Increasing LARC utilization: any woman, any place, any time

Clin Obstet Gynecol. 2014 Dec;57(4):718-30. doi: 10.1097/GRF.0000000000000071.


Intrauterine contraceptive devices and the progestin implant are the most effective long-acting reversible contraception (LARC) methods available for preventing unintended pregnancy. LARC devices are safe, non-user-dependent methods that have the highest rates of continuation and satisfaction of all reversible contraceptives. Use of these contraceptives remains low in the United States due to several barriers including: misperceptions among both providers and patients; cost barriers; and patient access to the devices. Increasing the opportunities for women to access LARC methods in the primary care, postabortion, and postpartum setting can be achieved by addressing the system, provider, and patient barriers that exist.

Publication types

  • Review

MeSH terms

  • Attitude of Health Personnel*
  • Contraceptive Agents, Female / economics
  • Contraceptive Agents, Female / therapeutic use*
  • Desogestrel / economics
  • Desogestrel / therapeutic use*
  • Drug Implants / economics
  • Drug Implants / therapeutic use*
  • Family Planning Services
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Intrauterine Devices, Medicated / economics
  • Intrauterine Devices, Medicated / statistics & numerical data*
  • Levonorgestrel / economics
  • Levonorgestrel / therapeutic use*
  • Progestins / economics
  • Progestins / therapeutic use*


  • Contraceptive Agents, Female
  • Drug Implants
  • Progestins
  • etonogestrel
  • Levonorgestrel
  • Desogestrel