Long Acting Reversible (LARCs)

The American College Of Obstetricians & Gynaecologist Committee Opinion

0ctober 2012

Intrauterine device & implants are the best reversible methods for preventing unintended pregnancy, rapid repeat pregnancy & abortion in young women.

American Academy of Paediatrics

POLICY STATEMENT ON CONTRACEPTION FOR ADOLESCENT 2014

Recommends That LARCS Methods Should Be Considered First Line Contraceptive Choices For Adolescents

Effectiveness of LARCs compared to other methods

THE CONTRACEPTIVE CHOICE PROJECT

• New England Journal of Medicine May 2012
• Prospective Cohort Study
• August 2007 to September 2011
• 7,486 participants
• Compared IUCD & Implants (LARC’s) vs Depoprovera, Pill, Patch or Ring

The Conclusions

1. Pill, patch or ring user was 20 x higher risk of unintended pregnancy compared to LARC’s
2. Participants less than 21 years of age who used pills, patch or ring had 2x the risk of unintended pregnancy compare to those over 21 years old.