title: Use of long-acting reversible contraceptives to reduce the rate of teen pregnancy.
abstract: Long-acting reversible contraceptives (LARCs) are safe for use in adolescents and do not rely on compliance or adherence for effectiveness. Continuation rates are higher and pregnancy rates are lower for adolescent users of LARCs compared with short-acting methods such as oral contraceptives. Similarly, repeat pregnancy rates are lower when LARCs are used compared with other forms of contraception. Myths and misconceptions about LARCs and other contraceptives remain a barrier to their use. Health care providers are in a unique position to provide confidential care to adolescents, and should provide education to them about the various contraceptive options, especially LARCs.
authors.affiliation: Head, Center for Adolescent Medicine, Department of General Pediatrics, Cleveland Clinic Children's, Cleveland, OH, USA. E-mail: romee@ccf.org.
authors.forename: Ellen
authors.initials: E
authors.lastname: Rome
mesh_terms: D000293:Adolescent; D003271:Contraceptive Agents, Female / Q000008:administration & dosage*; D017135:Desogestrel / Q000008:administration & dosage*; D004343:Drug Implants; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*
chemical_list: D003271:Contraceptive Agents, Female; D004343:Drug Implants; C044815:etonogestrel; D017135:Desogestrel