Committee opinion no. 539: adolescents and long-acting reversible contraception: implants and intrauterine devices

Obstet Gynecol. 2012 Oct;120(4):983-8. doi: 10.1097/AOG.0b013e3182723b7d.


Long-acting reversible contraception (LARC)—intrauterine devices and the contraceptive implant—are safe and appropriate contraceptive methods for most women and adolescents. The LARC methods are top-tier contraceptives based on effectiveness, with pregnancy rates of less than 1% per year for perfect use and typical use. These contraceptives have the highest rates of satisfaction and continuation of all reversible contraceptives. Adolescents are at high risk of unintended pregnancy and may benefit from increased access to LARC methods.

Publication types

  • Consensus Development Conference

MeSH terms

  • Adolescent
  • Adolescent Behavior
  • Adolescent Health Services
  • Confidentiality
  • Contraceptive Agents, Female* / economics
  • Desogestrel* / economics
  • Directive Counseling
  • Female
  • Humans
  • Informed Consent By Minors
  • Intrauterine Devices, Medicated* / economics
  • Intrauterine Devices, Medicated* / statistics & numerical data
  • Levonorgestrel* / economics
  • Patient Acceptance of Health Care
  • Pregnancy
  • Pregnancy in Adolescence / prevention & control*
  • Sexual Behavior
  • United States


  • Contraceptive Agents, Female
  • etonogestrel
  • Levonorgestrel
  • Desogestrel