Question

Long-acting reversible contraception.

Hint:

LARC methods are the most effective forms of contraception for women who do not want a daily or frequent reminder.

Answer 1

Step 1: Introduction to Long-Acting Reversible Contraception (LAR.
Long-acting reversible contraception refers to birth control methods that provide effective contraception for an extended period without requiring user intervention. These methods are highly effective and can be reversed when desired.
Step 2: Types of Long-Acting Reversible Contraception.
The main types of LARC include:
(1) Intrauterine Devices (IUDs):
- Copper IUD (Cu-IU: Non-hormonal device that releases copper to prevent sperm from fertilizing the egg. It can remain effective for up to 10 years.
- Hormonal IUD (Levonorgestrel IU: Releases a small amount of progestin to thicken cervical mucus and prevent ovulation. It is effective for 3-7 years depending on the type.
(2) Implants:
- A small, flexible rod inserted under the skin of the upper arm that releases progestin to prevent ovulation. It can be effective for up to 3 years.
Step 3: Advantages of LARC.
- Highly effective in preventing pregnancy.
- Low maintenance once inserted.
- Reversible: Fertility returns quickly after removal.
- Suitable for most women, including those who have not had children or those with certain health conditions.
Step 4: Disadvantages of LARC.
- May cause side effects such as irregular bleeding (with hormonal methods) or pain during insertion.
- Initial cost may be higher, though cost-effective in the long term.