Long-Acting Reversible Contraception: An Essential Guide for Pediatric Primary Care Providers

Abstract

Long-acting reversible contraception (LARC) methods are 20% more effective than traditional contraceptives and are recommended by the American Academy of Pediatrics and American College of Obstetrics and Gynecology as first-line contraception for adolescent girls. Large studies show that LARC use reduces unintended pregnancies, increases user satisfaction, and prolongs duration of use. This article prepares the primary care provider (PCP) with knowledge on safety, efficacy, eligibility, confidentiality, anticipatory guidance, how to find a LARC provider, and guidance on common side effects so the PCP can confidently counsel adolescent patients on LARC methods.

Keywords: Adolescent; Anticipatory guidance; Confidentiality; Contraceptive implant; Efficacy; Intrauterine device; Long-acting reversible contraception (LARC); Management.