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Long-acting reversible contraceptives

Written by the Fiveable Content Team • Last updated September 2025
Written by the Fiveable Content Team • Last updated September 2025

Definition

Long-acting reversible contraceptives (LARCs) are a type of birth control that provides effective contraception for an extended period without requiring daily attention. This category includes intrauterine devices (IUDs) and subdermal implants, which are both highly effective in preventing pregnancy for several years. LARCs are particularly important in reproductive health and family planning as they offer a convenient option for individuals seeking to delay or space pregnancies without the hassle of daily pills or frequent visits to healthcare providers.

5 Must Know Facts For Your Next Test

  1. LARCs are more than 99% effective in preventing pregnancy, making them one of the most reliable forms of contraception available.
  2. Once inserted, LARCs can provide protection against pregnancy for 3 to 10 years, depending on the specific method used.
  3. Unlike many other forms of contraception, LARCs require little to no maintenance after insertion, making them ideal for those who prefer a hassle-free option.
  4. Research shows that LARCs can reduce rates of unintended pregnancies significantly, especially among young women and those with limited access to healthcare.
  5. LARCs can be removed at any time by a healthcare provider, and fertility typically returns quickly after removal.

Review Questions

  • How do long-acting reversible contraceptives (LARCs) compare to other forms of birth control in terms of effectiveness and user compliance?
    • LARCs are among the most effective forms of birth control available, with a failure rate of less than 1%. Unlike daily methods such as pills or patches, LARCs do not rely on user compliance after insertion, which is a common reason for failure in other methods. This makes LARCs particularly beneficial for individuals who may have difficulty remembering to take a daily contraceptive or who prefer a set-it-and-forget-it approach.
  • What impact do long-acting reversible contraceptives have on unintended pregnancy rates among different demographic groups?
    • Long-acting reversible contraceptives have been shown to significantly reduce unintended pregnancy rates across various demographic groups, especially among adolescents and low-income women. By providing accessible and reliable contraception without requiring daily adherence, LARCs help empower individuals to make informed choices about their reproductive health. Studies have demonstrated that when LARC options are made available and accessible, rates of unintended pregnancies drop markedly within these populations.
  • Evaluate the role of long-acting reversible contraceptives in improving reproductive health outcomes and family planning strategies on a broader scale.
    • Long-acting reversible contraceptives play a critical role in enhancing reproductive health outcomes by enabling individuals to effectively plan their families and avoid unintended pregnancies. On a broader scale, LARCs contribute to improved maternal and child health by allowing parents to space their children and prepare adequately for each pregnancy. Additionally, by reducing the incidence of unintended pregnancies, LARCs can alleviate healthcare costs associated with unplanned births and enhance overall public health initiatives aimed at supporting family planning efforts.

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