Long-acting reversible contraception

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Few teens use the most effective birth control method, long-acting reversible contraception (LARC). Although teen pregnancy has decreased over the past twenty years, teen birth rates in the United States are higher than many developed countries.

LARC is the most effective yet less than 5 percent of teens use them. LARC prevent pregnancy from 3-10 years. Professional societies, including the American Congress of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP), endorse LARC as a primary contraceptive choice for teens.

A study conducted by the Center of Disease Control’s Vital Signs shows 4 out of 5 teens used birth control the last time they had intercourse. The most common methods were condoms and pills which are the least effective if they are used incorrectly.

The study revealed teens have little knowledge on LARC.  Teens have the misconception that they are not available to them because of their age.

“Health care professionals have a powerful role to play in reducing teen pregnancy,” says CDC Principal Deputy Director Ileana Arias, Ph.D. “They can encourage teens not to have sex and discuss the use of IUDs and implants as contraceptive options available to teens who choose to be sexually active. Long-acting reversible contraception is safe for teens, easy to use, and very effective. We need to remove barriers and increase awareness, access, and availability of long-acting reversible contraception such as IUDs and implants.”

Health providers can help turn this trend around by educating teens on LARC as safe birth control method, regardless of their age. Training in LARC insertion and removal are available through the Title X Family Planning Program.

Title X is a federal program dedicated to providing comprehensive family planning and related preventive health services. Title X uses the latest guidelines on LARC, trains providers on insertion and removal and help secure low or no-cost options.

LARC usage among teens continues to increase from 1 percent in 2005 to 7 percent in 2013.

To find a Title X program center near you, visit the Office of Population Affairs.

For more information regarding LARC visit The American Congress of Obstetricians and Gynecologists.

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