scholarly journals Benefits of reversible contraception

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 973
Author(s):  
Helena Kopp Kallner

Long-acting reversible contraception—intrauterine devices and contraceptive implants—offers the highest protection against unintended pregnancies. In addition, the use of reversible hormonal contraception has added health benefits for women in both the short and the long term. This review will give an overview of the benefits of reversible contraception as well as an evidence-based recommendation on how it should be used to benefit women the most.

Author(s):  
Jaclyn Grentzer

Long-acting, reversible contraception (LARC), including intrauterine devices (IUDs) and contraceptive implants, are associated with higher contraceptive efficacy and continuation rates. Teen pregnancy rates have declined over the past 2 decades but continue to be a public health concern. Only 10% of teen girls elect to use LARC, likely due to educational, logistical, and economic barriers. The Contraceptive CHOICE Project enrolled 1404 girls aged 14 to 19. Of these teens, more than 70% chose LARC when given standardized contraceptive counseling and barriers to receiving LARC were removed. Pregnancy, live birth, and induced abortion rates in this cohort were lower than rates for the US population of sexually active teen girls. Failure rates were lower for LARC users, as compared to users of other reversible contraceptive methods.


Demography ◽  
2021 ◽  
Author(s):  
Mieke C. W. Eeckhaut ◽  
Michael S. Rendall ◽  
Polina Zvavitch

Abstract The use of long-acting reversible contraceptive (LARC) methods—intrauterine devices (IUDs) and implants—has recently expanded rapidly in the United States, and these methods together approach the contraceptive pill in current prevalence. Research on LARCs has analyzed their use to reduce unintended pregnancies but not their use to enable intended pregnancies. Knowledge of both is necessary to understand LARCs’ potential impacts on the reproductive life courses of U.S. women. We combine data from two nationally representative surveys to estimate women's likelihood and timing of subsequent reproductive events, including births resulting from an intended pregnancy up to nine years after discontinuing LARC use. We estimate that 62% of women will give birth, and 45% will give birth from an intended pregnancy. Additionally, 18% will have a new LARC inserted, and 13% will transition to sterilization. Most of these reproductive events occur within two years after discontinuing LARC use. Births from an intended pregnancy are especially common when no intervening switch to another contraceptive method occurs. We infer that women's motives for using LARC are varied but include the desire to postpone a birth, to postpone a decision about whether to have a(nother) birth, and to transition definitively to the completion of childbearing.


2009 ◽  
Vol 195 (S52) ◽  
pp. s5-s6 ◽  
Author(s):  
Tom Burns

SummaryAntipsychotics in depot (or ‘long-acting injection’, LAI) form are shown in this supplement to be a significant component of clinical practice. They are comparatively underresearched, which may reflect their frequent use witih poorly adherent patients. This supplement clearly demonstrates the need for that research, highlighting the variations in dosing and the absence of established, specific guidelines in their use. Traditional evidence-based approaches to systematic reviews are of limited utility in this area so this supplement's blending of experimental trials with observational research is particularly appropriate and effective. After a brief decline in their use with the introduction of oral atypical antipsychotics, LAIs are regaining a central position in the care of long-term psychosis. This comprehensive review of current knowledge makes a timely contribution.


Sexual Health ◽  
2016 ◽  
Vol 13 (5) ◽  
pp. 404 ◽  
Author(s):  
Jacqueline Coombe ◽  
Melissa L. Harris ◽  
Deborah Loxton

Little research examining qualities of contraception that make them attractive or unattractive to users, particularly young women, exists. The aim of this study is to systemically review the evidence regarding desirable and undesirable qualities of long-acting reversible contraception (LARC), including intrauterine devices, the implant and the injection, as perceived by women. Five electronic databases were searched in May 2015 using terms related to LARC and method preference or decision-making. Studies were included if they concerned women aged 18–23 years from developed countries and reported on perceived positive or negative qualities of LARC. Thirty articles were deemed relevant. Five key themes emerged under which qualities were categorised; including: (1) impact on bleeding; (2) impact on the body; (3) device-specific characteristics; (4) general characteristics; and (5) perceptions and misbeliefs. Fit and forget, high efficacy and long-term protection were considered the top desirable qualities of LARC. Undesirable qualities varied among the LARC methods; however, irregular bleeding, painful insertion and removal procedure, weight gain and location in the body were among those most commonly reported. The contraceptive benefits of LARC, including their high efficacy and longevity, are generally considered to be positive qualities by women, while the potential impact of side-effects on the body are considered as negative qualities. This information is crucial in the clinical setting as it provides practitioners with a greater understanding of the qualities women do and do not like about LARC methods. Discussion about these qualities, positive and negative, during consultations about contraception may increase rates of uptake.


2018 ◽  
Vol 10 (6) ◽  
pp. 16
Author(s):  
Nasrul Wathoni ◽  
Tazyinul Qoriah Alfauziah ◽  
Nopi Rantika

Oral contraceptives are widely used hormonal contraceptives compared to other dosage forms. There are modifications of hormonal contraceptives dosage forms to reduce side effects and improve effectivity and compliance during contraceptive usage. The implantable drug delivery system is a suitable contraception technique for women who are difficult to recall the time of use, such as pills. The contraceptive implant is a small size of rod, and it is placed in the upper arm subcutaneously. Many advantages by using contraceptive implants, such as high effectivity, easy to use, free from estrogen influences, fast recovery of the normal ovulatory cycle, safe for breastfeeding women, and safer for women that have the certain medical condition. However, implant removal procedures are becoming the problem because it requires trained personnel. The unscheduled period is also one of the disadvantages of implants. Although for most women, the implant could reduce blood loss when the period, for some cases it could prolong the period of time. In this article, we reviewed implant contraceptives development due to its application increased rapidly in the last decade. The history of implants, advantages, and disadvantages, and marketed products of the implant were also described in this article. The challenges and opportunities of the contraceptive implant development were summarized based on literature. Designing in situ forming implant and polymeric implant for contraception could be the great future in contraceptive implant development. Finally, contraceptive implants are promising hormonal contraception dosage forms to develop in unintended pregnancies prevention over the world.


Sign in / Sign up

Export Citation Format

Share Document