Long-Acting Reversible Contraception

Courtney C. Baker, Mitchell D. Creinin

Research output: Contribution to journalReview articlepeer-review


Long-acting reversible contraceptive (LARC) methods are effective options for pregnancy prevention. Currently available products in the United States include an etonogestrel implant, a copper intrauterine device (IUD), and several levonorgestrel IUDs. With increasing prevalence and duration of use, our understanding of efficacy, risks, and benefits has evolved. In addition to a brief discussion on nomenclature and LARC use within a framework of bodily autonomy and reproductive justice, this review covers clinical challenges with placement and removal, evidence-based duration of use, and how to mitigate side effects. Although all obstetrician-gynecologists as well as primary care clinicians can safely provide LARCs, complex family planning specialists are an expert referral source for challenging cases and evidence-based care as contraceptive technology continues to develop.

Original languageEnglish (US)
Pages (from-to)883-897
Number of pages15
JournalObstetrics and gynecology
Issue number5
StatePublished - Nov 1 2022
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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