Long-acting reversible contraceptives
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Abstract
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The majority of women use the less reliable methods of contraception.
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The majority of oral contraceptive users miss two or three pills per packet.
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Thinking has changed from promoting user-dependent to user-independent contraceptive methods.
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Intrauterine devices do not cause pelvic infection or ectopic pregnancy.
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There is no lower age limit for users of any long-acting reversible contraceptives, including intrauterine devices.
Learning objectives:
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To understand the advantages of user-independent methods of contraception.
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To be able to combat myths and misunderstandings relating to them.
Ethical issues:
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Fraser competence should be sought whenever a new method of contraception is chosen by someone under 16 who is not involving their parents in their decision.
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Some people may find the intrauterine copper device unacceptable, as one of its contraceptive actions may be to prevent an embryo from implanting.
Please cite this article as: Fleming CF. Long-acting reversible contraceptives. The Obstetrician & Gynaecologist 2009;11:83–88.
