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Published in: Drugs 8/2011

01-05-2011 | Therapy in Practice

Efficacy and Safety of Long-Acting Reversible Contraception

Authors: Amy Stoddard, Colleen McNicholas, Dr Jeffrey F. Peipert

Published in: Drugs | Issue 8/2011

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Abstract

Long-acting reversible contraception (LARC) includes intrauterine devices (IUDs) and the subdermal implant. These methods are the most effective reversible methods of contraception, and have the additional advantages of being long-lasting, convenient, well liked by users and cost effective. Compared with other user-dependent methods that increase the risk of noncompliance-related method failure, LARC methods can bring ‘typical use’ failure rates more in line with ‘perfect use’ failure rates. LARC methods are ‘forgettable’; they are not dependent on compliance with a pill-taking regimen, remembering to change a patch or ring, or coming back to the clinician for an injection. LARC method failure rates rival that of tubal sterilization at <1% for IUDs and the subdermal implant. For these reasons, we believe that IUDs and implants should be offered as first-line contraception for most women. This article provides a review of the LARC methods that are currently available in the US, including their effectiveness, advantages, disadvantages and contraindications. Additionally, we dispel myths and misconceptions regarding IUDs, and address the barriers to LARC use.
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Metadata
Title
Efficacy and Safety of Long-Acting Reversible Contraception
Authors
Amy Stoddard
Colleen McNicholas
Dr Jeffrey F. Peipert
Publication date
01-05-2011
Publisher
Springer International Publishing
Published in
Drugs / Issue 8/2011
Print ISSN: 0012-6667
Electronic ISSN: 1179-1950
DOI
https://doi.org/10.2165/11591290-000000000-00000

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