Strategies to prevent unintended pregnancy: increasing use of long-acting reversible contraception

Human Reproduction Update
P D BlumenthalK Gemzell-Danielsson

Abstract

Despite increasing contraceptive availability, unintended pregnancy remains a global problem, representing as many as 30% of all known pregnancies. Various strategies have been proposed to reverse this disturbing trend, especially increased use of long-acting reversible contraceptive (LARC) methods. In this review we aim to discuss the role of LARC methods and importance of contraceptive counseling in reducing unintended pregnancy rates. References/resources cited were identified based on searches of medical literature (MEDLINE, 1990-2009), bibliographies of relevant publications and the Internet. LARC methods-copper intrauterine devices (IUDs), progestogen-releasing intrauterine system and injectable and implantable contraceptives-are safe and effective contraceptive options (unintended pregnancy rates with typical versus perfect use: 0.05-3.0 versus 0.05-0.6%) that are appropriate for a wide range of women seeking to limit or space childbearing. Despite their safety and efficacy records, these methods remain underutilized; injectable and implantable methods are used by an estimated 3.4% and intrauterine methods by 15.5% of women worldwide. LARC methods require no daily or coital adherence and avoid the adverse events and heal...Continue Reading

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Citations

Feb 7, 2013·Best Practice & Research. Clinical Endocrinology & Metabolism·P G L LalitkumarKristina Gemzell-Danielsson
Sep 22, 2012·Obstetrics and Gynecology·Mengyang SunL Stewart Massad
Feb 4, 2014·Contraception·Matilda EkelundKristina Gemzell-Danielsson
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Jun 8, 2015·Current Opinion in HIV and AIDS·Kathrine Meyers, Sarit A Golub

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