--- title: "Birth Control Choices Other Than The Pill | Sutter Health" description: "I'm 38 and have been in a relationship for three years. I've been on the pill for 20 years and don't want more kids, but I don't like the melasma side effect of birth control pills. I've considered an IUD but know someone whose device migrated. Options?" url: "/ask-an-expert/answers/birth-control-choices-other-than-the-pill-1051061343" --- 1. Home / 2. Birth Control Choices Other Than The Pill # Birth Control Choices Other Than The Pill * * * Medically reviewed by - Ryszard J. Chetkowski, M.D. ## Question I'm 38 and have been in a relationship for three years. I've been on the pill for 20 years and don't want more kids, but I don't like the melasma side effect of birth control pills. I've considered an IUD but know someone whose device migrated. Options? ## Answer If your major goal, in addition to reliable contraception, is to reduce the menstrual flow and frequency of periods, then a Mirena IUC, which secretes progesterone-like hormone locally in the uterine cavity with relatively little systemic effect, may be your best choice. With Mirena, many women have no periods at all and it is effective in reducing heavy menses as long as there is no anatomic abnormality, such as a polyp or fibroid. Dislocation of an IUD is a rare event. Depo Provera also eliminates periods in most users but some women experience spotting. It is a systemic medication, which may have some of the same side effects you have with the pill. ## Explore related topics Women's healthPregnancyGynecologic Health ## Related questions View all questions - Health Q&A ### Chronic Pelvic Pain From IUD? I'm female (36) with a Mirena IUD. I have lower abdominal pains that feel like my uterus is being squeezed. It's worse after my period or intense orgasms. My IUD was checked and it's in the correct place. - Health Q&A ### Conception Possible During Menstruation? I've heard that you can't get pregnant during your period. Is this just an old wives tale? Should I be concerned about protection during this time? - Health Q&A ### Are Birth Control Pills Different? My physician recently changed my brand of birth control pills. I read reviews that described bad side effects for the new brand. Do all birth control pills have the same ingredients? If so, why would some cause different side effects? - Health Q&A ### Chances of Pregnancy After Tubal Ligation How likely is it for a woman to get pregnant after having her tubes tied? - Health Q&A ### Best Fibroid Treatment Options How do I decide on a treatment plan for my uterine fibroids? View all questions ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/ask-an-expert/answers/birth-control-choices-other-than-the-pill-1051061343#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Birth Control Choices Other Than The Pill"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalWebPage","@id":"https://www.sutterhealth.org/ask-an-expert/answers/birth-control-choices-other-than-the-pill-1051061343#medicalwebpage","url":"https://www.sutterhealth.org/ask-an-expert/answers/birth-control-choices-other-than-the-pill-1051061343","name":"Birth Control Choices Other Than The Pill","description":"If your major goal, in addition to reliable contraception, is to reduce the menstrual flow and frequency of periods, then a Mirena IUC, which secretes progesterone-like hormone locally in the uterine cavity with relatively little systemic effect, may be your best choice.","inLanguage":"en-US","medicalAudience":{"@type":"MedicalAudience","audienceType":"Patient"},"isPartOf":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers"},"breadcrumb":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers/birth-control-choices-other-than-the-pill-1051061343#breadcrumblist"},"mainEntity":{"@type":"Question","@id":"https://www.sutterhealth.org/ask-an-expert/answers/birth-control-choices-other-than-the-pill-1051061343#question","name":"Birth Control Choices Other Than The Pill","text":"I'm 38 and have been in a relationship for three years. 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