Adult Sex Education & Sexual Wellness18+
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Interactive Comparison Tool

Contraception Comparison: IUD vs Implant and Every Other Method

Explore all primary birth control options. Filter by your personal preferences (hormonal vs non-hormonal, STI protection, set-and-forget duration) to compare clinical effectiveness and pros/cons.

Compare contraception methods

Filter Contraception Options

Compare methods by category, hormone content, duration, and protection level.

Category:
Showing 9 contraceptive options
LARC (Long-Acting Reversible)Up to 3 years

Contraceptive Implant (e.g. Nexplanon)

Typical Use:>99%
Perfect Use:>99%
STI Protection:No (use condoms for STI protection)
Key Advantages:
  • Highest effectiveness rate
  • Fit and forget for 3 years
LARC (Long-Acting Reversible)5 to 10 years

Copper Intrauterine Device (IUD)

Typical Use:>99%
Perfect Use:>99%
STI Protection:No (use condoms for STI protection)
Key Advantages:
  • 100% hormone-free
  • Lasts 5–10 years
LARC (Long-Acting Reversible)3 to 8 years (depending on brand)

Hormonal Intrauterine System (IUS, e.g. Mirena, Kyleena)

Typical Use:>99%
Perfect Use:>99%
STI Protection:No (use condoms for STI protection)
Key Advantages:
  • Extremely effective
  • Usually makes periods much lighter, less painful, or stop entirely
Barrier MethodsPer sexual encounter

External (Male) Condoms

Typical Use:87%
Perfect Use:98%
STI Protection:Yes — High protection against HIV, Chlamydia, Gonorrhoea
Key Advantages:
  • Protects against BOTH pregnancy and STIs
  • Widely available without prescription
Barrier MethodsPer sexual encounter

Internal (Female) Condoms

Typical Use:79%
Perfect Use:95%
STI Protection:Yes — High protection against STIs and pregnancy
Key Advantages:
  • STI and pregnancy protection controlled by the receptive partner
  • Can be inserted in advance
Short-Acting HormonalDaily tablet

Combined Oral Contraceptive Pill (COC)

Typical Use:91%
Perfect Use:99%
STI Protection:No
Key Advantages:
  • Can make periods regular, lighter, and less painful
  • Can improve acne
Short-Acting HormonalDaily tablet

Progestogen-Only Pill (POP / Mini-pill)

Typical Use:91%
Perfect Use:99%
STI Protection:No
Key Advantages:
  • Estrogen-free: safe for smokers over 35 and people with migraine with aura
  • Safe while breastfeeding
Hormonal InjectionsEvery 12 to 13 weeks

Contraceptive Injection (Depo-Provera / Sayana Press)

Typical Use:96%
Perfect Use:>99%
STI Protection:No
Key Advantages:
  • Does not rely on daily memory
  • Lasts 3 months
Emergency MethodsOne-off post-exposure

Emergency Contraception (Levonorgestrel / Ella / Copper IUD)

Typical Use:95–99% (highest with Copper IUD, earlier is better for pills)
Perfect Use:>99% (Copper IUD)
STI Protection:No (consider PEP if HIV risk occurred)
Key Advantages:
  • Prevents pregnancy after unprotected sex or condom slip
  • Available from pharmacies or sexual health clinics

How to use this contraception comparison

Filter by what actually matters to you — hormonal or non-hormonal, whether it also protects against STIs, and how long you want it to last without thinking about it — then read across the row. The comparison is there to narrow a shortlist you can take to a clinician, not to pick for you.

IUD vs implant, and the rest of the shortlist

Contraception is usually quoted two ways: perfect use, meaning the method used exactly as directed every time, and typical use, which accounts for late pills, split condoms and real life. The gap between the two is large for methods you have to remember and almost nil for the contraceptive implant and intrauterine device, which is the single most useful thing to understand when comparing birth control options.

What this comparison does not decide for you

Effectiveness is only one axis. Medical history, medicines you already take, migraine with aura, blood pressure, breastfeeding, plans for pregnancy and how you feel about a procedure all affect what is suitable — and none of that is in a table. Barrier methods are also the only entries here that reduce STI transmission, so a second method is often the right answer rather than a single choice.

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