Long-acting reversible contraception (LARC) Methods Discussion
This discussion is very informative. According to the patient’s health history, your decision to put the patient on long-acting reversible contraception (LARC) method is appropriate. LARC method includes the intrauterine device (IUD) and birth control implant. The advantage of LARC method is that it is long-term, easy to use and reversible- that is if she wants to get pregnant she will just have them removed.
The long-acting reversible contraception methods are effective and is estimated that 1 in 100 women using LARC method becomes pregnant. In addition, LARC methods are 20 times effective than other birth conceptions methods such as the patch, pill or ring (Stoddard, McNicholas, & Peipert, 2011).
You have made a great discussion regarding IUDs including the available types (ParaGard and Mirena). These types if IUDs work by preventing the sperm from fertilizing the egg. For hormonal IUDs, they thicken the cervical mucus making it very difficult for the sperm to enter and to fertilize the uterus. The main challenge with this method of contraception is that it is associated as a high risk factor for pelvic inflammatory disease and some women may experience frequent bleeding in the first few months or amenorrhea (Schuiling & Likis, 2013).
Another option that can be explored is the birth control implant. This is a flexible rod that is inserted under the skin in the upper arm. The main challenge of this method is unpredictable bleeding pattern. In some women, they may stop bleeding completely. Other common side effects with this method are mood swings and headaches.
The benefits of long-acting reversible contraception methods is that once it is put in place, one needs to do nothing else to prevent pregnancy. It does not interfere with sex or daily activities and can be reversed when one wants to become pregnant. In addition, no one can tell that one is using contraception (Stoddard, McNicholas, & Peipert, 2011).
Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecological health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.
Stoddard, A., McNicholas, C., & Peipert, J. F. (2011). Efficacy and Safety of Long-Acting Reversible Contraception. Drugs, 71(8), 969–980. http://doi.org/10.2165/11591290-000000000-00000
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