医学
长效可逆避孕
计划生育
左炔诺孕酮
介绍
宫内节育器
避孕植入物
意外怀孕
家庭医学
妇科
重症监护医学
人口
研究方法
环境卫生
作者
Courtney C. Baker,Mitchell D. Creinin
标识
DOI:10.1097/aog.0000000000004967
摘要
Long-acting reversible contraceptive (LARC) methods are effective options for pregnancy prevention. Currently available products in the United States include an etonogestrel implant, a copper intrauterine device (IUD), and several levonorgestrel IUDs. With increasing prevalence and duration of use, our understanding of efficacy, risks, and benefits has evolved. In addition to a brief discussion on nomenclature and LARC use within a framework of bodily autonomy and reproductive justice, this review covers clinical challenges with placement and removal, evidence-based duration of use, and how to mitigate side effects. Although all obstetrician–gynecologists as well as primary care clinicians can safely provide LARCs, complex family planning specialists are an expert referral source for challenging cases and evidence-based care as contraceptive technology continues to develop.
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