Long acting reversible contraceptive (LARC) methods are birth control methods that provide effective contraception for an extended period of time without requiring user action.
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LARC methods
Available LARC methods include:
- Intrauterine device (IUD)
- Intrauterine system (IUS) - also known as an IUC, or intrauterine contraceptive or hormonal IUDs
- Contraceptive implants, such as Implanon and Norplant/Jadelle
- Depo Provera injection
- Combined injectable contraceptive
Efficacy and cost
LARC methods have been shown to be both more effective in typical use for preventing pregnancy and significantly more cost effective than traditional contraceptive methods such as oral contraceptive pills and condoms.[1][2]
Promotion
The United Kingdom Department of Health has actively promoted LARC use since 2008, particularly for young people;[3] following on from the October 2005 National Institute for Health and Clinical Excellence guidelines.[4] Giving advice on these methods of contraception has been included in the 2009 Quality and Outcomes Framework "good practice" for primary care.[5]
References
- ^ Contributors, Wikipedia (2008), "Comparison of birth control methods", Family Planning Perspectives 23: 226, doi:, http://en.wikipedia.org/wiki/Comparison_of_birth_control_methods#Effectiveness_of_various_methods
- ^ Mavranezouli, I.; Group, on behalf of the LARC Guideline Development (2008), "The cost-effectiveness of long-acting reversible contraceptive methods in the UK: analysis based on a decision-analytic model developed for a National Institute for Health and Clinical Excellence (NICE) clinical practice guideline", Human Reproduction 23 (6): 1338–1345, doi:, PMID 18372257, http://humrep.oxfordjournals.org/cgi/content/abstract/23/6/1338
- ^ "Increasing use of long-acting reversible contraception". Nursing Times.net. 21 October, 2008. http://www.nursingtimes.net/nursing-practice-clinical-research/increasing-use-of-long-acting-reversible-contraception/1902643.article. Retrieved 23009-06-19.
- ^ "CG30 Long-acting reversible contraception: quick reference guide" (PDF). National Institute for Health and Clinical Excellence. http://www.nice.org.uk/nicemedia/pdf/cg030quickrefguide.pdf. Retrieved 2009-06-19.
- ^ "Sexual Health Ruleset" (PDF). New GMS Contract Quality and Outcome Framework - Implementation Dataset and Business Rules. Primary Care Commissioning. 01-May-2009. http://www.pcc.nhs.uk/uploads/QOF/Business%20Rules%20v14/sexual_health_ruleset_r4_v14_0.pdf. Retrieved 2009-06-19.
Sumarised at
* "Contraception - Management QOF indicators". NHS Clinical Knowledge Summaries. NHS Institute for Innovation and Improvement. http://cks.library.nhs.uk/contraception/management/goals_and_outcome_measures/qof_indicators. Retrieved 2009-06-19.
External links
- UK National Health Service Long-acting Reversible Contraception Guidelines
- Long-acting reversible contraception: the effective and appropriate use of long-acting reversible contraception
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