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Committee Opinion No. 539
377
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0
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2012
Year
Contraceptive UseHormonal ContraceptiveFertilityConstitutional LawReproductive HealthContraceptive DiscontinuationGynecologyLawPublic OpinionSurgeryContraceptive EffectivenessPublic ChoiceContraceptive CoercionFamily PlanningReproductive EndocrinologyContraceptionContraceptive ImplantsLarc MethodsPublic HealthPolicy ProcessSexual And Reproductive HealthCommittee Opinion NoReversible ContraceptionPregnancy PreventionHigh RiskPublic PolicyContraceptive MethodsHormonal Male ContraceptionGynecological SurgeryContraceptive UptakeMedicineWomen's Health
Long-acting reversible contraception (LARC)—intrauterine devices and the contraceptive implant—are safe and appropriate contraceptive methods for most women and adolescents. The LARC methods are top-tier contraceptives based on effectiveness, with pregnancy rates of less than 1% per year for perfect use and typical use. These contraceptives have the highest rates of satisfaction and continuation of all reversible contraceptives. Adolescents are at high risk of unintended pregnancy and may benefit from increased access to LARC methods.