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Updated: May 20, 2026

Reproductive Techniques for Ovarian Monitoring and Control in Amphibians
04:37

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Published on: May 12, 2019

Long-acting reversible contraception for adolescents.

Colleen McNicholas1, Jeffrey F Peipert

  • 1Division of Clinical Research, Department of Obstetrics and Gynecology, Washington University in St Louis School of Medicine, Saint Louis, Missouri, USA.

Current Opinion in Obstetrics & Gynecology
|July 12, 2012
PubMed
Summary

Long-acting reversible contraceptives (LARCs) are safe and effective for teens, showing high satisfaction and continuation rates. These methods, including intrauterine devices and subdermal implants, should be prioritized for adolescent contraception.

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Area of Science:

  • Reproductive Health
  • Adolescent Medicine
  • Contraception

Background:

  • Teen pregnancy remains a significant public health issue in the United States.
  • Long-acting reversible contraceptives (LARCs) offer a potential solution to reduce unintended adolescent pregnancies.

Purpose of the Study:

  • To review the use and effectiveness of LARC methods in adolescents.
  • To compare LARC methods with other contraceptive options for teen users.

Main Methods:

  • This review discusses intrauterine devices and subdermal implants as primary LARC methods.
  • Evidence from major health organizations and studies on teen continuation and satisfaction rates is synthesized.

Main Results:

  • Leading health organizations endorse LARC methods (intrauterine devices, subdermal implants) for reducing unintended teen pregnancies.
  • LARC methods demonstrate high continuation and satisfaction rates among adolescent users.
  • Traditional methods like oral contraceptive pills, patches, and vaginal rings have higher failure rates in young women.

Conclusions:

  • Long-acting reversible contraceptives (LARCs) are recommended as first-line contraceptive options for adolescents.
  • The safety and long-term fertility of LARC methods have been affirmed by major medical bodies.