Which is more effective for contraception: getting an IUD or taking medication?

Patient's question:

Hello doctor, I am 36 years old this year. I would like to ask you, which is better for breastfeeding between getting an IUD and taking medication? I have heard many people say that even with an IUD, pregnancy can still occur, and it is also very easy to have an ectopic pregnancy. I hope you can tell me, thank you.

Doctor's answer:

I'm glad to help you clarify your questions. Currently, the most common method for women in our country to choose breastfeeding is the insertion of an intrauterine device (IUD). After the IUD is inserted, it is easily maintained, and breastfeeding can be prolonged. Moreover, it is reversible. If you want to conceive, you can remove the IUD and restore it for two months, then you can get pregnant again for preparing to conceive. There are no side effects.
If you choose to breastfeed while taking oral emergency contraceptives, you cannot take them for a long time. The maximum duration is three to five years. It may also increase the risk of thrombosis, and some side effects are unavoidable.

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