Committee opinion no. 539: adolescents and long-acting reversible contraception: implants and intrauterine devices.

  title={Committee opinion no. 539: adolescents and long-acting reversible contraception: implants and intrauterine devices.},
  journal={Obstetrics and gynecology},
  volume={120 4},
  • Gynecologists
  • Published 1 October 2012
  • Medicine
  • Obstetrics and gynecology
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… 

Practice Bulletin No. 186: Long-Acting Reversible Contraception: Implants and Intrauterine Devices.

  • Medicine
    Obstetrics and gynecology
  • 2017
The purpose of this Practice Bulletin is to provide information for appropriate patient selection and evidence-based recommendations for LARC initiation and management.

Long-acting reversible contraception.

The provision of LARC methods to adolescent, young adult and nulliparous women is a relatively new concept that offers an innovative option for these populations, and is safe for use in most women.

Use of long-acting reversible contraceptives to reduce the rate of teen pregnancy

  • E. Rome
  • Medicine
    Cleveland Clinic Journal of Medicine
  • 2015
Long-acting reversible contraceptives are safe for use in adolescents and do not rely on compliance or adherence for effectiveness, and repeat pregnancy rates are lower when LARCs are used compared with other forms of contraception.

Long-Acting Reversible Contraception for Adolescents: A Review

Effective, confidential communication with sensitive language to inform adolescents of the different types of LARC is necessary to normalize offering LARC as a contraceptive option and improve its uptake among adolescents.

The Latest in Teen Pregnancy Prevention: Long-Acting Reversible Contraception.

Increasing LARC Utilization: Any Woman, Any Place, Any Time

Increasing the opportunities for women to access LARC methods in the primary care, postabortion, and postpartum setting can be achieved by addressing the system, provider, and patient barriers that exist.

Contraception for Adolescents: Focusing on Long-Acting Reversible Contraceptives (LARC) to Improve Reproductive Health Outcomes

Dual use of LARC and barrier methods to reduce risk of sexually transmitted infection is the optimal contraceptive strategy for most adolescents.

The Intrauterine Device

The IUD holds promise for reducing unintended pregnancy in adolescents given the single act of motivation required to initiate and maintain use, top tier effectiveness, low complication rates, favorable side effect profile, and high continuation rates.

Providing Contraception to Adolescents.




The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception.

Effectiveness of long-acting reversible contraception.

The effectiveness of long-acting reversible contraception is superior to that of contraceptive pills, patch, or ring and is not altered in adolescents and young women.

Continuation and Satisfaction of Reversible Contraception

IUDs and the subdermal implant have the highest rates of satisfaction and 12-month continuation and should be the first-line contraceptive methods offered to patients, according to this analysis.

Provision of no-cost, long-acting contraception and teenage pregnancy.

Teenage girls and women who were provided contraception at no cost and educated about reversible contraception and the benefits of LARC methods had rates of pregnancy, birth, and abortion that were much lower than the national rates for sexually experienced teens.

Women or LARC first? Reproductive autonomy and the promotion of long-acting reversible contraceptive methods.

Now is a pivotal time to engage in a critical discussion of this topic, given that use of LARC methods is on the rise, new clinical models are showing success in reducing and eliminating barriers to using them and many women have newfound access to contraceptives thanks to provisions of the Affordable Care Act.

Changes in use of long-acting contraceptive methods in the United States, 2007-2009.

Continuation of Reversible Contraception in Teenagers and Young Women

Teenagers and young women have high rates of LARC method continuation, and older women had slightly lower continuation rates, but this did not reach statistical or clinical significance.

Challenges in Translating Evidence to Practice: The Provision of Intrauterine Contraception

Prescribing practices reflected the erroneous belief that intrauterine contraceptives are appropriate only for a restricted set of women, as well as a need for training on updated insertion guidelines and method-specific side effects, including differences between hormonal and nonhormonal devices.

Comparison of continuation rates for hormonal contraception among adolescents.