Long-Acting Reversible Contraception 101

Long-Acting Reversible Contraception (LARC) includes the intrauterine device (IUD) and birth control implants. Both have emerged as pivotal and empowering options for individuals seeking effective, hassle-free birth control. According to the American College of Obstetricians and Gynecologists, the IUD and the implant are the most effective forms of reversible birth control available. During the first year of use, fewer than 1 in 100 women using an IUD or implant will get pregnant. 

Understanding LARC

Long-acting reversible contraception methods are distinct from short-term contraceptives, such as oral pills or patches, which necessitate regular adherence to maintain effectiveness. LARC is often a secure and efficient contraceptive option suitable for both teenagers and adults across all age groups. Kernodle OB/GYN is here to describe the difference between the two options, their benefits, and considerations. 

       1. Intrauterine Devices (IUDs)

IUDs are small, T-shaped devices inserted into the uterus to prevent pregnancy. There are two main types of IUDs: hormonal and copper. Hormonal IUDs release progestin, a synthetic form of the hormone progesterone, to prevent ovulation and thicken cervical mucus, inhibiting sperm movement. Copper IUDs, on the other hand, release copper ions that are toxic to sperm, preventing fertilization. The four hormonal IUD brands currently available in the United States include

• Mirena®: Approved for up to eight years
• Liletta®: Approved for up to eight years
• Kyleena®: Approved for up to five years
• Skyla®: Approved for up to three years

The copper IUD brand is Paragard, which is nonhormonal and approved for up to 12 years.

One of the significant advantages of IUDs is their longevity, with protection lasting anywhere from 3-12 years, depending on the type. This eliminates the need for daily or monthly attention, making IUDs a low-maintenance and discreet option.

       2. Contraceptive Implants

Contraceptive implants are small, flexible rods inserted under the skin of the upper arm. These implants release progestin, preventing ovulation, thickening cervical mucus, and thinning the uterine lining. The protection provided by contraceptive implants typically lasts for roughly three years.

Benefits Of LARC

        1. High Effectiveness

Long-acting reversible contraception methods boast some of the highest effectiveness rates among contraceptives. In fact, over time, LARC methods are 20 times more effective than birth control pills, the patch, or the ring. Their success is not contingent on user adherence, reducing the risk of unintended pregnancies compared to short-term methods that depend on consistent and timely use.

       2. Convenience And Discreteness

The set-it-and-forget-it nature of LARC methods contributes to their convenience. Once inserted, individuals can go about their daily lives without the constant worry of birth control compliance. This is particularly advantageous for those with busy schedules or those who may struggle with taking a daily pill.

       3. Reversible And Rapid Return To Fertility

Despite their long-acting nature, both IUDs and contraceptive implants are reversible. Removal of the device promptly restores fertility, allowing individuals to pursue pregnancy when ready. This flexibility makes long-acting reversible contraception methods appealing to those uncertain about their future family planning goals.

Considerations And Myths

While LARC methods offer numerous benefits, it’s essential to address common misconceptions and considerations:

        1. Initial Cost

The upfront cost of LARC methods can be higher than that of short-term contraceptives. However, when considering their extended duration of effectiveness, the overall cost may be comparable or even more economical in the long run.

       2. Suitability For Everyone

While long-acting reversible contraception is suitable for many individuals, it may not be the best choice for everyone. Individual health factors, preferences, and medical history should be considered when choosing a contraceptive method. Consulting with a healthcare professional is crucial to determine the most suitable option.

       3. Misconceptions About Fertility

Some individuals may have concerns about the potential impact of LARC on future fertility. However, both IUDs and contraceptive implants are reversible, and fertility typically returns rapidly after removal.

LARC methods provide an extended duration of protection against unintended pregnancies, allowing individuals greater control over their reproductive choices. Here at Kernodle OB/GYN, we provide full-scope individualized women’s health care, including gynecological care, midwifery services, and low- and high-risk maternity care for women and their families. If you have more questions about long-acting reversible contraception, call Kernodle OB/GYN at (336) 538-2367 to make an appointment.