Long-acting reversible contraception for adolescents
- PMID: 22781078
- PMCID: PMC4183267
- DOI: 10.1097/GCO.0b013e32835686d5
Long-acting reversible contraception for adolescents
Abstract
Purpose of review: Teen pregnancy continues to plague the United States. This review will discuss long-acting reversible contraceptive (LARC) method use in teens, comprising intrauterine devices and subdermal implants.
Recent findings: The American College of Obstetricians and Gynecologists along with the American Academy of Pediatrics, the Centers for Disease Control, and the World Health Organization have recognized the potential impact of LARC (comprising intrauterine contraception and subdermal implants) to reduce unintended pregnancies. They have affirmed the safety of such devices, and no effects on long-term fertility have been identified. Teen users of these methods have been shown to have high continuation and satisfaction rates. On the contrary, oral contraceptive pills, the patch, and the contraceptive vaginal ring have significantly higher contraceptive failure rates, and these rates are magnified in young women.
Summary: LARC methods should be considered first-line options for teens seeking contraception.
References
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- Kost K, HSa CL. U.S. Teenage Pregnancies, Births and, Abortions: National and State Trends and Trends by Race and Ethnicity. [January 31, 2012]; < http://www.guttmacher.org/pubs/USTPtrends.pdf>. This publication reviews United States pregnancy, birth, and abortion rates for teens on both a state and national level.
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- Santelli J, Sandfort T, Orr M. Transnational comparisons of adolescent contraceptive use: what can we learn from these comparisons? Arch Pediatr Adolesc Med. 2008 Jan;162(1):92–94. - PubMed
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- Darroch JE, Singh S, Frost JJ. Differences in teenage pregnancy rates among five developed countries: the roles of sexual activity and contraceptive use. Family planning perspectives. 2001 Nov-Dec;33(6):244–250. 281. - PubMed
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