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

Obstetrics and Gynecology
Committee on Practice Bulletins-Gynecology, Long-Acting Reversible Contraception Work Group

Abstract

Intrauterine devices and contraceptive implants, also called long-acting reversible contraceptives (LARC), are the most effective reversible contraceptive methods. The major advantage of LARC compared with other reversible contraceptive methods is that they do not require ongoing effort on the part of the patient for long-term and effective use. In addition, after the device is removed, the return of fertility is rapid (1, 2). The purpose of this Practice Bulletin is to provide information for appropriate patient selection and evidence-based recommendations for LARC initiation and management. The management of clinical challenges associated with LARC use is beyond the scope of this document and is addressed in Committee Opinion No. 672, Clinical Challenges of Long-Acting Reversible Contraceptive Methods (3).

References

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Citations

Sep 12, 2018·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Bárbara C RibeiroIsabel D Reis
Feb 3, 2018·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Ahmed M MagedAsmaa I Ogila
Jul 23, 2019·Infant Mental Health Journal·Marsha KaitzLihi Mankuta
Jun 23, 2020·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Jen SothornwitWoraluk Somboonporn
Apr 25, 2018·Contraception and Reproductive Medicine·Carrie Cwiak, Sarah Cordes
Jul 9, 2020·Journal of Clinical Medicine·Magdalena ZgliczynskaKatarzyna Kosinska-Kaczynska
Aug 5, 2020·Archives of Gynecology and Obstetrics·Feyza Nur İncesu ÇintesunOğuzhan Günenc
Jan 29, 2019·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Cecilia CaetanoHeather Grant
Apr 21, 2021·Revista colombiana de obstetricia y ginecología·Franklin José Espitia De La Hoz

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