title: New developments in long-acting reversible contraception: the promise of intrauterine devices and implants to improve family planning services.
abstract: After decades of having the developed world's highest rates of unintended pregnancy, the United States finally shows signs of improvement. This progress is likely due in large part to increased use of highly effective long-acting reversible methods of contraception. These methods can be placed and do not require any maintenance to provide years of contraception as effective as sterilization. Upon removal, fertility returns to baseline rates. This article addresses advances in both software-improved use and elimination of barriers to provide these methods; and hardware-novel delivery systems and devices.
authors.affiliation: Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah. Electronic address: David.Turok@hsc.utah.edu.
authors.forename: David K
authors.initials: DK
authors.lastname: Turok
authors.affiliation: Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah.
authors.forename: Lori M
authors.initials: LM
authors.lastname: Gawron
authors.affiliation: College of Nursing, University of Utah, Salt Lake City, Utah.
authors.forename: Samantha
authors.initials: S
authors.lastname: Lawson
mesh_terms: D003267:Contraception / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods / Q000639:trends*; D003271:Contraceptive Agents, Female / Q000008:administration & dosage* / Q000009:adverse effects; D004343:Drug Implants; D004867:Equipment Design; D005193:Family Planning Services / Q000639:trends*; D005260:Female; D005298:Fertility / Q000187:drug effects*; D006801:Humans; D007436:Intrauterine Devices, Medicated / Q000009:adverse effects / Q000639:trends*; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D003271:Contraceptive Agents, Female; D004343:Drug Implants
keywords: Contraceptive implant; IUD; long-acting reversible contraception