Comparison
Implant vs IUD
Quick answer
Both are among the most effective methods, with fewer than 1 in 100 users pregnant a year.[src] The implant sits under the skin of your arm for 3 years; an IUD sits in the uterus for about 5 (hormonal) to 10 (copper) years.
Implant vs IUD at a glance
| Implant | IUD | |
|---|---|---|
| Typical use | 99.9% (0.1 in 100 pregnant a year) | 99.2% (0.8 in 100 pregnant a year) |
| How often | Every 3 to 10 years | Every 3 to 10 years |
| Lasts | 3 years (label) | Up to 10 to 12 years, by product label |
| Hormones | Progestin only | None |
| Price (PH) | ₱200 to ₱10,500 | ₱200 to ₱20,000 |
| Free at health centers | Yes, subject to supply | Yes, subject to supply |
| Breastfeeding | Suitable | Suitable |
The difference, explained
These are the two long-acting reversible methods. The implant is inserted in a few minutes under local anaesthetic in the upper arm. An IUD is placed through the cervix after the provider measures the uterus; insertion is usually brief but crampy.
Bleeding differs most. The implant often causes irregular or no bleeding. A copper IUD contains no hormones and keeps your cycle, but periods can get heavier and crampier at first. A hormonal IUD usually makes periods lighter. A copper IUD is also the most effective emergency option when fitted within 5 days of unprotected sex.[src]
Both are free at many public facilities and suitable whether or not you have had children.[src] Private prices: implant about ₱5,000, copper IUD ₱10,000 to ₱20,000.
Which may suit you
- Implant may suit you if: You prefer nothing inside the uterus and a quick arm procedure.
- IUD may suit you if: You want the longest protection, or no hormones (copper).
Your doctor decides with your full health history. Not sure where to start? Try Find my method.
Three legal routes
Get a prescription
All birth control pills need a prescription in the Philippines. Pick the route that suits you. For adults 18 and over.
Free at a health center
Barangay health centers, RHUs, DOH hospitals and Likhaan. Subject to supply.
See an OB-GYN in person
Clinic visit, prescription in hand. Bring it to any licensed pharmacy.
Online consult
A licensed doctor by video or chat. From ₱700 on some platforms.
Online consult options
For adults 18 and over. Fees are set by each provider and can change.
Frequently asked questions
Masakit ba magpa-IUD?
Kadalasan ay maikling cramps habang inilalagay. Puwedeng magtanong sa provider tungkol sa pain relief.
Which lasts longer, implant or IUD?
A copper IUD, up to 10 years or more by label. The implant lasts 3.
This guide is for information. Talk to a doctor before starting, stopping or switching birth control.
Sources
- Family Planning: A Global Handbook for Providers, WHO and Johns Hopkins CCP
- Emergency contraception (fact sheet), World Health Organization
- Medical eligibility criteria for contraceptive use, World Health Organization
- IUD insertion cost in the Philippines, ClinicFinderPH, Jun 2026