title: Long-Acting Reversible Contraception: An Essential Guide for Pediatric Primary Care Providers.
abstract: Long-acting reversible contraception (LARC) methods are 20% more effective than traditional contraceptives and are recommended by the American Academy of Pediatrics and American College of Obstetrics and Gynecology as first-line contraception for adolescent girls. Large studies show that LARC use reduces unintended pregnancies, increases user satisfaction, and prolongs duration of use. This article prepares the primary care provider (PCP) with knowledge on safety, efficacy, eligibility, confidentiality, anticipatory guidance, how to find a LARC provider, and guidance on common side effects so the PCP can confidently counsel adolescent patients on LARC methods.
authors.affiliation: Division of Adolescent Medicine, Department of Pediatrics, U Mass Memorial Children's Medical Center, 55 Lake Avenue North, Worcester, MA 01655, USA.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Allen
authors.affiliation: Division of Adolescent Gynecology, Department of Obstetrics/Gynecology, U Mass Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA; Division of Pediatric, Department of Pediatrics, U Mass Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA. Electronic address: erin.barlow2@umassmemorial.org.
authors.forename: Erin
authors.initials: E
authors.lastname: Barlow
mesh_terms: D000293:Adolescent; D003267:Contraception / Q000706:statistics & numerical data*; D003271:Contraceptive Agents, Female / Q000008:administration & dosage*; D003692:Delayed-Action Preparations; D004343:Drug Implants / Q000008:administration & dosage*; D005193:Family Planning Services / Q000458:organization & administration; D005260:Female; D006801:Humans; D007436:Intrauterine Devices, Medicated / Q000706:statistics & numerical data*; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D014481:United States
chemical_list: D003271:Contraceptive Agents, Female; D003692:Delayed-Action Preparations; D004343:Drug Implants
keywords: Adolescent; Anticipatory guidance; Confidentiality; Contraceptive implant; Efficacy; Intrauterine device; Long-acting reversible contraception (LARC); Management