This week, we discuss the benefits of Long Acting Reversible Contraceptive (LARC) methods, including IUDs and Implants.
Why are we so keen on LARC methods? Because they have a significantly higher continuation rate, higher satisfaction rate, and lower unplanned pregnancy rate than other methods (COCP, POP, DMPA). We also challenge the historical misconceptions regarding the use of IUDs in nulliparous women, and discuss how they are a safe first line option, endorsed by both RANZCOG and family planning groups in Australia.
References & Resources:
Time For A Change (PDF) Time For A Change – Increasing the Use of Long Acting Reversible Contraceptive Methods In Australia Statement by Sexual Health & Family Planning Australia October 2013
Contraception: A New Focus (PDF) Contraception: A New Focus by Dr Suzanne Pearson & Dr Sumudu Cooray, O&G Magazine p14-16 Volume 16 No 3 Spring 2014
The Choice Project (LINK)
Mirena modern-day miracle (PDF) – by Dr Edwina Morgan, O&G Magazine p21-23 Volume 16 No 3 Spring 2014
RANZCOG Guidelines for Intrauterine Contraception (LINK)
Management of Unscheduled Bleeding in Women Using Hormonal Contraception (LINK) Faculty of Sexual & Reproductive Healthcare Clinical Guidance, UK May 2009
Bleeding Pattern Changes with Progestogen-only Long-acting Reversible Contraceptives (LINK) Joint Statement, Sexual Health and Family Planning Australia
Mirena Fact Sheet (PDF)
Implanon Fact Sheet (PDF)
LARCs Fact Sheet (LINK)
Addit: Also check out this great article and awesome accompanying video from NEJM published a week after we published our podcast – Provision of No-Cost, Long-Acting Contraception and Teenage Pregnancy, N Engl J Med 2014; 371:1316-1323
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