Appropriate choice of long-acting reversible contraception in primary care

Development group: Connolly, Mansour, Raine & Siddiqi.
This management algorithm was developed by a multidisciplinary expert panel: Connolly A et al with the support of a grant from Bayer.


An estimated 19% of pregnancies are unplanned. Barrier methods and oral contraceptives, which are dependent on correct and consistent use, are the most commonly used contraceptive methods in the UK, but unwanted pregnancy is still a risk with improper use. Long-acting reversible contraception (LARC) fails much less often; once commenced, it will work without any further action. However, a lack of information and experience regarding these methods can dissuade patients from pursuing them and healthcare professionals from prescribing them.

This new Guidelines algorithm covers the appropriate choice of LARC, dispels common myths, and suggests ways to manage problematic bleeding.


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