascular disease risks.

To decide which contraceptive method to use, it is recommended to consult a qualified physician and make a decision based on individual circumstances. The doctor will consider factors such as age, reproductive plans, and health status to provide the most suitable contraceptive advice.