Long-Acting Reversible Contraception

Key Clinical PointsLong-Acting Reversible Contraception Intrauterine devices (IUDs) and hormonal implants are the most effective reversible methods of contraception — approximately 20 times as effective as pills, patches, and rings; couples should be counseled and informed about the superior effectiveness of long-acting reversible contraception (LARC) methods. IUDs and hormonal implants are safe for almost all women, including adolescents, as well as women in the postpartum or postabortion period. The main side effect of IUDs and hormonal implants is a change in bleeding patterns; anticipatory counseling about expected changes in bleeding may increase rates of continuation. Barriers to access to IUDs and hormonal implants remain, including those related to education, provider training, cost, and logistics; successful interventions have been shown to minimize these barriers. Adolescents and adult women should be counseled about contraception and should have access to the full range of contraceptive methods...