Long-Acting Reversible Contraceptives Flyer
Date: 09/20/24
Long-Acting Reversible Contraceptives (LARCS)
LARCs are the most effective forms of reversible contraception and are as effective as surgical sterilization. They are used by an average of 23% of female contraceptive users. Actively informing women about benefits, risks, and common side effects of LARCs can improve consideration and acceptance of the method.
Benefits:
- Highly effective (>99%prevention)
- Does not require regular adherence
- Rapidly reversible
- Few contraindications and side effects
- Long-term cost-effectiveness
- Reduced risk of cervical, endometrial, and ovarian cancer
- Teen birth and abortion rates both declined by nearly 50 percent among teens aged 15- 79 and by 20 percent among young women aged 20-24.1
- Costs avoided: $66.1 and $69.6 million*
*Colorado Department of Public Health and Environment. Taking the Unintended Out of Pregnancy: Colorado's Success with Long-Acting Reversible Contraception, January 2017.
Most Effective Less than 1 preganancy per 100 woman in a year | Reversible Implant 0.05% Failure Rate | Reversible Intrauterine Device (IUD) LNG-0.2% Failure rate Copper T- 0.8% Failure Rate | Permanent Mail Steriliation (Vasectomy) 0.15% Failure Rate | Permanent Female Sterilization (Abdominal, Laparoscopic, Hysteroscopic) 0.5% Failure rate | How to make you methond most effective After procedure little ot nothing to do or remember. Vasectomy and Hysteroscopic Sterilization: Use another method for first 3 months |
| 6-12 pregnancies per 100 women in a year | Injectable 6% Failure Rate | Pill 9% Failure Rate | Ring & Patch 9% Failure Rate | Diaphargm 12% Failure Rate | Injectable: Get repeat injections on time. Pills: Take a pill each day Ring, Patch: Keepin place change on time. Diaphargm: Use correctly everytime you have sex. |
| 18 or more pregnancies per 100 women in a year | Male Condom 18% Failure Rate | Female Condom 21% Failure Rate | Withdrawal 22% Failure Rate | Sponge 24% parous women Failure Rate 12% nulliparous woman Failure Rate | Condoms, sponge, withdrawl: Use correctly everytime you have sex. |
| Least Effective | Fertility-Awarness Based Methods 24% Failure Rate | Spermicide 25% Failure Rate | Spermicides: Use correctly everytime you have sex. Fertility-Awarness Based Methods: Abstain or use condom on fertile days. Newest methods (Standard Days Method and TwoDay Method) may be the easiest to use and consequesntly more effective. |
CONDOMS SHOULD ALWAYS BE USED TO REDUCE THE RISK OF SEXUALLY TRANSMITTED INFECTIONS.
Other Methods of Contraception
- Lactational Amenorrhea Method: LAMis highly effective, temporary method of contraception.
- Emergency Contraception: Emergency contraceptive pills or a copper IUD after unprotected intercourse substantially reduce risk of pregnancy.
Long-Acting Reversible Contraceptives
| Hormonal IUDs (levonorgestrol) | HCPCS | Duration | Notes | Training |
|---|---|---|---|---|
| Mirena (52 mg) | J7298 | 8 Years | FDA-approved for heavy menstrual bleeding; Lighter periods, less cramps | IUD Training |
| Skyla (13.5 mg) | J7301 | 3 Years | Smallest IUD | IUD Training |
| Kyleena (19.5 mg) | J7296 | 5 Years | Smaller than Mirena and Liletta; Lighter periods, less cramps | IUD Training |
| Liletta (52 mg) | J7297 | 8 Years | Very similar to Mirena | |
| Copper IUD | HCPCS | Duration | Notes | |
| Paragard | J7300 | 10 Years | Nonhormonal; Heavier period, longer duration, more cramps | Paragard Training |
| Implant (etonogestrel) | HCPCS | Duration | Notes | |
| Nexplanon | J7307 | 3 Years | Lighter periods, less cramps | Nexplanon Training |