In addition to hormonal contraceptive options such as oral contraceptive pills, the contraceptive ring (NuvaRing) and a contraceptive injection (Depo-Provera), longer acting reversible methods of contraception are available. Mirena is an intrauterine contraceptive device that provides 5 years of contraception as well as lighter periods in 75% of women and no periods in 20% of women. Nexplanon is a flexible plastic rod the size of a matchstick that is put under the skin of your arm and it provides contraceptive protection for 3 years. For those women who have completed childbearing, Essure is a minimally invasive office procedure that permanently prevents pregnancy.