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Nexplanon vs. Mirena: A Big Comparison

1 Jun 2023
Nexplanon vs. Mirena A Big Comparison

Nowadays, the variety of birth control methods is truly splendid; different forms, shapes, active substances, and brands are available on the market, so women can choose the most comfortable option to prevent pregnancy and plan family more responsibly.

Today, we would like to discuss two popular products in this sphere – Nexplanon and Mirena; although they have different natures, people still love them equally, so it’s a good idea to discuss their dissimilarities. As we know, our readers love such comparisons, as they are always helpful to those who can’t make up their minds about how to select between two effective and high-quality variants. However, we would like to remind you that this information is presented on the DKdermal blog only for informational purposes. To ensure the safest option is chosen, it’s crucial to go to the doctor’s office and discuss all available variants; as a result, the best one will be picked according to one’s request, health conditions, age, and other essential factors. And now, let’s get to the article!

More About the Basics

Before starting our big comparison, we believe it’s important to learn key information about both brands; this way, it’ll be easier to understand their natures, working principles, and other essentials. The OB-GYN sphere can be confusing sometimes, as numerous products for different needs are available there, so let’s explore it step-by-step.

Nexplanon

Nexplanon products

Nexplanon is also known as an etonogestrel birth control implant; it looks like a rod meant to be inserted under the skin into one’s upper arm; it’s not very big and usually compared to the size of a matchstick. The active ingredient used for this product is etonogestrel (the type of progestin which is very similar to progesterone). With a concentration of 68mg, Nexplanon birth control implants guarantee 99% protection from unwanted pregnancies.

According to the statistics, 1 in 1000 women who used this brand became pregnant during the 3-year use of this product. 

An experienced doctor must insert this contraceptive implant in a clinic after a patient is examined and prescribed Nexplanon. In case this option is not safe for one’s needs, other products should be considered as an alternative.

Mirena

mirena products

Mirena is a levonorgestrel-releasing hormonal IUD that has to be inserted into one’s uterus to prevent unintended pregnancy. The intrauterine device itself is T-shaped to make it easier to place it safely inside the woman’s body. Mirena contains 52mg of levonorgestrel, and it’s gradually released every day while the device is working.

Another birth control method can be considered if a hormonal IUD works badly for a person’s needs. Of course, we are talking about a copper IUD. It’s as effective as hormonal devices, provides a long-lasting effect, and is safe for one’s reproductive health. Paragard is the most popular copper IUD brand available on the market.

Another thing Mirena can be used for is treating heavy menstrual bleeding. The insertion process may cause slight discomfort; sometimes, taking painkillers is recommended before the process starts. Still, doctors do everything to provide their customers a comfortable and painless experience.

A Big Comparison of the Main Characteristics

Now we know the basics of both long-acting reversible contraceptives, and it’s time to get to the comparison. Below, we’ll discuss working principles, longevity, adverse reactions, and contraindications for Mirena and Nexplanon.

Working Principle

As the natures of Nexplanon and Mirena vary, their working principles are also different.

Nexplanon’s primary goal is to suppress ovulation; it also makes cervical mucus thicker, so sperm motility is slowed, and it can’t get to the egg to fertilize it. Another beneficial thing this product does is thinning of the uterus lining to prevent a fertilized egg from implantation if ovulation happens and sperm manages to get through the mucus.

As for Mirena, it also makes the uterus lining thinner, and it also creates an inhospitable environment for sperm, making it impossible to survive. Also, mucus thickness develops with time and prevents sperm motility, so impregnation becomes improbable in such an environment. Ovulation suppression may also occur in some women.

Please remember that neither Mirena nor Nexplanon can protect you from STDs, so it’s still vital to use condoms if you don’t have a regular sexual partner. 

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Duration of the Effect

Speaking about the duration of action of Mirena IUD and Nexplanon implant, it also varies because of different working principles and active substances concentrations.

On average, Mirena can be used for up to 6 years for pregnancy prevention and up to 5 years to stop heavy menstrual bleeding. After this time, a device must be removed and replaced in the doctor’s office. It’s forbidden to try and pull it out on your own, as sharp strings of the product (the ones that create a T-shape) may hurt you.

Nexplanon, on the other hand, typically works for up to 3 years; the replacement is fast and painless, and the worst people can expect is slight discomfort.

Removing these products at any time is possible if a woman wants to get pregnant. They may start trying right away, but it’s important to understand that some time may be needed for the hormone to be released from the body completely. Usually, it’s possible to get pregnant within a year after the birth control device is removed. 

Side Effects

Adverse reactions for both contraceptive implants and intrauterine devices are similar, but it’s important to have a closer look at them to understand what to expect after insertion. It’ll also make the recovery process more manageable, as a person will better understand how to take care of themselves properly and whether it’s time to be concerned and call a doctor.

So, what side effects can be expected after Nexplanon or Mirena insertion?

  • Changes in one’s menstrual flow patterns;
  • Infrequent spotting;
  • Heavier bleeding (or the absence of menstruation);
  • Breast tenderness;
  • Vaginal irritation;
  • Headaches and low blood pressure;
  • Stomach and digestions issues;
  • Local spotting (acne) on the skin.

Another thing typical for Nexplanon users is weight gain; 12% of patients that used this product reported an unusual increase in their body mass after Nexplanon insertion. As for the topical adverse reactions, people may notice bruising, slight bleeding, and increased sensitivity after introducing Nexplanon.

A doctor must be informed immediately if a person experiences heavy bleeding and severe abdominal pain after the insertion of Mirena or Nexplanon. 

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Contraindications and Warnings

To guarantee a safe experience for an individual, limitations must be discussed beforehand in the doctor’s office to ensure these birth control options won’t cause any severe or dangerous adverse reactions.

If Nexplanon or Mirena is unsafe for a patient, it’s also possible to try more traditional contraceptives, such as pills or condoms. It’s better to discuss the alternatives with a medical professional. 

Here are the prominent warnings you shouldn’t ignore before the insertion:

  • Known hypersensitivity to the product’s ingredients;
  • The history of cardiovascular events (such as stroke or heart attack);
  • Liver problems (namely liver disease or liver tumor).

Women with diabetes should be careful, as these devices can cause mild insulin resistance and rapid changes in blood sugar levels. An ovarian cyst may also develop after their insertions; it’s rare, but we recommend being careful and keeping track of unusual side effects. Don’t ignore any warnings; stay in touch with your doctor for a safe experience.

Which One Is More Effective – Nexplanon or Mirena?

Both Mirena and Nexplanon are effective birth control options; they are effective, long-lasting, and suitable for different needs and people. The chances of failure are less than 1% for both brands, which is one of the main reasons people select them among other available variants.

The right decision should be made based on one’s needs; for example, women with rich menstrual bleeding should consider Mirena, as it can regulate it and make periods less heavy. Plus, this brand lasts longer, so those who don’t plan to have kids within the next 6 years will be happy with this option.

To choose the best contraceptive for you, we highly recommend going to the doctor’s office and discussing all your needs with a professional. 

The Bottom Line: Which Product to Choose?

Nexplanon and Mirena are among the most effective pregnancy prevention methods available on the market. Even though they have the same goal, some essential dissimilarities distinguish them from one another; form of release, durability, working principle – each factor should be discussed and considered. Hopefully, this article was helpful, so now the decision-making will be easier for you. Stay safe!

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