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The Birth Control Shot vs. The Implant: Which One Works Best?
Home / Articles
The Birth Control Shot vs. The Implant: Which One Works Best?
The birth control shot, commonly known by its brand name Depo-Provera, is a long-acting injectable birth control method. It works by releasing a synthetic form of the hormone progestin into the body, which helps prevent pregnancy in several ways: by stopping ovulation, thickening cervical mucus, and thinning the uterine lining.
Administered once every 12 weeks, the shot is usually given in the upper arm or buttocks. Its appeal lies in its convenience—there’s no daily pill to remember—and its high level of effectiveness when administered on schedule. With typical use, it is about 94% effective, making it one of the more reliable contraception options for women seeking a medium-term solution.
However, it does require regular clinic visits every three months, which might not suit everyone's lifestyle. It can also come with side effects, such as weight gain, mood changes, or changes in menstrual bleeding. Despite this, many women find it to be a manageable and effective hormonal birth control method.
The birth control implant, most widely recognized under the brand name Nexplanon, is a small, flexible rod inserted just under the skin of the upper arm by a healthcare provider. Like the shot, it releases progestin, but it does so in a continuous and controlled manner over a longer period.
This long-acting birth control method provides protection for up to three years, making it incredibly convenient for women looking for a “set it and forget it” option. It’s over 99% effective, positioning it as one of the most reliable forms of reversible birth control available today.
Insertion and removal must be done by a trained provider, but the process is quick and minimally invasive. Most women experience some change in menstrual patterns, such as lighter periods or irregular spotting, but serious side effects are rare. Because of its ease and effectiveness, the implant is especially popular among younger women and those with busy lifestyles.
At Second Spring Women’s Clinic, the implant procedure is performed by expert gynecologists like Dr. Seon-Hwa Jeong, ensuring both safety and comfort during the process.
When choosing between the birth control shot and the implant, one of the most important considerations is effectiveness. The implant clearly stands out, offering 99% effectiveness, compared to the shot’s 94% with typical use. This difference may seem small but is significant for women prioritizing maximum reliability.
The reason for this gap lies in user consistency. The implant requires no ongoing action from the user after insertion, eliminating the possibility of missing a dose. In contrast, the shot must be received every 12 weeks. A delay in getting the next shot can reduce its effectiveness and increase the chance of unintended pregnancy.
That said, when the birth control shot is used perfectly—i.e., administered exactly on time every 12 weeks—it can be as effective as the implant. But in real-life settings, where busy schedules or limited access to clinics might cause delays, the implant wins in practicality and performance.
Both methods are highly effective at preventing pregnancy and do not protect against sexually transmitted infections (STIs), so combining them with barrier methods like condoms is recommended for additional protection.
If convenience is your top priority, the birth control implant is hard to beat. Once inserted, it offers worry-free protection for up to three years. There are no reminders, no pharmacy visits, and no scheduling doctor appointments every few months.
In contrast, the birth control shot requires more commitment. Patients must return to a clinic or provider every 12 weeks. Missing even a single appointment can lead to a lapse in protection. For women with unpredictable schedules, travel plans, or limited access to healthcare, this can be a disadvantage.
Additionally, the implant avoids the needles and discomfort associated with repeated injections. After the initial insertion, which is quick and performed under local anesthesia, you won’t have to think about birth control again until it’s time for removal or replacement.
At Second Spring Women’s Clinic, both options are available, and specialists provide comprehensive counseling to help patients choose based on their lifestyle, preferences, and medical history. Whether you’re considering the implant’s long-term simplicity or the shot’s shorter-term flexibility, the clinic’s approach ensures that you’ll feel confident and informed in your decision.
Like all hormonal birth control options, both the birth control shot and the implant come with potential side effects. These side effects vary by individual and may change over time.
Common side effects of the shot include weight gain, mood changes, irregular bleeding, and a reduced bone density with long-term use. Some women may also experience depression or a loss of bone mass, which could increase the risk of fractures over time.
Weight gain is one of the most commonly reported side effects, although the amount of weight gained can vary widely.
Many women also experience spotting or no period at all, which can be a pro or con depending on individual preferences.
For the implant, common side effects include irregular bleeding, headaches, mood swings, and acne. Some women may experience longer or heavier periods, while others may have no periods at all.
The implant typically causes fewer changes in weight compared to the shot.
The side effects generally subside after the first few months of use as the body adjusts.
When choosing between these methods, it's important to consult with a healthcare provider to discuss any pre-existing health conditions or concerns. At Second Spring Women’s Clinic, patients are supported in managing any side effects that may arise, ensuring a smooth experience with whichever method they choose.
Both the birth control shot and the implant rely on progestin, a synthetic hormone similar to the natural hormone progesterone. However, they work in slightly different ways.
The shot is injected into the body every 12 weeks, delivering progestin that prevents ovulation. It also thickens cervical mucus to block sperm from reaching the egg and thins the lining of the uterus, making it less likely for a fertilized egg to implant.
The implant works in a similar manner by releasing a low dose of progestin over three years. It suppresses ovulation, thickens cervical mucus, and thins the uterine lining. The implant provides a continuous, low dose of progestin, which ensures steady contraception without the need for regular maintenance.
Though the methods release the same hormone, the implant offers a more consistent and long-term effect, while the shot requires scheduled maintenance to remain effective.
One of the key differences between the birth control shot and the implant is their duration.
The shot needs to be administered every 12 weeks (about 3 months). This means women need to return to their healthcare provider regularly. It’s ideal for those who want medium-term contraception but might prefer the option to stop or switch methods after a few months.
On the other hand, the implant lasts up to 3 years once inserted, offering a long-term solution with minimal intervention. After the initial insertion, which is done by a healthcare professional, you don’t need to worry about anything until it's time to replace or remove the implant. It’s perfect for those who prefer a set-it-and-forget-it method.
In terms of duration, the implant offers a more long-lasting solution with fewer doctor visits, making it more convenient for those with busy schedules.
When evaluating birth control, cost can be a significant factor, especially over time.
The cost of the birth control shot varies depending on location and insurance coverage, but generally, the shot is less expensive initially. However, because it requires quarterly appointments, there can be extra fees for doctor visits. Over time, this may add up, making it less cost-effective for some women.
While the implant may have a higher upfront cost (due to the insertion procedure), it provides three years of protection, which spreads the cost out over a longer period. For women who prefer fewer healthcare visits and the convenience of a long-lasting method, the implant can be more cost-effective in the long run.
Both methods are usually covered by insurance, and many clinics offer financing options to help manage costs. Second Spring Women’s Clinic offers consultations and guidance to help patients navigate costs and insurance options for both birth control methods.
When it comes to reversibility, both the birth control shot and the implant offer great flexibility, but they work in different ways.
After stopping the birth control shot, it may take some time for fertility to return. On average, it can take 9 to 10 months for women to regain normal fertility, although it varies from person to person. The progestin in the shot can linger in the body, and it may take a few months for the hormone levels to decrease enough for ovulation to resume.
On the other hand, fertility usually returns much faster after removing the implant. Most women will begin ovulating within a few weeks after removal. This makes the implant a more immediate option for those who might decide to start trying for a pregnancy in the near future.
Both methods are reversible, but the implant offers a quicker return to fertility, making it ideal for women who may want to become pregnant sooner.
The birth control shot may be a good option for women who want a medium-term, reliable form of contraception with minimal effort and can commit to regular quarterly appointments.
Women who prefer injections over pills or who struggle with remembering to take daily medications.
Women looking for temporary contraception with the option to stop at any time.
Those who may have a history of severe menstrual bleeding or endometriosis, as the shot often helps reduce or eliminate periods.
However, the shot may not be suitable for women with certain conditions, such as those at high risk of bone density loss, since prolonged use can lead to reduced bone mass.
At Second Spring Women’s Clinic, doctors can assess whether the birth control shot is the right fit based on your medical history and lifestyle.
The birth control implant is best suited for women who prefer a long-term, low-maintenance method of contraception. It's ideal for individuals who want to avoid having to remember regular appointments or need a method that doesn’t require daily attention.
Ideal candidates include:
Women seeking long-term birth control (3 years of protection).
Those who prefer a minimal intervention option with no daily or quarterly commitments.
Women who experience issues with other hormonal methods or want something more reliable and hassle-free.
However, the implant may not be suitable for women who are sensitive to hormonal changes or those with certain medical conditions like uncontrolled bleeding disorders. A consultation at Second Spring Women’s Clinic can help you decide if the implant is the best choice.
Choosing between the birth control shot and the implant largely depends on personal preferences, lifestyle, and future family plans. Here are a few key factors to consider:
Convenience:
If you prefer a low-maintenance option and dislike regular doctor visits, the implant might be the better choice. Its 3-year duration means fewer appointments, while the shot requires visits every 3 months.
Side Effects:
The shot tends to have more weight gain and mood-related side effects compared to the implant. If you’re concerned about side effects, the implant might be a more suitable option.
Duration:
The shot is ideal if you want a temporary, short-term solution (12 weeks of protection), while the implant offers a long-term option for those who don’t want to worry about birth control for several years.
Fertility Plans:
If you plan on becoming pregnant soon, the implant offers quicker return to fertility after removal compared to the shot.
Consulting with a healthcare provider is essential in making the right choice for your body and life plans. At Second Spring Women’s Clinic, Dr. Seon-Hwa Jeong and her team take the time to understand your needs and guide you through the decision-making process.
Choosing the right birth control method can be a life-changing decision, and it’s important to have expert guidance. At Second Spring Women’s Clinic, we prioritize providing personalized care to ensure you choose the best contraceptive method for your unique needs.
Dr. Seon-Hwa Jeong and our team of experienced professionals take the time to discuss all your options, including the birth control shot and the implant, considering your health history, lifestyle, and preferences. We provide thorough consultations to help you make an informed decision and ensure that both the shot and implant are suitable for your health profile.
Our clinic also ensures that every patient feels comfortable, informed, and confident in their choice. Whether you're looking for a temporary or long-term contraceptive solution, Second Spring Women’s Clinic offers a safe, welcoming environment to discuss all your reproductive health needs.
The implant is slightly more effective at 99% compared to the shot’s 94% with typical use. However, if the shot is administered correctly every 12 weeks, its effectiveness can be comparable.
Yes, you can switch methods, but it’s important to discuss the timing with your healthcare provider to avoid a gap in protection. You may need to wait a short period after your shot before getting the implant.
Both the shot and the implant are reversible methods of contraception. The implant can be removed at any time, and fertility generally returns quickly. After stopping the shot, it may take a few months for fertility to resume.
Like any form of hormonal contraception, both methods have potential risks and side effects, including changes in mood, weight, or menstrual cycles. It’s important to discuss these with your healthcare provider to determine which option is safest for you.
Both methods are typically covered by insurance, but it’s a good idea to check with your provider for coverage details. At Second Spring Women’s Clinic, we offer consultations to help you navigate insurance coverage and payment options.
When it comes to contraception, there is no one-size-fits-all solution. Both the birth control shot and the implant have their own unique benefits, and the best choice depends on your health, lifestyle, and family planning goals.
If you prefer a long-term, low-maintenance option with the highest effectiveness, the implant may be the best fit. On the other hand, if you're looking for a short-term solution with the flexibility of quarterly appointments, the shot could work better for you.
At Second Spring Women’s Clinic, we are committed to helping you make an informed decision about your reproductive health. Dr. Seon-Hwa Jeong and our team provide expert guidance, thorough assessments, and compassionate care to ensure that whatever birth control option you choose, it aligns with your personal needs and goals.
Whether you're new to contraception or considering a change, our clinic offers the support and expertise needed to ensure you feel confident in your choice.