Long-Acting Reversible Contraception

Area of Science:

• Public Health
• Gynecology
• Obstetrics

Background:

• Unwanted pregnancies pose a significant public health challenge globally.
• Long-acting reversible contraceptives (LARCs) offer a key strategy for pregnancy reduction.
• Healthcare providers, particularly gynecologists and obstetricians, are central to contraceptive choices.

Purpose of the Study:

• To review LARC characteristics and current access in Brazil.
• To identify barriers and propose recommendations for improving LARC accessibility.
• To inform routine contraceptive counseling practices for healthcare professionals.

Main Methods:

• Literature review of LARC methods.
• Critical analysis of the current situation regarding LARC access in Brazil.
• Development of practical recommendations based on FEBRASGO guidelines.

Main Results:

• LARCs, including intrauterine devices (IUDs) and contraceptive implants, are highly effective.
• There is a need to expand indications and improve insertion techniques for LARCs.
• Facilitating access through public and private health systems is essential.

Conclusions:

• Gynecologists and obstetricians must emphasize LARCs in counseling.
• Adapting insertion techniques and improving healthcare system access are vital.
• Enhanced LARC utilization can significantly impact public health by reducing unwanted pregnancies.