Most effective reversible contraceptive options for obese women

  1. Intrauterine Device (IUD) is the best contraceptive choice for obese women. Both copper IUD and the levonorgestrel-releasing IUD are great options for obese women. Failure rates for IUDs are the same for normal, overweight, and obese women.
  2. Contraceptive implant. The etonogestrel (Nexplanon) and levonorgestrel (Norplant) work well in obese women.
  3. Depot medroxyprogesterone acetate (Depo-Provera) also works well in obese women.

Notice that all three of the above are progestin-only contraceptives or non-hormonal (copper IUD). None of them has estrogen. They are also not taken orally.

Less effective reversible contraceptive options for obese women

  1. Oral contraceptives
  2. Contraceptive patch
  3. Contraceptive ring
  4. Barrier Methods
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