Obstetrics and Gynecology · 2012 · 379 citations · 0 references
MedicineGynecologyObstetricsContraceptionFamily PlanningReproductive HealthContraceptive EffectivenessContraceptive MethodsContraceptive UseIntrauterine DevicesLong-acting Reversible ContraceptionReversible ContraceptionContraceptive Effectiveness MeasurementContraceptive Method ChoiceContraceptive Method EffectivenessImplant ContraceptionIntrauterine Contraceptive DevicesLong-acting Reversible Contraception ContinuationLong-acting Reversible Contraception EffectivenessUnintended Adolescent Pregnancy
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.