Long-acting reversible contraception

National Institute for Health and Care Excellence


Contraception and principles of care

Contraceptive provision

  • Women requiring contraception should be given information about and offered a choice of all methods, including long-acting reversible contraception (LARC) methods
  • Women should be provided with the method of contraception that is most acceptable to them, provided it is not contraindicated
  • Contraceptive service providers should be aware that:
    • all currently available LARC methods (intrauterine devices [IUDs], the intrauterine system [IUS], injectable contraceptives and implants) are more cost effective than the combined oral contraceptive pill even at 1 year of use
    • IUDs, the IUS and implants are more cost effective than the injectable contraceptives
    • increasing the uptake of LARC methods will reduce the numbers of unintended pregnancies 

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