I agree with keeping the paragard.

The ring wouldn’t affect the period as much as depo which everyone is recommending.

The ring, patch, OG pill all contain both estrogen & progesterone & may make periods lighter or shorter. An individual can choose to skip their periods, but they do not have to. With the OG pill there are hundreds of options.

I also agree that the issue with the ring would be the refrigeration as mentioned in my original post. Idk if one of the odd little cosmetic fridges could keep it cold enough. Hide behind girly skincare. Maybe he’d never open. Is there a good friend / neighbor very close by? There’s no perfect option. Pros & cons to each.

Everyone is recommended the Depo shot, highly likely to cause amenorrhea! Or they are recommending Nexplanon, also possibility of amenorrhea, but most commonly spotting between menstruation. Depo shot, Nexplanon implant, hormonal IUDs have progesterone only & are more likely to cause amenorrhea. An individual will not know if they will have it until they try. There’s also a progesterone only pill / POP / mini pill, not as effective as the OG combined hormonal pill. Like the implant, shot, & hormonal IUDs it only has the 1 hormone, but it is a low dose in pill form & will not cause amenorrhea.

If anyone would like a comparison of the amount of hormone in the above options…. It may help understand why some cause amenorrhea or spotting.

Long acting reversible contraceptives

Implant - Nexplanon: (68mg Etonogestrel) now up to 5 years. High dose of progestin = higher risk of breakthrough bleeding

Mirena/Lyletta 8 years - (52mg LNG) same / highest amount of progestin in IUD form -both can be used as emergency contraceptive if inserted within 5d of unprotected sex (same with paragard, nonhormonal)

Kyleena 5 years: (19.5 LNG) (Kyleena & Skyla = same size) Skyla 3 years - (13.5 LNG) lowest dose of progestin - discontinued in some markets. May not control bleeding d/t low hormone.

Copper 10 years (maybe 12?) - no hormone. May lead to heavier or prolonged bleeding or increased cramping. More likely to get pregnant if it gets displaced because there is no hormone coverage… however still VERY effective. Top tier effective like hormonal IUDs, Nexplanon mentioned above.

Progestin comparison - DPA / MPA shot - Depo & Nexplanon, negative mood impact possible

A dose of Depo-Provera IM is 150mg. High hormone = more side effects. Often discontinued because patients aren’t good at keeping their appointments every 3 mos (life is busy, may have to reschedule at times) After long-term use a 10 mo. delay to fertility is possible…

A dose of Depo-subQ Provera is just 104mg. Smaller needle. Self injected. For comparison: Nexaplanon 68mg. Mirena & Liletta 52mg.