Implants provide effective birth control for three years without any user action between insertion and removal of the implant. Insertion and removal of the Implant involves a minor surgical procedure. Oral contraceptives require some action every day. Other hormonal methods require less frequent action - weekly for the patch, twice a month for vaginal ring, monthly for combined injectable contraceptive, and every twelve weeks for MPA shots. Fertility awareness-based methods require some action every day to monitor and record fertility signs. The lactational amenorrhea method (LAM) requires breast feeding at least every four to six hours.