Long-acting reversible contraception side effect management

Current Opinion in Pediatrics
Alexandra J EdwardsSarah Pitts

Abstract

Long-acting reversible contraception (LARC) is increasingly used by adolescents and young adults (AYAs). Subsequent to LARC insertion, AYAs are presenting to their primary care providers with LARC concerns. This article seeks to equip primary care clinicians with the tools necessary to assess and manage common LARC-associated side effects. Side effects are common with progestin-only LARC, and can precipitate early discontinuation of an otherwise effective, low-maintenance form of contraception. Abnormal uterine bleeding, pelvic pain, acne, and weight change are often cited as progestin-only LARC side effects, yet the causes are poorly understood despite extensive research. While most side effects improve with time, therapeutic interventions are available for patients with undesirable side effects that prefer medical management. Research emphasizes the importance of proper patient counseling and clinical follow-up. Counseling remains essential in the management of LARC-associated side effects. However, options are available to temporarily mitigate such side effects and increase LARC satisfaction. While these therapeutic options are prescribed based on expert opinion, such regimens remain inadequately studied in AYA populations.

References

Jul 27, 2010·Contraception·Kendra L FlemingTina R Raine
Apr 22, 2011·Obstetrics and Gynecology·Jeffrey F PeipertGina Secura
Nov 22, 2012·Obstetrics and Gynecology·Jessica R RosenstockGina M Secura
Apr 3, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jennefer A RussoMelanie A Gold
Oct 1, 2014·Pediatrics·Mary A OttUNKNOWN Committee on Adolescence
Dec 10, 2014·Contraception·Paula H BednarekUNKNOWN Post-Aspiration IUD Randomization (PAIR) Study Trial Group
Jul 2, 2015·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Elizabeth O SchmidtTessa Madden
Nov 26, 2015·Obstetrics and Gynecology Clinics of North America·EmmaKate Friedlander, Bliss Kaneshiro
Jan 24, 2016·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Melissa K MillerElizabeth Miller
Feb 24, 2016·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Laura ObijuruConstance D Baldwin
Jul 16, 2016·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Melody Y HouMitchell D Creinin
Aug 23, 2016·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice, UNKNOWN Long-Acting Reversible Contraceptive Expert Work Group
Sep 19, 2016·Journal of Pediatric and Adolescent Gynecology·Elise D BerlanAlison H Norris
Dec 19, 2016·American Journal of Obstetrics and Gynecology·Rachel E Zigler, Colleen McNicholas
Jan 22, 2017·Journal of Pediatric and Adolescent Gynecology·Fareeda HaamidJennifer E Dietrich
Jul 16, 2017·The Journal of Pediatrics·Michelle SolomonMonika K Goyal
Oct 19, 2017·Contraception·Philip D DarneyMitchell D Creinin
Nov 12, 2017·Journal of the American Academy of Dermatology·Diane M ThiboutotLeihong Flora Xiang
Mar 22, 2018·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Courtney A SchreiberMitchell D Creinin
Aug 29, 2018·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Laura D LindbergSheila Desai
Sep 9, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Erin F HoehnJennifer L Reed
Sep 11, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Malcolm G MunroUNKNOWN FIGO Menstrual Disorders Committee
Oct 3, 2018·Journal of Pediatric and Adolescent Gynecology·Alison H NorrisElise D Berlan
Oct 4, 2018·The New England Journal of Medicine·Andrea L Zaenglein
Dec 1, 2018·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·A AgostiniT Linet
Dec 12, 2018·American Journal of Obstetrics and Gynecology·Jill E SergisonDavid Hubacher
Jan 11, 2019·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Marion BachofnerGabriele Merki-Feld
Feb 26, 2019·Journal of Pediatric and Adolescent Gynecology·Paula J Adams Hillard

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